Sample Template Example of Beautiful Excellent Professional Curriculum Vitae / Resume / CV Format with Career Objective, Job Description, Skills & Work Experience for Freshers & Experienced in Word / Doc / Pdf Free Download
To obtain a position that utilizes my extensive knowledge of medical terminology, litigation, corporate profitability, interviewing skills, claims handling, ability to foresee costs of claims for appropriate reserving, and expertise to work with NCM, Excess Carriers, counsel, Risk Management, Loss Prevention and personnel in the field for strategies to complete resolution of claims.
WORK EXPERIENCE
GALLAGHER BASSET INC (1/1/12 - 2/29/12) GREENWOOD VILLAGE (CE III)
Responsible for multiple clients Worker's Compensation claims including: VS Corp, Wells Fargo Ski Program (AZ, CO, UT), Excel, Xerox, Gas Corp, and multiple small retail stores. Responsibilities included working with managers, NCM, counsel, Risk Managers, CEO's, Brokers and Agents for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims. Created Loss Prevention plans for reduction in actual reportable claims to minimize Loss Run numbers for more monetary viability in policy costs.
SEDGWICK CMS (03/15/2010 - 12/31/11) GREENWOOD VILLAGE CO (CE III)
Responsible for multiple clients Worker's Compensation claims including: Rent-A-Center, Hewlitt Packard, Manpower, Securitas, Express, Central Parking, Chic-Fila, American Red Cross, Gamestop, 3M, Buffalo Wild Wings, DHL, and Lowe's in CO and AZ. Responsibilities included working with managers, NCM, and counsel for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims.
SRS/THE HARTFORD (12/09 - 4/10) Denver, CO (Temporary Assignment)
Responsible for handling Lowe's account for Colorado and Utah lost time claims. Responsibilities included working with HRM's, NCM, and counsel for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims.
PINNACOL ASSURANCE (12-08 - 5-09) Denver, CO (Temporary Assignment)
Claims Representative II for large associations. Responsible for managing medical costs, medical procedures, reserving, and safety meetings with agents and safety directors of policyholders on a quarterly basis. Close contact with employers to define resolution plans to close files including settlement. Also, worked as TPA Claims Representative II for the State of Colorado. Close contact with the State Office of Risk Management to come up with resolution plans to close files including settlements.
COMMERERCIAL GASKETS OF CALIFORNIA (3-07 - 2-08) San Diego, CA
Start-up company: I was responsible for cold call sales, writing bids, manufacturing, and installation of commercial refrigeration seals for hospitals, hotels, restaurants, grocery stores etc...
HARBOR PUB & PIZZA (11-01 - 1-07) Honolulu, HI
Manager/Bartender: Responsible for closing shift including manager, bartender, responsible for kitchen and bar staff performances, reviews, scheduling and nightly accounting procedures. Also interviewed potential new teammates and let go teammates that did not meet requirements.
JOHN MULLEN & COMPANY, TPA (7-02 - 12-05) Honolulu, HI
Investigator/Claims Adjustor II: Responsible for determining compensability for First Reports of Injury, litigating issues arising during course of claim including all medical issues including necessity of surgery and after care procedures, settling of claims on a full and final standpoint and PTD. Responsible for multiple carriers' procedures and practices as each had own way of handling, investigating and settling of said claims, and extensive knowledge of Hawaii Workers' Compensation statutes and litigation practices as pertains to Hawaii law.
PINNACOL ASSURANCE (1997-2001) Denver, CO Special Investigator/Claims Representative
EDUCATION
Pueblo South High School: Diploma 1992
University of Southern Colorado: (Mathematics, Physics) 1992-1997
OTHER PROFESSIONAL TRAINING AND CERTIFICATION
Insurance and Securities Schools of America (INS 21-23); CPCU licensed in CO and AZ, Licensed in UT to handle WC claims.
