Claudia Rivas Email & Phone Number

Los Angeles, Ca, Us

Glendale, Ca

• Manage a case load of approximately 140 complex/technically difficult claims to determine compensability and benefits due• Analyze, investigate, and manage high-exposure claims involving litigation and subrogation to ensure timely, cost-effective claims resolution and savings for client • Negotiate settlement of claims within designated authority and complete timely settlement authority requests for settlement outside of designated authority• Calculate adequate reserves, make timely issuance of claim payments and benefit notices • Work in collaboration with claims assistants, investigators, telephonic/field nurse managers, and Team Leads to provide excellent claims handling service• Prepare and present bi-monthly claim summary review with LAUSD• Exceed Sedgwick service expectations with regard to closures, mail-handling, and settlement authority requests• Mentor new Industry Advancement Program employee• Maintain average internal claim audit score of over 95% per quarter

Van Nuys, California