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Compensation Claims Case Management

Location:
Hesperia, CA
Posted:
July 25, 2024

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Resume:

Conrad D. Taylor, WCCP

***** ****** **. ********, ** 92345

909-***-**** *******@*****.***

Summary:

Results-driven professional with a proven track record in workers’ compensation claims, business technology, marketing, and legal support. Proficient in Microsoft Office Suite and Google Workspace, with strong organizational skills and a detail-oriented approach. Seeking to leverage diverse expertise in a challenging role.

Skills:

● Microsoft Office Suite: Word, Excel, PowerPoint, Outlook

● Google Workspace: Docs, Sheets, Drive, Backup & Sync

● Typing Speed: 75 words per minute

Work Experience:

Managing Investigator

SIS Investigations, January 2017 July 2023

● Developed and implemented streamlined case management processes, including organizational and filing systems.

● Pioneered a cloud-based case management system, resulting in enhanced efficiency and accessibility.

● Designed and delivered comprehensive presentations and training materials on sub-rosa investigations and fraud submission.

● Conducted thorough face-to-face interviews with stakeholders and prepared detailed case reports.

● Orchestrated electronic and field investigations, coordinating undercover surveillance operations.

● Performed AOE/COE investigations for workers’ compensation claims

● Managed sub-rosa field investigators on workers’ compensation claims VP, Marketing & Operations

AAA Copy, LLC, October 2013 May 2016

● Cultivated strong client relationships and industry partnerships, driving successful marketing initiatives.

● Elevated brand visibility and lead generation through targeted internal and external marketing campaigns.

● Formulated innovative branding strategies, producing effective marketing collateral to foster business growth.

● Oversaw marketing teams, spearheading campaign deployment and optimization for workers' compensation claims administrators.

● Directed recruitment, training, and performance evaluations for marketing and sales staff. Legal Assistant

Law Offices of Robin E. Woolsey, January 1998 April 2012

● Facilitated trial preparation by conducting legal research and drafting pleadings.

● Managed client accounts and records while maintaining strict confidentiality.

● Collaborated with attorneys and administrative assistants on intricate cases and legal processes.

● Implemented a customized case management system for streamlined document organization and retrieval.

● Managed document revisions, court filings, travel arrangements, and billing. Claims Adjuster

CIGNA, February 1995 December 1997

● Oversaw all aspects of Workers' Compensation claims, including benefits disbursement and medical treatment approval.

● Compiled and filed accurate documents with the Workers' Compensation Appeals Board.

● Managed communication and negotiation with injured workers and addressed inquiries promptly.

● Provided clients with comprehensive status reports on their claims. Certifications

WCCA – September 1, 1995

WCCP – June 1, 1996

Self Insured’s Certificate – June 8, 1996

Languages:

English (Fluent)

References:

Available upon request.



Contact this candidate