Customer Service Insurance
Resume:
Bridgett C. Hurst
________________________________________________
Charlotte, NC 28278
Cell: 704-***-****
Email: q1pvrt@r.postjobfree.com
I have enjoyed a career as a workers’ compensation claim professional for almost 15 years now and I am actively pursuing a career change in a management role. I am currently employed with PMA Companies as a Senior Claims Account Representative since February 2012. Previously, I worked at Travelers Insurance since May of 1993 as a Critical Claims Specialist managing the high exposure catastrophic claims involving traumatic brain injuries, spinal cord injuries like paraplegia and quadriplegia, severe burn injuries, amputations, multiple extremity fractures, etc.
Through work experience and continuing educational opportunities, I have acquired extensive knowledge of management of workers’ compensation claims over the years, including how to be cost-efficient in managing the whole claim. I am also rich in leadership, problem-solving, and decision making skills and implementing aggressive tactics to bring claims to resolution and I have been touted as a top performer with all employers because I am very detailed, goal-oriented, a motivated self-starter, hard-worker, independent, reliable, and I am very honest. I am fairly certain that these are the most primary skills and qualities that you demand from your next manager.
I am currently a student in the Bachelor of Science in Management (BSM) program at University of Phoenix and I will be graduating on July 14, 2012. My educational background also includes three years’ of earned credits at the University of NC at Charlotte and prior certification as an Emergency Medical Technician through studies at Central Piedmont Community College.
Your search ends with me…I am the perfect candidate for your management position! Thank you in advance for your time and attention to my enclosed resume. In particular, I would appreciate it if you would please give thorough attention to my experience at Travelers Insurance to achieve an idea about my qualifications for your position and, afterwards, I would be delighted and honored if you would contact me soon for an interview.
Sincerely,
Bridgett C. Hurst
Attachment: Resume (3 pages)
Bridgett C. Hurst
________________________________________________
15717 Southern Garden Lane
Charlotte, NC 28278
Cell: 704-***-****
Email: q1pvrt@r.postjobfree.com
Objective: To make a dynamic career transition, achieve gainful employment with a growing and prosperous company, and make a positive and memorable impression in meeting and exceeding their goals.
Philosophy: …..to do whatever it takes, however it takes to get the job done with a positive and successful outcome!
Experience
February 2012-Present: PMA Companies – Charlotte, NC
Senior Account Claims Representative – Workers’ Compensation
Completed thorough compensability investigation and effectively managed compensable and denied claims of North Carolina and South Carolina jurisdictions for five self-insured clients. Direct injured workers to appropriate providers for evaluation and treatment and monitor medical care and successful return to work. Resolve and close claims as quickly as possible for the lowest possible cost and with best possible outcomes. Identify subrogation recovery potential in the new claim phase and actively pursue recovery from third parties.
2008-January 2012: Travelers Insurance Company - Charlotte, NC
Critical Claims Specialist and Senior Technical Supervisor – Workers’ Compensation
Manage compensable NC and SC catastrophic loss claims for national accounts and assigned risk pools involving traumatic brain injuries, spinal cord injuries including paralysis and quadriplegia, major and extensive burns, multiple extremity fractures, amputations, mental psyche issues, etc. Work closely with Major Case Unit and Paradigm Management Services to direct injured workers to appropriate care providers including designated Centers of Excellence, burn centers, rehab, and assisted living centers and facilitate physician-recommended care plans. Confirm medical necessity and causal relatedness of recommended care before approving treatment. Timely initial and subsequent case reserving with detailed claim analysis and reserve rationale. Prompt commencement and termination of disability benefits. Work with various vendors to complete home and vehicle modifications. Referrals for surveillance/private investigation, vocational evaluations and rehabilitation, subrogation, Second Injury Fund, medical cost projections, life-care plans, Medicare Set-Aside agreements, structured settlements, etc. Coordinate return to work. Completed detailed settlement evaluations and obtain settlement authority from insured. Participate in mediations and settlement negotiation processes. Always maintain strict compliance with jurisdictional statutes and laws, special account instructions, and Travelers’ best practices protocols. Work closely with everyone involved in the claim including the employer and their representatives, brokers, Travelers’ claim account executives and underwriters, the injured worker and his/her family, nurses (telephonic, onsite, and task), providers, attorneys, vocational counselors, etc. to achieve best possible claim outcomes. Utilize other resources such as private investigation, Special Investigations Unit, Risk Control team, etc. Adhere to company’s targeted deadlines and always yield high levels of professionalism and customer service in all aspects of the claims management process. Some additional responsibilities that I have accepted at Travelers include mentoring peers and In-Roads interns, SC EDI Specialist, contributed an article to the company’s newsletter, participation in suit committee reviews, Trav-Comp tours for new, perspective, and returning clients/accounts, etc.
2003-2008: Return to Work Adjuster - Workers’ Compensation
Manage compensable claims which involve lost time and return to work issues through resolution and final closing. Ensure coverage/compensability of assigned claims for various national accounts of North Carolina and South Carolina jurisdictions. Direct injured workers to appropriate providers for evaluation and treatment and monitor medical care and successful return to work. Resolve and close claims as quickly as possible for the lowest possible cost and with best possible outcomes. Additional job responsibilities are the same as above in my current position.
2001-2003: Specialty Risk Services (A division of The Hartford Insurance) - Charlotte, NC
Workers’ Compensation Lost Time Adjuster
Completed thorough compensability investigation and effectively managed compensable and denied claims of North Carolina and South Carolina jurisdictions for one very large national account. Job duties consisted largely of the same claim handling practices as described during employment at Travelers Insurance Company.
2000-2001: Kemper Insurance Companies - Charlotte, NC
Lost Time Adjuster
Completed thorough compensability investigation and effectively managed compensable and denied workers’ compensation claims of North Carolina and South Carolina jurisdictions for various national accounts. Job duties consisted largely of the same claim handling practices as described during employment at Travelers Insurance Company.
1997-2000: InServe Corporation (formerly known as Managed Care USA) - Charlotte, NC
Lost Time Adjuster
Completed thorough compensability investigation and effectively managed compensable and
denied workers’ compensation claims filed in South Carolina jurisdiction for various accounts. Job duties consisted largely of the same claim handling practices as described during employment at Travelers Insurance Company.
Claims Assistant
Performed various clerical and administrative duties for adjusters including preparation and completion of state forms, issue reimbursement checks to claimants for prescriptions/supplies/mileage, filing, faxing, records copying, etc. Also functioned as receptionist and telephone switchboard operator.
1996-1997: The Charlotte Apartment Association (CAA) - Charlotte, NC
Administrative Secretary
Primarily responsible to assist the Executive Director in coordinating his schedule, preparation of reports and presentations, and various other administrative and reception duties. Assist in the production of educational events, awards shows, annual trade show, etc. Collection of member dues and production of flyers and other written media for mass mailings to members. Respond to the needs of the members.
1993-1996: Target Stores, Inc. - Charlotte, NC
Pull Team Scanner
Use electronic scanning device to order product for the sales floor. Unload truckloads of product and stock onto the sales floor.
Education
2010- Present: University of Phoenix – Charlotte, NC
Pursuing Bachelor of Science in Management
Expected completion date: July 2012
1994: Central Piedmont Community College - Charlotte, NC
Certified Emergency Medical Technician (EMT)
1988-1991: University of North Carolina @ Charlotte - Charlotte, NC
Nursing Major
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