Bryan Midgette Email & Phone Number

Saint Petersburg, FL, US

Daytona Beach, Florida, US

• Coaches, develops and provides direction and guidance to assigned claims adjusters with entry-level experience.
• Supervises assigned claims adjusters and monitors their work product to ensure quality and effectiveness.
• Manages accountabilities in the administration of workers’ compensation claims in Florida, Georgia, California, Colorado, Nevada, New York, and Tennessee.
• Advises insured of deductibles, coverages, and the workers’ compensation claims process.
• Serves as a point of contact for our insureds and advises them of coverages, the workers’ compensation claims process, and expectations.
• Understands and operationalizes programs, policies, and procedures for: reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information.

Boston, MA, US

• Thoroughly investigated workers’ compensation claims in Florida, Georgia, North Carolina, and South Carolina by contacting insured representatives, injured workers, witnesses, and medical providers.
• Established action plans based on case facts, best practices, protocols, regulatory issues, and available resources.
• Partnered with injured workers, customers, medical providers, and attorneys to facilitate the return to work after an injury.
• Ensured payments for lost wages and medical bills were remitted on a timely basis in accordance with state statutes and applicable fee schedules.
• Actively participated in claim reviews with insureds and agents, roundtables, arbitrations, and mediations, and assisted in conducting closed file reviews.
• Negotiated settlements with claimants and attorneys in accordance with the insured’s authorization.

Denver, CO, US

• Demonstrated working knowledge of the Colorado Workers' Compensation Act, Rules of Procedure, SB 79 and SB 218, and case law.
• Carefully investigated any claim where compensability was an issue.
• Responded to and resolved complex and sensitive inquiries and complaints; evaluated problems and took appropriate action to resolve issues/concerns; advised injured workers of their benefits.
• Negotiated settlement of claims up to designated authority level.
• Calculated and assigned timely and appropriate reserves for claims and continued to manage reserve adequacy throughout the life of the claim.
• Attended claims audits, workers' compensation hearings, claims reviews, meetings, and training sessions.

Boston, MA, US

• Created and maintained rapport with approximately 75-105 commercial policyholders and claimants at any time.
• Confirmed coverage and conducted in-depth investigations to determine liability in accordance with state law.
• Entered claim reserve requirements and made adjustments, as necessary, during the process of any given claim.
• Documented actual damages associated with claims, and processed claim settlements within assigned authority limits.
• Trained new hires, both in-house and out of state, on claim processes and computer systems.

Dearborn, MI, US

• Analyzed various auto policies and auto claim forms to verify and determine insurance coverage eligibility under Florida State Laws.
• Conducted prompt investigations with attention to detail and thorough documentation, resulting in a claim closure rate of 14 days on a goal of 30 days.
• Established and upheld a high level of customer service with approximately 70-90 policyholders and claimants at any given time.
• Negotiated total loss settlements with policyholders, claimants, carriers, and attorneys in accordance with recommended guidelines and limits of authority.
• Evaluated moderately complex bodily injury claims and negotiated fair settlements within dollar authority.
• Processed first-party medical claims according to fee schedule rules and regulations.

San Antonio, Texas, US

• Established and maintained a high level of customer service with approximately 80-110 policyholders and claimants at any time.
• Handled a high influx of inbound calls, approximately 10/hour, within a dynamic call center environment.
• Communicated effectively with a diverse range of personalities while meeting all the call requirements resulting in a customer service rating of “exceeds expectations”.
• Managed the accurate recording of all information required for successful resolution of claims investigations.
• Offered product(s) that met member needs and facilitated their financial security; closed on product sales.
• Operated as a team player; for example, participated in PRIDE which is a team that acts as a liaison between managers and employees to foster team satisfaction.

Mooresville, NC, US

• Designed kitchens using provided training manuals and computer software that was highly functional and aesthetically pleasing.
• Delivered world-class customer service built on Lowe’s corporate culture, resulting in customer satisfaction and loyalty.
• Developed strong relationships with established accounts while acquiring new ones.
• Consistently exceeded aggressive quarterly sales goals.
• Completed ongoing training to stay abreast of product, promotion, and policy changes.
• Trained new employees on computer programs.

Basking Ridge, NJ, US

• Assisted over 100 customers daily by answering billing questions and providing technical support.
• Maintained a monthly customer satisfaction rating of 95% or higher.
• By adapting communication style to each customer, improved average talk time by 10%.

Bachelor Of Business Administration (Bba), Business Management

Associate Of Arts (Aa)