Veronica Everett Email & Phone Number

Dallas Texas

Workers Compensation Senior Consultant

Frisco, Texas

Analyzes and processes worker's compensation claims by investigating and gathering information to determine the exposure on the claim. Negotiates settlement of claims up to designated authority level and makes claim payments. Processes complex or technically difficult claims. Calculates and assigns timely and appropriate reserves to claims and continues to monitor reserve adequacy throughout the life of the claim. Develops and manages claims through well developed action plans. Prepares necessary state filings within statutory limits. Actively manages the litigation process. Determines benefits due; makes timely claims payments and adjustments. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, handles excess reporting, and maintain professional client relationships.

Lewisville, Texas

Investigate and determine the compensability of workers compensation claims by taking statements, make needed contacts, and request and analyze medical reports, provided information and witness statements to allege on the job injuries for the employer. Maintain constant contact with locations, providers, nurse case managers, counsel. Negotiate settlements, pay benefits as State mandated jurisdiction provides. Provide excess reports to carrier. Handled multi-states

600 Pearl St. Dallas Tx 75201

Analyzes and processes worker's compensation claims by investigating and gathering information to determine the exposure on the claim. Negotiates settlement of claims up to designated authority level and makes claim payments. Processes complex or technically difficult claims. Calculates and assigns timely and appropriate reserves to claims and continues to monitor reserve adequacy throughout the life of the claim. Develops and manages claims through well developed action plans. Prepares necessary state filings within statutory limits. Actively manages the litigation process. Determines benefits due; makes timely claims payments and adjustments. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, handles excess reporting, and maintain professional client relationships.

Plano Texas

•Performs specialized & complex settlement duties involving national Polybutelyene Pipe Settlement of 1995•Obtain follow-up data, verbal & written communication w/claimants•Review incoming files from claim assistants, assemble information, update and analyze claims database accuracy.•Participated as team member on special projects for claims mgr., trained other employees to assist.

Dallas Texas

•Handle initial investigation of 1st report and confirm coverage•Establish reserves, issue TIBs, IIBs, & SIBs•Telephone support to providers, insureds, claimants and attorneys.•Created files in timely manner, continued files in current status, handled bill review and pre-authorization requests.•Multi-state claims processed•Promoted twice within organization from Claims Asst. to Medical Only to Work Comp Adjuster.