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JOY COOK
(720)447-9876
coojoy@yahoo.com
OBJECTIVE To obtain a position that utilizes my extensive knowledge of medical terminology, litigation, corporate profitability, interviewing skills, claims handling, ability to foresee costs of claims for appropriate reserving, and expertise to work with NCM, Excess Carriers, counsel, Risk Management, Loss Prevention and personnel in the field for strategies to complete resolution of claims.
WORK EXPERIENCE
GALLAGHER BASSET INC (1/1/12 - 2/29/12) GREENWOOD VILLAGE (CE III)
Responsible for multiple clients Worker's Compensation claims including: VS Corp, Wells Fargo Ski Program (AZ, CO, UT), Excel, Xerox, Gas Corp, and multiple small retail stores. Responsibilities included working with managers, NCM, counsel, Risk Managers, CEO's, Brokers and Agents for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims. Created Loss Prevention plans for reduction in actual reportable claims to minimize Loss Run numbers for more monetary viability in policy costs.
SEDGWICK CMS (03/15/2010 - 12/31/11) GREENWOOD VILLAGE CO (CE III)
Responsible for multiple clients Worker's Compensation claims including: Rent-A-Center, Hewlitt Packard, Manpower, Securitas, Express, Central Parking, Chic-Fila, American Red Cross, Gamestop, 3M, Buffalo Wild Wings, DHL, and Lowe's in CO and AZ. Responsibilities included working with managers, NCM, and counsel for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims.
SRS/THE HARTFORD (12/09 - 4/10) Denver, CO (Temporary Assignment)
Responsible for handling Lowe's account for Colorado and Utah lost time claims. Responsibilities included working with HRM's, NCM, and counsel for strategies for case resolution. Setting accurate ultimate reserves, settlement negotiation with outside counsel and injured worker's for claim resolution. Work closely with corporate office staff for PTD reserves and MSA's for ultimate settlement of high risk claims.
PINNACOL ASSURANCE (12-08 - 5-09) Denver, CO (Temporary Assignment)
Claims Representative II for large associations. Responsible for managing medical costs, medical procedures, reserving, and safety meetings with agents and safety directors of policyholders on a quarterly basis. Close contact with employers to define resolution plans to close files including settlement. Also, worked as TPA Claims Representative II for the State of Colorado. Close contact with the State Office of Risk Management to come up with resolution plans to close files including settlements.
COMMERERCIAL GASKETS OF CALIFORNIA (3-07 - 2-08) San Diego, CA
Start-up company: I was responsible for cold call sales, writing bids, manufacturing, and installation of commercial refrigeration seals for hospitals, hotels, restaurants, grocery stores etc...
HARBOR PUB & PIZZA (11-01 - 1-07) Honolulu, HI
Manager/Bartender: Responsible for closing shift including manager, bartender, responsible for kitchen and bar staff performances, reviews, scheduling and nightly accounting procedures. Also interviewed potential new teammates and let go teammates that did not meet requirements.
JOHN MULLEN & COMPANY, TPA (7-02 - 12-05) Honolulu, HI
Investigator/Claims Adjustor II: Responsible for determining compensability for First Reports of Injury, litigating issues arising during course of claim including all medical issues including necessity of surgery and after care procedures, settling of claims on a full and final standpoint and PTD. Responsible for multiple carriers' procedures and practices as each had own way of handling, investigating and settling of said claims, and extensive knowledge of Hawaii Workers' Compensation statutes and litigation practices as pertains to Hawaii law.
PINNACOL ASSURANCE (1997-2001) Denver, CO Special Investigator/Claims Representative
EDUCATION
Pueblo South High School: Diploma 1992
University of Southern Colorado: (Mathematics, Physics) 1992-1997
OTHER PROFESSIONAL TRAINING AND CERTIFICATION
Insurance and Securities Schools of America (INS 21-23); CPCU licensed in CO and AZ, Licensed in UT to handle WC claims.
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