Heather Cisneros Email & Phone Number

Sacramento, California, United States

Responsible for staff of five employees handling multi-state liability and property claims. Interviewing and training new staff in procedures and job related functions. Review and assign claims to adjusters. Communicate appropriate information to the staff. Identify and participate in training and development needs for claims adjusters. Maintain extensive.

Responsible for the investigation, evaluation, disposition and settlement of the most complex claims and highest exposures with minimal supervision. Investigated, evaluated, and determined coverage of liability and damages, and setting the proper reserves. Exercised proper judgment and decision-making to analyze the claim exposure, to determine the proper.

Responsible for administering California workers' compensation claims from inception to closure, moderate to severe complexity, for risk management, carrier, and self-insured clients. Attended telephonic and in person claims reviews; provided exceptional client service in order to achieve optimal claims resolution. Responsible for delivering best practices.

Investigated all new claims, completed three points of contact to confirm compensability, coordinated return to work with clients, processed state forms, medical bill payments and income benefits. Ensured proper and timely reserve accuracy, developed action plans to drive claims towards resolution, actively pursued subrogation of claims and negotiated.