HR and Claims Specialist with Leadership Focus

CAROLYN JACKSON

*****************@*****.*** 661-***-**** Santa Clarita, CA

Professional Experience

Experienced HR and Operations professional with over five years in employee relations, performance management, and workers’ compensation claims adjusting. Skilled in managing large teams, handling complex employee issues, and ensuring compliance with labor laws and company policies. Proficient in coordinating workers’ comp claims, ADA accommodations, and LOA processes. Strong communicator with expertise in coaching, conflict resolution, and leveraging HRIS/ATS systems for efficient personnel management. EXPERIENCE

Workers’ Compensation Claims Adjuster- CHUBB/ESIS Insurance- Chatsworth, CA (01/2025- Present)

• Conduct thorough investigations by reviewing claims and policy information, interviewing insureds, claimants, witnesses, and other relevant parties.

• Secure necessary claim information through various channels, including phone calls, emails, and document review.

• Prepare detailed reports on investigations, settlements, and claim denials, providing clear documentation of the case.

• Negotiate settlement with claimants, attorneys, and medical providers, achieving an average cost reduction of 15% per claim.

• Set reserves within established authority limits and recommend adjustments as needed.

• Regularly review claim progress, identify challenges, and suggest solutions for improved handling.

• Inform claimants, insureds, customers, and attorneys of claim denials when applicable.

• Work to settle claims promptly and equitably, utilizing various negotiation strategies.

• Obtain necessary documentation, including releases, proofs of loss, or compensation agreements.

• Process claim payments efficiently and accurately.

• Work with team leaders, attorneys, and other relevant parties to strategize case resolution and improve claims handling processes.

Human Resources Consultant Solutions- California Institute of the Arts- Valencia, CA (11/2022 to 01/2025)

• Manage preparation, distribution (through DocuSign), and intake of contracts for incoming and continuing faculty, while maintaining close contact with schools to ensure accuracy of contract details.

• Input payroll records in Colleague by entering personal data, wage and stipend data for all faculty, and checking for accuracy prior to submission to payroll office.

• On-board new faculty including I-9 verification, email, and I.D.

• Maintain the shared FileMaker database and excel reconciling sheets.

• Maintain discretion and confidentiality in securing and working with sensitive salary and faculty information.

• Serve as point-of-contact for contract, visa, and payroll related issues.

• Work closely with foreign visiting scholars, artists, research scholars and professors on obtaining the proper US visas prior to coming to CalArts. Serve alternate Responsible Officer (ARO) for campus, and primary point-of- contact for various faculty visa types (J-1, H-1B, O-1). Complete the J-1 annual visa report, work with lawyers on H-1B, O-1 and other visa matters.

• Review and process payments for miscellaneous office invoices including legal fees.

• Periodically review and assess internal processes to identify areas of opportunity, and recommend/implement improvements accordingly.

Human Resources Generalist/Call Center Manager Princess Cruise Lines – Santa Clarita, CA

(01/2003- 11/2022)

• Communicated labor laws and compliance, providing conflict management guidance to employees and management.

• Conducted investigations and recommended appropriate action including corrective, and disciplinary.

• Responded and guided employees and managers through questions about policies and procedures, provided clarity in challenging situations.

• Provided training on HR policies including anti-discrimination, and anti-harassment guidance.

• Assisted with development and maintenance of company handbooks and policies.

• Provided performance management coaching and counseling for managers.

• Attended court hearing when required.

• Assisted with other departmental projects and initiatives as needed. Business References: Available upon request.

Education

California State University, Chico - Chico, CA

Bachelor of Arts in Business Administration

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