General Electric Claims Specialist
Resume:
MARIA MAYORAL
adoydy@r.postjobfree.com
OBJECTIVE:
To obtain a challenging and rewarding position utilizing and developing my communication, bilingual and organizational skills.
EDUCATION:
Dixon High School, Dixon California
Sacramento State University, Sacramento, California
EMPLOYMENT:
03/2018 through present
Treetown USA
Human Resources
Interview
HR orientations
Confirm I-9 documentation
Leave of absences
Terminations
OSHA handling
Workers compensation claims
Payroll for 300 + employees
Safety meetings
Tailgate training
03/2018 through 12/2018
Ben Glenn Law
Case Manager
Handle personal injury claims
Investigate all incidents
File cases in all court divisions
Prepare demands
Settle cases
Prepare mediations, arbitrations, settlement conferences
04/2016 through 12/2017
Villara Building Systems
Risk and Claims Specialist
Handle all workers compensation claims from start to finish
Prepare and attend all unemployment and workers compensation hearings
Sexual harassment classes and certifications
Drug testing
Human Resources and Safety orientation classes
Human Resources (drug testing, merit reviews, disciplinary meetings/reports, LOA, Unemployment and Workers Compensation Hearings, SAP program, payroll, hiring, termination, Open enrollment benefits)
Handle and attend all meetings with OSHA
Monitor and update SDS (Safety Data Sheet) documents
Conduct New Hire orientation classes and meetings
Administer Property Protection Program
Conduct Safety Inspections
Hold Tailgate meetings
Safety classes in both English and Spanish
Direct liability, workers compensation and auto insurance carrier
Prepare and give 30 day safety classes for all new employees
Prepare and handle modified duty program
Modified duty payroll
Translate all documents into Spanish language
Monitor all injuries from minor to complex
11/2015 through 04/2016
PCS Claims
Litigation Specialist
Responsibilities include:
First and Third party claims handling
Wrongful termination lawsuits
Complex investigation
Direct house counsel
Negotiate all claims to settlement
Prepare for trial if applicable
Settle all pending liens
Mediations, Arbitrations, Settlement Conferences
11/09 through 11/2015
CHILD AND GORDON
Human Resources Generalist/Case Manager
Responsibilities include:
New employee recruitment
New employee orientation classes
Human Resources (Leave of absence, payroll, merit reviews, drug testing, sexual harassment training and classes, unemployment and workers compensation claims and hearings
Reviewing caseload for coverage and value
Order all medical records. Employment records and all pertinent records to case
Evaluating coverage for case
Evaluation case for value
Preparing demands
Negotiating cases for entire office (700 + cases in office)
Confirming liens on file
Handling every aspect of case including but not limited to Med Pay, Underinsured Motorist, Uninsured Motorist cases
Calendaring, scheduling travel, preparing day for Partner of firm
Making travel arrangements/flight arrangements
Scheduling meetings
Carrying executive calendars
08/08 through 09/09
CABE LAW OFFICES
Supervisor Phil Cabe 916-***-****
Legal Assistant
Responsibilities include:
Handling non litigated personal injury cases
HR duties
Meeting with new clients and signing clients up
Ordering medical records/employment records
Reviewing all records
Preparing demands
Negotiating all cases
Reduce liens on files
Review cases for coverage
09/05 through 01/08
DAVID ALLEN AND ASSOCIATES
Supervisor Ron De Chance 916-***-****
Executive Assistant/Case Manager
Responsibilities include:
Planning and developing policies and operational procedures
Human Resources ( New hire orientation, merit reviews, drug testing, classes)
Calendaring
Leave of absence
Handling all non-litigated personal injury claims, social security and Long term care disability claims.
Workers Compensation, Risk Management, Benefit Analyst
Training in claims handling, compliance, demand preparation and coverage.
Develop Risk Control plans
Proficient in Needles, Outlook, Microsoft Word, Word Perfect, Excel Programs
Windows 2000, Windows XP
09/01 – 9/05
GENERAL ELECTRIC, San Rafael, CA
Supervisor Lloyd Perez 800-***-**** 11816
Risk Analyst
Responsibilities included:
Risk Analyst, Benefit coordinator,
Generate plans and reports promoting safe working conditions
Review reports identifying losses and exposure
Compliance training
Present files before corporate committees for review
Reviewing Long Term care claims, medical records reviews, independent medical examination reviews, and review files for possible fraud.
