Sheila Isom Email & Phone Number

Greater New York City Area

Newark, Nj

Manages a team of nurse case managers, claim adjusters and support personnel in the administration of New Jersey Personal Injury Protection claims; reinforce appropriate and consistent application of state regulations, contractual obligations, and departmental work processes; monitor weekly production activity of staff; develop training plans for new employees as well as coordinating ongoing training for current team members; assist with prospective client proposals and new client implementation; responsible for delivering adjunct financial reports to the company and producing quarterly statistical reports for the client; assist manager and other leads with enterprise projects; act as subject matter expert as needed.

Supervisor, PIP ClaimsSupervise a team of nurse case managers, claim adjusters and support personnel in the administration of New Jersey Personal Injury Protection claims; reinforce appropriate and consistent application of state regulations, contractual obligations, and departmental work processes; monitor weekly production activity of staff; develop training plans for new employees as well as coordinating ongoing training for current team members; assist with prospective client proposals and new client implementation; responsible for delivering adjunct financial reports to the company and producing quarterly statistical reports for the client; assist manager and other leads with enterprise projects; act as subject matter expert as needed.

Directed a staff of claim examiners in the handling of New York No-Fault, Bodily Injury and Property Damage claims and application of the New York regulations; supervised administrative staff comprising of receptionists, mail clerks, and telephone operators; assisted investigators with fraud investigations. PIP Claim RepresentativeMaintained private passenger New York No-Fault claims; oversaw litigated claims to

Handled New York No-Fault injury claims for livery services, ambulance services and self-insured entities;

Assumed handling of existing pending of New Jersey Personal Injury Protection claim files.

Processed and maintained first-party Personal Injury Protection claims for medical and income continuation benefits; applied material New Jersey Statutes; implemented policy conditions; aided legal counsel with defense of claims; negotiated litigation files to settlement and attended court sponsored litigation settlements.

Investigated reports of homeowner and renter theft claims; inspected structure damage and fire contents losses; determined applicable coverages and enforced policy guidelines; utilized various merchandise replacement sources and executed cash settlements.

Supervised support staff of typists, file clerks, switchboard operators and check and control clerks; ordered and distributed supplies; aided in annual expense and budget planning process.

Handled first- and third-party automobile accident claims; applied policy procedures; interacted with claimants, doctors, attorneys and auto body repair shops.