Rose Etheridge Aic Ais Email & Phone Number

United States

Manage a team of 9 adjusters covering 10 jurisdictions (AK, UT, CO, ID, NV, AZ, NM, OK, KS, MO• Conduct regular audits/reviews of over 1200 claims to ensure accuracy and completeness of investigation, evaluation, and resolution, as well as compliance with best practices and client/carrier requirements. • Successfully supervise workers’ compensation adjusters in multiple jurisdictions Alaska, Utah, Colorado, Idaho, New Mexico, Arizona• Review and analyze new claims and provide… Show more Manage a team of 9 adjusters covering 10 jurisdictions (AK, UT, CO, ID, NV, AZ, NM, OK, KS, MO• Conduct regular audits/reviews of over 1200 claims to ensure accuracy and completeness of investigation, evaluation, and resolution, as well as compliance with best practices and client/carrier requirements. • Successfully supervise workers’ compensation adjusters in multiple jurisdictions Alaska, Utah, Colorado, Idaho, New Mexico, Arizona• Review and analyze new claims and provide assignment/direction to the appropriate adjuster.• Provide guidance and feedback on reserve and settlement recommendations.• Successfully mentor and train team members in various categories resulting in a significant increase in audit scores.• Proactively manage claim outcomes by implementing regular follow up/round table discussions with team members and feedback sessions with clients. .• Consistently meet and exceed monthly and quarterly file handling, quality assurance, and best practice goals.• Field and resolve upper level/complex billing and service issues resulting in an increase in customer/client/vendor satisfaction.• Reconcile state specific errors and reporting requests across multiple jurisdictions Show less

Anchorage, Ak

 Coordinated and administered a variety of activities associated with determining validity, assessing liability and risks, and negotiating monetary settlements for workers' compensation cases involving occupational illness or injury. Investigated claims through direct contact with employees, supervisors and other witnesses as appropriate to collect information regarding incidents; explain process to claimant; collect data from Employee Occupational Health Services; determine if case is… Show more  Coordinated and administered a variety of activities associated with determining validity, assessing liability and risks, and negotiating monetary settlements for workers' compensation cases involving occupational illness or injury. Investigated claims through direct contact with employees, supervisors and other witnesses as appropriate to collect information regarding incidents; explain process to claimant; collect data from Employee Occupational Health Services; determine if case is compensable; interacted with various external persons such as insurance adjusters, attorneys, physicians and other parties to coordinate the mediation, settlement and processing of claims; document findings. Established and adjusted claims reserves as required to comply with appropriate regulations. Coordinated with rehabilitation coordinator, as appropriate, to assist employees in the return to work Audited company files for NCCI, State, and Carriers, collaborated with entities to respond to any auditing questions and/or concerns, identified educational opportunities for staff to improve auditing scores. Responded to and completed State of Alaska Annual Reports as well as edit error reports. Identified, updated, and corrected tax payee information for IRS reporting purposes. Show less

Anchorage, Ak

 Independently coordinaed a heavy daily workload of claims paperwork, computer data input, and general administrative support duties for Claims Adjusters.  Designed and implemented a new policy/procedures manual, created standardized MS Word based forms and documents for claims correspondence, and streamlined worksheets for IRS TIN entry/tracking, saving the company $50,000 -$75,000 per year in administrative costs. A valued and integral employee proficient in multitasking, with… Show more  Independently coordinaed a heavy daily workload of claims paperwork, computer data input, and general administrative support duties for Claims Adjusters.  Designed and implemented a new policy/procedures manual, created standardized MS Word based forms and documents for claims correspondence, and streamlined worksheets for IRS TIN entry/tracking, saving the company $50,000 -$75,000 per year in administrative costs. A valued and integral employee proficient in multitasking, with daily assignments running the gamut from general filing and administrative duties to day-to-day management of claims; coordinating travel, lodging, and transportation for claimants; mail and phone duties; inventory control. Show less