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Lazina Alie
Bowie Maryland
addn42@r.postjobfree.com
Professional History:
Fort Myer Construction Claims Manager October 2018 –May 2020 CorVel Claims Management November 2013 – January 2018 CorVel Claims Supervisor August 2010 – to 2013
CorVel Claim Specialist July 2006 – August 2010
Claims Manager/ Claims Examiner
Reviewed and adjudicated incidents, claims, goals and objectives, analyzed costs, activities and operations, and supported claims department goals., Reviewed, approved and submitted payments, Reviewed, and managed insurance carrier claims management, Communicated and negotiated settlements and litigated matters, with defense counsel on claim related matters . Participated in formulating and administering company claims operation best practices. Branch Manager/ Claims Supervisor/ Senior Claims Examiner/ Claims Examiner
· Managed and implemented the overall operation of a designated office (35) . Participated in formulating and administering company best practices. Developed long-range goals and objectives, analyzed costs, activities and operations, and supported claims department goals. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Received, reviewed, investigated and managed Workers' Compensation Claims Lost Time and Litigated files from inception to closure,
Determined validity & compensability of claim by investigating & gathering information, filed necessary documentation with state agencies. Confirmed policy coverage & acknowledgement of claim
Established reserves & authorized payments within reserving authority limits
Developed and managed well documented action plan with case manager, attorney, supervisor & client to reduce overall cost of claim
Coordinated early return to work efforts with case manager & employer
Negotiated settlements when necessary
Actively managed the litigation process
Identified potential subrogation claims
Communicated claim status with customer and claimant
Adhered to client guidelines & participated in claim reviews as needed
Developed & maintained professional customer relationships
Represented the company in a professional manner to both internal and external customers and clients.
• Directed the performance and development of the employees in their department. • Ensured staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements. • Assured peak performance of the team through continued training and coaching, coupled with regular performance evaluations. • Utilized jurisdictional expertise and knowledge of regulatory rules, statutes, Page2
and procedures governing the assigned jurisdictions to ensure compliance. • Monitored operational workflow and managed appropriate/adequate staffing levels and staff retention strategies. • Developed and oversaw the implementation of common claim practices and procedures. • Directed and controlled the review and settlement of high dollar or potential high dollar claims, as well as any claims that were beyond the authority of subordinate claims personnel. • Promoted operational efficiency and quality by continuously improving processes, people, and systems, which to enhanced efficiency, consistency, and quality. • Ensured consistent and complete compliance with clients’ policies and procedures. • Completed additional projects and duties as assigned. KNOWLEDGE & SKILLS: • Wields subject matter expertise regarding workers’ compensation claims administration, case management, and cost containment solutions. • Exercises effective use of a high degree of independent professional judgment, action, and initiative in the workplace. •Possesses excellent written and verbal communication skills required for exemplary customer contact, negotiation, presentations, project management, and personnel management.
• Utilizes effective quantitative, analytical and interpretive skills. • Employs exemplary leadership skills, with a demonstrated ability to motivate staff and obtain results through teamwork. • maintains an exceptional work ethic, consistently meets deadlines and handles multiple tasks in a demanding work environment. • Skilled at remaining poised in stressful situations and diplomatic communication via telephone, computer, fax, correspondence, etc. • consistently effectuates indispensable interpersonal, time management, project management and organizational skills in the workplace. • Retains a high level of tact and professionalism regardless of the circumstances. • Proficient computer and technical aptitude with general command over common computer applications. Education:
University of West Indies Trinidad & Tobago: 03/12/82 to 07/14/85
Bachelor of Education (B Ed) Early Childhood Care & Education
Bachelor of Education (B Ed) Primary Education with specialization in * Educational Administration * Language Arts * Science * Social Studies
Bachelor of behavioral Science
College: St. Augustine Senior Comprehensive.
Gordon Street St. Augustine TWI 01/01/78 to 01/20/82 HS Diploma: Curepe Junior Secondary. 09/15/75 to 12/23/77 Farm Road Southern Main Road TWI
Credentials:
Introduction to computing science.
Introduction to Software Engineering and Information Structures.
Professional and courteous. Punctual, creative, energetic, self- Motivated a quick learner and a diligent worker.
Experienced in working with individuals of various Cultural and racial backgrounds.
Experienced working in teams.
Global Young Leaders Conference focusing on leadership, examining, prominent world leaders and enhancing leadership skills. The conference included seminars at the U.S. State Department and the United Nations. Summary of qualifications:
20 years of overall Workers Compensation insurance experience working with insured and self- insured employers.
Bachelor of Education (B Ed) Early Childhood Care & Education
Bachelor of Education (B Ed) Primary Education with specialization in * Educational Administration * Language Arts * Science * Social Studies
Excellent organizational as well as verbal, written, and interpersonal communication skills. Page3
Strong leadership management, skills based on a foundation of superior work ethic and unwavering integrity
Clinical Medical Sciences.