Heidi Webber Email & Phone Number

Boston, Ma, Us

United States

· Under light supervision, responsible for casualty claims of complex exposure including fatalities in the New England states. · Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.· Conduct on-site investigations of claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.· Set loss reserves.· Prepare reports by collecting and summarizing information required by the client.· Settle claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, disposing of salvage, and pursuing subrogation when appropriate.· Control claim costs.· Recommend litigation when appropriate.· Attend Massachusetts driver surcharge hearings and present insurance carrier claim files. · Assist and mentor junior adjusters with claims handling.· Participate in special projects when assigned.

Waltham, Massachusetts

· Manage all general liability, auto liability, and employment practices liability claims (multi-state).· Oversee and administer workers compensation program and assist in developing and implementing new policies and programs (multi-state).· Track and monitor new claims and timely notify brokers, carrier(s) and third-party administrator.· Assist with first-party property and other claims as needed.· Identify potential high value and/or fraud claims and future strategy development.· Provide direction and training to community management on claims management issues.· Manage and oversee TPA provider. Assist with investigation, approve reserves, and follow resolution strategy to include approval and recommendations for settlement planning. Assign and work with defense counsel on litigated claims.· Coordinate and lead quarterly claim reviews with internal stakeholders, TPA, defense counsel and others as needed.· Manage and oversee RMIS (Risk Management Information System) database. Provide expertise to internal staff, work in conjunction with IT to resolve technical issues, identify and implement protocols as needed to ensure system is used most effectively.· Monitor claim and litigation budgets and reporting for the purposes of reserves, mitigation of costs and if applicable impact on insurance retentions and limits.· Develop and maintain periodic incident and claim trending analysis and participate in presentations to executive team and others. Identify and develop new ideas related to trending and analysis of claims data.· Assist Safety Director to identify loss control measures which could prevent or reduce frequency or severity of claims.· Maintain and enhance key partnerships to achieve superior performance and service delivery including: outside defense counsel, TPA, community leadership, claims consultants, brokers, and Company leadership.· Special projects when assigned.· Work independently on a hybrid work schedule.

Reading, Massachusetts

· Investigate and adjust multi-state workers’ compensation claims in accordance with established company best practices and client service instructions.· Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the ongoing liability claim. Negotiate any disputed bills for resolution· Establish reserves and/or provide reserve recommendations within established reserve authority levels.· Negotiate settlements with claimants and attorneys in accordance with client’s authorization.· Assist in selection and supervision of defense attorneys.· Assess and monitor subrogation claims for resolution.· Prepare reports for claim reviews detailing claims disposition and resolution strategy, treatment and disability status, reserves and settlement evaluations.· Provide reports and monitor files, as required by excess insurers.· Delivery of quality claims service to clients.

Salem, Massachusetts

· Multi-state Workers’ Compensation Risk Manager for multiple clients.· Reviewing all existing open claims for employers.· Design and execute a strategy for closure with optimal cost saving impact.· Work with insurance carrier to manage individual lost time claims, when beneficial, evaluate and price cost-effective lump-sum settlements.· Advise client on return to work opportunities. · Prepare monthly reports to client detailing claims, payments and reserves.· Conduct in-person claim reviews as requested.· Work with client’s staff and legal counsel to prepare for proceedings.· Attend and advise legal counsel at Conferences and Hearings.· Audit, assess and negotiate favorable reserves and handle reporting and statistical analysis, including unit statistical review with the insurance carrier.

Salem, Massachusetts

· Assisting three plaintiff attorneys in processing multi-state personal injury claims.· Meeting with clients, gathering medical documentation, corresponding with insurance companies, research laws/regulations, prepare settlement demands, and draft 93A letters when necessary.· Prepare cases for litigation which included but not limited to, drafting complaints, preparation of interrogatories and production of documents, scheduling depositions, tracking all deadlines and preparation for trial.

· Multi-state Workers’ Compensation Risk Manager for multiple clients.· Reviewing all existing open claims for employers.· Design and execute a strategy for closure with optimal cost saving impact.· Work with insurance carrier to manage individual lost time claims, when beneficial, evaluate and price cost-effective lump-sum settlements.· Advise client on return to work opportunities. · Prepare monthly reports to client detailing claims, payments and reserves.· Conduct in-person claim reviews as requested.· Work with client’s staff and legal counsel to prepare for proceedings.· Attend and advise legal counsel at Conferences and Hearings.· Audit, assess and negotiate favorable reserves and handle reporting and statistical analysis, including unit statistical review with the insurance carrier.

Salisbury, Massachusetts

· Assisting two plaintiff attorneys in processing and settling personal injury and workers’ compensation claims in NH and MA.· Meeting with clients, gathering medical documentation, corresponding with insurance companies.· Evaluating, negotiating and settling claims, draft 93A letters when necessary, and recognize claims that should go to arbitration or litigation.· When needed attend and present client cases at workers’ compensation hearings at the Massachusetts Department of Industrial Accidents and New Hampshire Department of Labor.

Remote

· Employed as an independent contractor out of a home office with minimal supervision.· Responsible for handling the overload of Personal Injury Protection claims for various insurance carriers.· Position required recognizing coverage, processing PIP claims and responding to 93A complaint letters.

Danvers, Massachusetts

· Started with company (when formerly known as CGU) as a Casualty Adjuster.· Recognizing coverage, complete liability investigations, process PIP payments, resolve third party property claims, and settle bodily injury claims with the aid of Colossus.· Selected to work on special project for a year managing claims from High Loss Ratio agents which entailed handling all aspects of the claims, i.e. property damage, theft, total loss, PIP, bodily injury, determining coverage and policy discrepancies and recognizing fraud.

Newburyport, Massachusetts

· Obtain claim information from customers in person or by phone, interpreting their policy, advising them of coverage, and filing their claims with insurance carrier.· Claims were for all lines (i.e. personal lines, commercial lines and general liability).· Process endorsements for personal lines polices.· Rating and writing marine policies.

Boston, Massachusetts

· Recognize coverage issues, conduct a complete claims investigation, determine liability, process PIP payments, evaluate, negotiate, settle bodily injury claims efficiently and effectively, and recognize fraud indicators.· Respond to 93A complaint letters.· Manage cases where arbitration and litigation has been filed.

Lowell, Massachusetts

· Started with company handling Personal Injury Protection claims. After two years was promoted to the Casualty Department.· Recognizing coverage, complete liability investigations, resolve property damage claims, process PIP payments, resolve third party property claims, and settle bodily injury claims.· Chosen to be a liaison to the Special Investigation Unit (SIU) which entailed working closely with Special Investigators and defense counsel in recognizing fraud indicators, organizing the referral of files to SIU, assist with investigation of claims, attend strategy meetings, and attend EUO’s.· Conducted training classes on the ABI/DCD software and conduct Fraud Awareness Training.

Middleton, Massachusetts

· Review and process no-fault and bodily injury claims under the New Jersey Joint Underwriters Association. Duties included: Determining liability, completing investigation, process PIP payments, evaluate, negotiate and settle claims efficiently and effectively.

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