• Maintained positive communication with external, internal clients and staff to include educating parties on CA Work Comp Rules/Regulations as needed. • Assisted with the development of Branch procedures to ensure compliance with CA State Regulatory Requirements and Best Practices. • Conducted oversight of claims to ensure accuracy of reserving and quality claims handling. • Coordinated, scheduled and participated in claim reviews. • Worked with and supervised the team in conjunction with the California Insurance Guarantee Association (CIGA) on system conversion, training, and triaging of files to comply with requirements and to ensure successful transfer of administration pursuant to Insurance Code 1063.1 after the liquidation of Ullico 05/2013.

• Maintained positive communication with external, internal clients and staff.• Supervised staff to include directing, assisting, mentoring, motivating and guiding staff as necessary to ensure compliance with State Regulatory Requirements, Best Practices and Handling Instructions. Conducted performance evaluation and interviews as necessary. • Coordinated, scheduled and participated in claim reviews.• Identified developmental and training needs. • Conducted oversight of claims to ensure accuracy of reserving and quality claims handling.

Claims Supervisor 09/04-10/09 • Maintained positive communication with external, internal clients and staff.• Coordinated, scheduled and participated in claim review. • Completed monthly reports to include claim audits to ensure compliance with Best Practices / Product Standards and Performance Guarantees.Sr. Claim Representative 11/2009-09/2010: 09/2003-8/2004• Examined case load from inception through resolution.• Conducted AOE/COE investigations to ensure good faith compensability determinations.• Maintained positive communication with all participants.• Timely administration of benefits and notices.• Evaluated files for resolution and settlement. • Ensured accurate and timely adjustment of reserves as needed. • Developed aggressive plan of actions / litigation strategies to ensure timely resolution of claims. • Successfully maintained diary for period review and oversight of claims files to ensure compliance with CA Regulatory Standards, reserving accuracy, and implementation of aggressive resolution strategies. • Identified and trained staff on various issues as needed. Developed the Branch procedure for successful and efficient handling of Medicare Set Asides. • Supervised staff – directed, mentored and assisted as necessary. Addressed personnel issues, performance evaluation, interviews and salary reviews.

Claims Representative 04/1999-09/2000Claims Assistant 01/1995-03/1999