Workers Compensation Claims Specialist

Peter Lamelas

727-***-**** • *************@*****.***

Professional Summary

Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments as well as training and managing a team of claims specialists. Expertise also includes analyzing and drafting contracts, research, strategic planning, correspondence with clients and project management. My aim is to utilize my strong prioritization skills and analytical ability to achieve company goals.

Licenses and Skills

Florida 6-20 Resident All-Lines Adjuster License

Oral and Written Communication

Insurance Claims Management

Risk Management

Investigation of insurance claims

Contract Review & Negotiations

Salesforce

Investigate, evaluate and adjust multi-line claims in PeopleSoft

MS Office

CRM Systems

Critical Thinking

Litigation Management

Work History

10/2020 to Present

Claims Specialist

Oracle Elevator Holdco, Inc. – 8800 Grand Oak Drive, Tampa, FL

Management of claims in general liability, auto, property and workers’ compensation across 20 states.

Investigate, evaluate and adjusted multi-line claims.

Manage litigation matters between counsels, corporate departments, courts, government agencies, insurance companies and administrators.

Evaluated and settled complex insurance claims in strict timeframes.

Analyze, edit and negotiate contracts for installation, repair, modernization and maintenance.

08/2019 to 09/2020

Claims Administrator

Raymond James Financial, Inc. – 880 Carillon Parkway St. Petersburg, FL

Management of claims in general liability, property and workers’ compensation.

Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.

Optimized case management with establishment of best practices.

Implemented project management methods to increase team productivity.

Negotiated settlement offers between claimant and insurance companies.

10/2015 to 07/2019

Contract Analyst

Moffitt Cancer Center – 12653 Telecom Dr, Tampa, FL

Monitored incoming contracts for review and negotiations.

Oversaw contracts for over twenty departments using both manual and automated strategies.

Assessed risks inherent in contract alterations and potential impacts, informing management of concerns to avoid liability issues.

Researched and interpreted laws, rulings and regulations to advise clients on business and legal transactions.

06/2006 to 07/2015

Paralegal

Brown & Heller, P.A. – One Biscayne Tower, South Biscayne, Miami, FL

Managed scheduling of court calendars and deadlines to maintain smooth flow of firm operations.

Drafted, edited and proofread legal briefs, motions and pleadings.

Maintained and developed client relations.

Responsible for legal research, correspondence with clients, drafting pleadings and contracts, assembling and analyzing documents, and hearing and deposition preparation.

Summarized depositions, legal documents and other material to provide attorney with relevant information for cases and status reports for clients.

07/2000 to 05/2006

Assistant Director of Contracts

Aeroturbine, Inc. – 2323 NW 82nd Ave, Miami, FL

Reviewed, Drafted and facilitated documents relating to sale, purchase and leasing of aircrafts, aircraft engines and aircraft parts.

Developed and followed processes to manage contracts and remain in compliance with company commitments and regulatory obligations.

Managed flow between departments, clients, the FAA, insurance companies and financial institutions.

Worked collaboratively with administrative staff in negotiation, correspondence, documentation and compliance checks for service contracts.

Education

06/1996

Bachelor of Arts: English Literature

San Francisco State University - San Francisco, CA

06/1992

Associate of Arts: Business Administration

Golden West College - Huntington, CA

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