SHEENA CALLAZO

**** ****** *****

Matteson, IL **443

708-***-****

OBJECTIVE: Seeking a position with a company which will require me to utilize my skills, abilities and

experience in the insurance field to ensure the company's success.

EXPERIENCE:

Marsh 09/2019-Current - Insurance Operations Specialist

Ensure timely & accurate processing of: New and renewal client contracts and their associated amendments, as needed (Note: This includes proactively drafting renewal contracts between 60-90 days ahead of the expiration date of the contract). Maintain daily Contract Workflow Report. Maintain online client contract records, including filing of all related documentation in the company system of record. Responsible for quality transactions, seamless client service and quality of work product. Responsible for the review of simple to complex client contract wording and ensuring that details are included as outlined by the Account Owner, the Client, and Legal. Responsible for escalating/requesting required client contract related approvals or waivers, as needed

JLT Specialty 10/2018- 09/2019 - Client and Technical Services

Support senior account managers and brokers on client matters, including new/renewal activities, special projects, account receivable, policy review/summaries and insurer requests. Serve as the systems expert i.e. EPIC, keeping the client files updated with current and accurate data. Prepare a variety of documents including, but not limited to invoices, certificates/confirmation of coverage, spreadsheets, charts and correspondence for external or internal purposes. Work with brokers to ensure timely and accurate surplus lines filings.

Help at Home Inc. 11/2016-10/2018 - Risk Management Coordinator

Oversee and manage incident-reporting process (typically for injuries, losses or property damage). Coordinate and provide support for the Risk Management Information System, including uploading information, data entry, verification, and generating reports. Coordinated bi-weekly meetings with our insured to review high exposure claims and claim reviews. Investigate incidents to validate claims, recognize and evaluate workers’ compensation issues and assist in resolution. Works closely with property managers, regional managers, insurance broker, insurance companies, defense counsel, legal & HR department. Oversee return to work program, assist with audits, created and enforce policies within the company. OSHA 300/300A/301 review and annual reporting. Conducted new supervisor training and quarterly branch manager safety training.

CCMSI 11/2015- 10/2016 - Claims Adjuster/WC

Review, examine, investigate, and analyze workers’ compensation claims. Process medical bills and invoices. Follow up with medical provider regarding claimant medical status. Refer claims to third party vendors when needed.

Reviewed claims for client, interprets medical records to properly evaluate the extent of the claimant’s injury; determine any pre-existing injury. Updating and maintaining computer input on claims such as upgrading status and closures. Communicate with defense attorneys regarding litigated cases; make recommendations regarding Proposed strategies for claim resolution. Settled litigated claims that are within my authority, navigate multiple screens and programs.

Sedgwick CMS 10/2013-11/2015 - Claims Adjuster/WC

Review, examine, investigate, and analyze workers’ compensation claims. Maintain an active diary on 100% of their caseload. Adhere to assigned authority limits for reserving and payments (including settlements). Issued medical bill and indemnity payments within statutory and/or office policy timeframes. Received claims assignments from the Claims Manager or Supervisor on losses ranging from moderate to severe exposure. Demonstrated strong problem-solving and analytical ability. Responded to treating physician and attorney requests in a prompt and professional manner, within proper time frames and performed related duties as assigned

Jacobson Solution 09/2009 – 9/2013 - Account Director Assistant

Handle claimant’s medical records, support senior management administrative requirements, performed general bill processing and account receivables. Assist in maintaining regulatory filings & records. Assist operations managers by performing data entry for on-going projects, establish, organize and maintain records and files. Schedules meetings and conferences, answer telephones, prepare letters, memos, presentations and materials.

Randstad 02/07 - 12/08 - Customer Service Specialist/Financial Administrator/Child Support

Handled Inbound and Outbound call center calls and case referrals.

Account reviews, inventory and calculated modifications pertaining to financial documents, data entry, and everyday office duties: faxing, filing, copying and training.

RISK MANAGEMENT SOLUTIONS OF AMERICA - 10/04-06/06 - Claims Adjuster Assistance/WC

Claim filing, performed computer data entry and administrative duties.

EDUCATION: American InterContinental University 2015-2019

Major: Bachelor in Business Administration

The institutes: Associate in Risk Management 12/2019

VOLUNTEER: Ronald McDonald Charities - Oak Lawn, IL 12/2015-Present

Property and Casualty Producer licensed Broker

References are available upon request

Contact this candidate