2/01 to 10/01
CALIFORNIA INSURANCE GROUP, Sacramento CA 95841
Supervisor Eric Hartwell 800-***-****
Senior Claim Specialist
Responsibilities included:
Oversee facility inspections in order to evaluate safety conditions
Risk Control
ADA compliance
Develop safety training
First and Third Liability Claims of High Complexity, Handling of Western Coast States (NV, CA, )
Attend and monitor Settlement Conferences, Arbitration/Mediation
General Liability Claim handling
Mold Specialist
11/99 to 8/00
KEENAN & ASSOCIATES, Oakland, CA
Supervisor Kimberly McGee 800-***-****
Risk/Litigation Analyst
Responsibilities included
Generate reports and assistance to JPA operating boards of directors and all participating agencies.
Providing high quality, innovative products and services to governmental entities in order to add value, increase reliability and provide financial security for their employee benefits, workers' compensation and property and liability programs
Analyzed loss trends, reviewing compliance, assessing hazards, establishing written programs, and providing high-quality safety training for our Community College clients. Additional duties include, but are not limited to the following:
Performing on-site inspections (both Workers’ Compensation and Property/Liability) of client facilities to identify and evaluate hazardous conditions and make recommendations for corrective measures.
Reviewing the existence of required safety programs to assess their compliance and functional effectiveness. Assisting Community College Districts with the writing of the programs identified as deficient and JPAs with finding global solutions to the deficiencies.
Responding effectively to specific safety problems or concerns raised by customers.
Providing safety training classes and presentations (as approved by Director).
Conducting ergonomic evaluations, accident investigations, or specific hazard assessments (as approved by Director).
Completing an analysis of Community College District’s losses and presenting an action plan focused on negative loss trends.
Completing reports that meet department guidelines and complying with established department turnaround times.
Government Tort Claims handling
First and Third Party Liability, Mediation, Arbitration
Wrongful Termination Suits, Breach of Contract Suits
ADA suits, General Liability
7/99 to 10/99 (Temp)
CIGNA INSURANCE, Sacramento California
OFFICE CLOSED AS MOVED TO NEW JERSEY
Claim Specialist
Responsibilities included
Investigating First and Third Party Claims
Conducting Training session in Liability and General liability coverage handling
Litigated Personal Injury claims
Evaluate Property Damage
General Liability Claims
4/98 to 3/99
ZURICH US, Sacramento, CA
Claims Specialist
(Re organization of office, position eliminated)
Responsibilities included
Investigating First and Third Party Claims. High complexity,
Evaluate Property Damage,
Arbitration, and Mediation
Identify Training Needs in order to implement training program
Review reports in order to identify exposures to loss
Assist insured in prevention of injuries and safety violations
10/87 to 4/98
CALIFORNIA STATE AUTO ASSOCIATION, San Francisco, CA
Claim Supervisor
Responsibilities included
Supervise staff of 22
Audit First and Third Party Claims
Uninsured and workers compensation hearings
Risk Management
Develop training curriculum
Body Shop Specialist
Medical Payment Specialist
Arbitration and Mediation
Small Claims Court
Monitor Defense counsel and Trials
SKILLS
**PC (Microsoft Word, Excel, Windows,Word Perfect, Power Point, Abacus, Needles, SAP)
**10 key Calculator by touch
**Fluent in Spanish Language
**Accounts Receivable/Payable/Payroll
** Conduct Job Fairs
** Vehicle Damage Estimating
** Typewrite: 60+ wpm with 1 error
** First Aid and CPR certified
STRENGTHS
Possess well-developed interpersonal and communicational skills. Able to work and communicate effectively with people from diverse backgrounds at all levels.
Creative…Imaginative…Thorough…Accurate… Flexible…Detail-Oriented…Dedicated…Hard Worker…Fast Learner…Readily grasp understanding of…And apply new principals, procedures and methods.
REFERENCES Furnished on request
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