Jessica Pittman

***** ***** ***** **. *********, NC 28227 P: 980-***-**** adztxi@r.postjobfree.com

Claim Professional

Resourceful and adaptable claim professional with over 17 years of progressive experience across a range of claim functions. Proven ability of demonstrating a high level of service delivery and risk assessment. Able to negotiate and meet commitments to customers, while proactively managing workload. Takes ownership and responsibility for actions, outcomes and performance results. Areas of Expertise include: Personal Lines NC/SC First Party Medical NC/SC

Team Leader/Trainer

Workers’ Compensation NC/SC/NJ

Professional Experience

Charlotte, NC-Contract Work 2023

Selective Insurance, Charlotte, NC 2021-2022

Return to Work Case Manager-NJ Team

Hired to effectively and timely communicate with employer, employee and medical providers. Investigate lost –time claims to determine coverage and compensability based on guidelines for the jurisdiction. Partner and collaborate with nurse case managers, vendors, and staff counsel to manage the administration of benefits and claim resolution. Travelers Insurance, Charlotte, NC 2013-2021

Return to Work Case Manager

Hired to perform telephonic case management of Workers Compensation claims that were assigned. Responsible for contacting injured workers, employers and medical providers in a timely manner to gather relevant information to assist in the investigation and evaluation of the claim. Also responsible for managing to conclusion all lost time claims. Efficiently managed files with an emphasis on file quality while maximizing internal resources, and achieving a positive end result by returning injured party to work. Key Contributions:

● Dedicated Construction Account Handler: Point person for accepted return to work claims through resolution by way of successful return to work, permanent impairment rating payment or clincher resolution.

● Dedicated National Account Handler: Point person for accepted return to work claims through resolution for some of the following companies: CarMax, Qorvo Inc., Golden State Foods, Grifols, Hanger, Henniges Automotive, Aisin, Citi-Trends, National Vision, Teleflex, Johnson Concrete and Terracon.

● Operations Team Manager -Fill-In:

Acted in a backup supervisory capacity while maintaining a full desk load as a Return to Work Adjuster for the local Operations Staff of approximately 10-12 individuals. Ensured daily administrative task were completed across the team and that internal/external customer expectations were met. Travelers Insurance, Charlotte, NC 2008-2013

First Party Medical

Hired to obtain facts to evaluate coverage, negligence, medical necessity, and causation/damages. Established and maintained appropriate claim and expense reserves. Recognized coverage and jurisdictional issues within claims at onset of report. Managed medical payout, internal medical reviews and peer reviews. Participated in various committees, focus groups, and special projects

Jessica Pittman- page two

11918 Downy Birch Rd. Charlotte, NC 28227 P: 980-***-**** adztxi@r.postjobfree.com Key Contributions:

● Team Lead/Trainer: Created training manuals for new hires to assist with on the job day to day responsibilities and assisted with on boarding of new hires.

● Dedicated Department Billing System Liaison: Participated in monthly conference calls to discuss concerns with workflow and system processes. Responsible for relaying process updates to the department to ensure bills were processed timely/appropriately.

Travelers Insurance, Charlotte, NC 2005-2008

Personal Lines

Hired to provide voice-to-voice contact within 2 hours of first report. Interpreted policy language and explained insurance coverage to various customers. Responsible for obtaining all relevant facts and making a liability decision in a timely manner. Complied with state specific regulations. Determined possible offsets such as subrogation. Key Contributions:

● Team Resource: Go-to person for ensuring unit compliance and understanding of various work flow changes and internal process application.

● Trainer: Assisted Unit Manager with the onboarding of new hires. Education

University of Phoenix Charlotte, NC Aug2004-Jun2006 MBA in Business Administration with a concentration in Human Resources Winthrop University Rock Hill, SC Aug1999-Dec2003

BS in Business Administration with a concentration in Management Technical Skills

Microsoft Office (Teams,Word,PowerPoint,Outlook,Excel) Mitchell

MS Teams

Strataware/Shield

Skype for Business

InfoPath/SharePoint

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