SUMMARY OF QUALIFICATIONS

Four years in Workers’ Compensation including clerical/administrative responsibilities to include self-motivation, devotedness and ability to meet deadlines. Consistent three years in a sales/retail environment, excellent written, oral, and interpersonal communication skills with all levels of management personal.


AREAS OF EXPERTISE

Planning Leading Investigating Coordinating
Developing Organizing Decision Making Claims Managing
Customer Service Data Entry Inter Personal Skills Workers Compensation Insurance


EXPERIENCE

Sedgwick Claims Management Services September 25, 2006 to September 6, 2011
October 15, 2010- September 6, 2011 Claims Examiner II Self Insurance
- Processed high caseload time loss indemnity claims
- Processed high caseload medical only claims
- Gathered information to determine liability exposure
- Assigned reserves
- Processed claim payments as necessary
- Developed action plans and resolution
- Coordinated return-to-work efforts
- Approved claim treatment and payments
- Managed subrogation of claims
- Communicated, both written and verbally, claim action/processing with claimant and client
- Ensured proper documentation and coding
- Maintained a professional client relationship

July 1, 2010- October 15, 2010 Claims Examiner I Self Insurance (promoted)
February 15, 2009- June 30, 2010 Specialty Operations Claims Examiner II State Fund (promoted)
August 2007- February 14, 2009 Specialty Operation Claims Examiner I State Fund (promoted)
September 25, 2006- August 2007 Claims Support (promoted)
- Entered new claims into management system
- Reviewed Self Insurance Forms (SIF2) and State Agency Form (ROA)
- Handled incoming and outgoing mail
- Sent faxes and photocopies as needed
- Handled incoming and outgoing mail
- Opened, indexed, delivered packages
- Reviewed letters and reports
- Answered phone on multi line phone system


Fred Meyer Corporation July 2003 to September 2006
January 2005-September 2006 Person in Charge
- Trained second shift employees
- Ensured proper floor coverage met customer needs
- Adjusted schedules as needed to ensure all departments were covered
- Responded to verbal customer’s comments and/or complaints
- Attended safety training and loss prevention meetings
- Locked store doors and ensured register was counted and dropped
- Ensured employees completed mandatory safety training and loss prevention

January 2006- September 2006 Accessory Department Head
January 2005- December 2005 Woman, Misses, Petites Department Head (promoted)
September 2004- January 2005 Juniors Department Head (promoted)
- Ordered and stocked merchandise
- Complied with divisional signing, ticketing standards and corporate policy
- Performed inventory of stock counts
- Processed returns and exchanges, freight shipments, store transfers, and department mail
- Ensured accuracy on price changes
- Performed, researched, and corrected audits
- Performed cashier functions including opening and closing register
- Provided excellent customer service

July 2003- September 2004 Apparel Clerk (promoted)
- Assisted customers with merchandise selection including suggesting cross sales
- Provided fitting room needs
- Kept merchandise stocked and recovered
- Displayed stock fashion, ad, and basic merchandise on sales floor
- Provided product information
- Performed, researched, and corrected audits

EDUCATION

Community Colleges:
Highline Community College- GPA 3.46 Expected Graduation June 2013

Washington Self Insurance Association (WSIA)
Washington Workers Compensation Program Claims Management- Completed June 29, 2010
Claims Training Classes 1 thru 4- Completed 2008

COMPUTER SKILLS

Microsoft: Word, Excel, Power Point, Outlook, Windows 95-2007, Citrix, Lotus Notes, JURIS, eTeam,
10 key by touch, 90 WPM, proficient with the internet and various email clients and applications.

OUTSIDE ACTIVITIES
January 2006- Present Youth Leader
- Supervise and mentor up to 15 children
- Develop and plan monthly training and extra-curricular activities
- Motivate the youth department to ensure productivity and encourage healthy lifestyles