Sedgwick - Claims Examiner Resume Example

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Aria Barnes
XXX XXXXXXX XXXXX, El Dorado Hills, CA 95762
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXX
Professional Summary
Understanding Military HR Generalist, adept at managing a
wide range of employee relations issues.
 
Expertise in problem solving and mediation. A forward-thinking Military
HR Generalist highly effective at adapting to evolving market plans and the
needs associated with company expansion. A driven Sergeant Major bringing an
innovative approach to human resource management while creating a team-driven
environment that fosters room for development and growth.





Skills

Termination Procedures Project Management

Team Building Employee Recruitment

SharePoint Intranet Software Compensation and Benefits

Workers' Compensation knowledge Critical Thinking

Project Planning Microsoft Office

Experience
Claims Examiner May 2013Present Sedgwick Roseville, CA

Managing a caseload of 140 injured workers on the Cintas account involving all aspects of Workers Compensation
Claims including entry investigations, advanced investigations, benefit analysis, medical management, rehabilitation
and litigation management. Prepares detailed budgeting reserves and specific oversight of settlement of each file.
Largest settlement to date was for $90,000.00. Organizes and prepares advanced presentations to the client on
specific case management and settlement evaluation. Extensive experience with Microsoft Office and all programs
therein

Sergeant Major Dec 1987Present U.S. Marine Corps-Reserves Pasadena, CA


Assist and advise the Battalion Commander as the Senior Enlisted Marine. Report to the Battalion Commander on
professional and personal matters pertaining to the efficient operation of the command including 1,100 Marines
involving nine different Companies over five different states (including Puerto Rico). Provide leadership, counseling
and guidance on all issues to ensure they are handled in a timely and appropriate manner. Assist Marines in fitness
report processing, tracking and accuracy. Mentor and help develop subordinate leaders through Professional
Military Education and personal experience. Ensure correct and timely submissions of administrative matters
including Service Records, Promotions, Awards, legal documents and matters that affect the welfare efficiencies of
the Command. Supervise and guide the conduct of ceremonies and formations.


Temporary Claims Examiner Feb 2013Apr 2013 Insuarnce Overlaod Services Rancho Cordova, CA

Managed a caseload of 110 injured workers on the Cintas account involving all aspects of Workers Compensation
Claims including entry investigations, advanced investigations, benefit analysis, medical management, rehabilitation
and litigation management. Prepared detailed budgeting reserves and specific oversight of settlement of each file.
Largest settlement to date was for $40,000.00. Organized and prepared advanced presentations to the client on
specific case management and settlement evaluations. Extensive experience with Microsoft Office and all programs
therein.

 

Senior Claims Examiner Mar 2007Jan 2013 York/Avizent/Frank Gates El Dorado Hills, CA

Managed a caseload of 140 injured workers on the Walmart account involving all aspects of Workers Compensation
Claims including entry investigations, advanced investigations, benefit analysis, medical management, rehabilitation
and litigation management. Prepared detailed budgeting reserves and specific oversight of settlement of each file.
Largest settlement to date was for $300,000.00. Organized and prepared advanced presentations to the client on
specific case management and settlement evaluation. Extensive experience with Microsoft Office and all programs
therein.

Case Manager I-III Feb 2000Feb 2007 Liberty Mutual Group Sacramento, CA

Managed caseload of 120 injured workers on the UPS account involving all aspects of a Workers Compensation
Claims including entry investigations, benefit analysis, medical management, rehabilitation and litigation
management. Introduced to budgeting reserves and overseeing settlement of each file. Largest settlement was
$50,000.00. Organized and prepared presentations to the client on general case management and settlement
evaluation. Worked in a team environment.

Education
Bachelor of Science : Criminal Justice California State University-Sacramento Sacramento, CA
Major Coursework : Masters of Education/Multisubject Teaching Credential University of Phoenix Sacramento, CA

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About this resume

Claims Examiner FROM El Dorado Hills , California RESUME

This is a resume for a Claims Examiner in El Dorado Hills, California with experience working for such companies as Sedgwick and US Marine Corps Reserves. The grade for this resume is 0 and is one of hundreds of Claims Examiner resumes available on our site for free. Use these resumes as templates to get help creating the best Claims Examiner resume.

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School Attended
California State University-Sacramento