Jennifer Allison Email & Phone Number

Texas, United States

Dallas, Texas

Plano, Tx

Managed third party administered workers compensation claims. Remaining in compliance with account instructions, issuing timely payments of benefits, updating plan of actions ensuring the file reflects the most current status by clearly documenting the needed action items to bring the claim to a timely resolution.• Reduced initial claim load by 15% within the first 30 days by reviewing each file and obtaining the critical missing information necessary for claim resolution. • Connected with clients through effective communication and listening to ensure their claims workers were appropriately and timely managed. • Prepared files for mediation through appropriate settlement evaluation while protecting CMS interests and involving structure settlement.

Led a team of 5 adjusters with varying levels of experience. Participated in the hiring and on-boarding process of new claims adjusters. Emphasized focus on claims three years and older, reduced reserve exposure $500,000+ through reserve reductions and closures. Guided conversations during the mid-year and annual review process to ensure the goals of the company and adjuster were known, understood, and achieved. Key Accomplishments:• Oversaw a constant average of 95% scoring through quarterly open file reviews by ensuring compliance to the claims handling guidelines and best practices.• Maintained a 99% monthly timeliness in reviewing all open disability files every 90 days which provide file direction; ensuring claims are evaluated at probable ultimate cost.• Coached medical-only claims adjusters one on one with bi-weekly meetings to discuss opportunities for improvement, file direction, and their noted strengths and achievements. Through this, coaching scores improved from ≤ 85% to ≥92%.

Managed a case load of 130 claim files that involved catastrophic injuries or accidents resulting in the worker's death, practiced empathy, and understanding through use of excellent customer skills. Key Accomplishments:• Oversaw and participated in claim file reviews.• Prepared files for mediation through appropriate settlement evaluation while protecting CMS interests and involving structure settlements where possible.

Maintained a current diary and incoming mail for 170 claims, to ensure compliance with claims handling guidelines, timely payments of benefits, claim summary reports, and ensuring file reflects the status of the injured worker. Participated in claim file reviews. Conducted appropriate evaluation of claims to ensure a fair settlement when appropriate.Key Accomplishments:• Completed Executive Claim Summaries on high dollar, high exposure claims.• Assisted in training and mentoring new team members within the claims system, jurisdictional variances, and time management.

• Responsible for performance appraisals of subordinate team.• Perform daily store audits, balance store safe, complete weekly payroll.• Lead team towards to highest customer service in district • Other positions held with Randalls / Tom Thumb Grocery Store included Courtesy Booth Cashier, Customer Service Manager, and Cashier.