Dynamic Workers' Compensation Specialist with extensive experience at Gallagher Bassett Services, Inc., excelling in claims management and legal compliance. Proven track record in negotiating settlements and delivering empathetic service, while leveraging strong analytical skills to enhance operational efficiency. Adept at fostering team collaboration and driving successful outcomes in complex claims scenarios.
Overview
18
18
years of professional experience
Work History
Workers Compensation Specialist
Gallagher Bassett Services, Inc
Rolling Meadows
01.2022 - 03.2025
Earned substantial knowledge of Workers' Compensation laws in Illinois, demonstrating expertise in legal compliance and procedural understanding.
Demonstrated comprehensive knowledge of Illinois Workers' Compensation laws, with a strong focus on handling Lost Time claims, return-to-work coordination, and disability duration management.
Managed Lost Time and Medical Only claims, ensuring timely benefits issuance, accurate wage calculations, and compliance with Illinois Workers' Compensation statutes.
Exercised settlement and reserve authority up to $10K, assessing exposure and negotiating fair settlements, particularly for indemnity and Lost Time cases.
Ensured claim handling aligned with company protocols and industry best practices, maintaining quality and consistency in managing Lost Time cases.
Maintained ethical and legal compliance by settling claims per statutory guidelines, with particular emphasis on Lost Time reporting requirements and regulatory deadlines.
Delivered empathetic, solution-oriented service to injured workers, keeping them informed through every stage of their Lost Time claim journey and facilitating early return-to-work when possible.
Senior Claims Examiner | Subrogation Specialist
Sedgwick Claims Management Service
Memphis
01.2017 - 01.2021
Managed a full caseload of complex Workers' Compensation claims, including Lost Time, subrogation, and indemnity cases, ensuring proper investigation, timely benefit delivery, and compliance with jurisdictional requirements.
Exercised settlement and reserve authority up to $25K, making critical financial decisions and estimating exposure with a focus on Lost Time claims and long-term disability scenarios.
Handled subrogation opportunities by identifying third-party liability in Lost Time cases, pursuing recoveries, and maximizing claim outcomes through legal coordination and negotiation.
Assistant Manager
Sam's Club
Memphis
01.2015 - 01.2017
Assistant Manager | 01/2015 - 01/2017 Sam's Club | Memphis, TN ● Administered daily operational functions within a 185,000sq. ft. retail environment, overseeing staffing, customer service initiatives, and merchandising strategies while cultivating a seamless and engaging shopping experience. ● Recalibrated cash management protocols, implementing enhanced transaction verification systems that resulted in a 30% reduction in financial discrepancies, strengthened internal controls, and improved overall accounting accuracy. ● Reformed inventory oversight practices, refining demand forecasting, streamlining stock replenishment cycles, and increasing inventory accuracy 95%, reducing instances of overstocking and supply chain inefficiencies. ● Directed a dynamic team of retail associates, implementing leadership strategies that fostered a collaborative work environment, boosted morale, and encouraged high performance in customer service and sales. ● Innovated merchandise layouts and product placement techniques that optimized visibility, drove consumer engagement, and directly contributed to increased sales and profitability across multiple product categories. ● Upholding rigorous health and safety compliance measures, conducting routine audits, reinforcing best practices, and maintaining a well-organized, hazard-free shopping environment to enhance both employee and customer safety. ● Developed competency-based training programs tailored to employee skill sets, designing educational modules that enhanced service techniques, refined sales acumen, and strengthened overall customer engagement. ● Transformed front-end operational efficiencies by implementing process improvements that reduced checkout wait times, streamlined payment processing, and delivered a more seamless and enjoyable customer experience.
Workers Compensation Adjuster
Walmart
Bentonville
01.2007 - 01.2015
Oversaw a caseload of up to 150 Workers' Compensation claims, including Lost Time, Medical Only, and Indemnity cases, across a multi-state region from Missouri to Pennsylvania.
Managed and mentored a team of eight staff members, ensuring efficient Lost Time claims administration, timely benefit payments, and compliance with jurisdictional timelines.
Served as a subject matter expert in key areas such as Lost Time case strategy, disability duration guidelines, reporting metrics, compliance, and policy development-supporting consistent and informed decision-making.
Maintained reserves up to $25K and executed settlement authority up to $50K, with a strong focus on appropriately estimating exposure in Lost Time and indemnity cases.
Collaborated with legal, medical, and return-to-work teams to manage complex Lost Time claims, reduce claim durations, and support successful employee reintegration.
Played a pivotal role in improving compliance and audit readiness, ensuring Lost Time claim files met all statutory and regulatory requirements.
Education
Associate in Science (A.S.) - Business Management
DeVry University
Chicago
Skills
Insurance
Customer Service
Banking
Understanding of insurance policies and regulations
Claims processing and management
Risk assessment and analysis
Familiarity with insurance software and databases
Knowledge of banking products and services
Financial analysis and reporting
Compliance with banking regulations and procedures
Sales and upselling techniques
Proficiency in MS Office Suite (Word, Excel, PowerPoint)