A Bit About Me
Senior Workers Compensation Training Specialist with five years’ end-to-end experience mitigating financial exposure on litigated files for a top-rated mutual insurer. I am currently pursuing an MPA to deepen policy-analysis and data-driven decision-making skills.
Seeking risk-management role in federal or mission-driven organizations.
Education and Certifications
Rutgers University
January 2026 (expected)
Rider University
May 2020
Professional Licenses & Certifications
Master of Public Administration
Leadership of Public Organizations Certificate
Budgeting and Financial Management Certificate
Bachelor of Business Administration
Certificate in Leadership
Lean Six Sigma White Belt Certification
AIC Designation
Texas Workers Compensation Designated Adjuster License
Connecticut Workers Compensation Casualty Adjuster License
Work Experience
Senior Training Specialist
August 2025 - Present
I lead and support all aspects of departmental training and professional development across multiple jurisdictions. My role involves designing, developing, and facilitating technical, procedural, and advanced claims management training to ensure consistency, compliance, and excellence in claims handling. I collaborate closely with Claims leadership, Quality Assurance, and Compliance teams to assess training needs, identify skill gaps, and align educational initiatives with evolving regulations, business priorities, and best practices. I also develop and maintain a comprehensive continuing education curriculum that supports both new and experienced Claims Specialists through blended learning approaches, including instructor-led sessions, eLearning modules, and digital job aids. In addition to mentoring the Training Specialist, I partner with cross-functional teams to evaluate the training impacts of new systems, processes, or policy changes, ensuring that learning solutions effectively support organizational goals and technology adoption. Through proactive collaboration, needs assessment, and innovative curriculum design, I strive to foster a culture of continuous learning, operational efficiency, and professional growth throughout the department.
New York Claims Specialist
July 2023 - August 2025
I managed complex and litigated claims from initial investigation through resolution, ensuring each case was handled in accordance with state regulations, company guidelines, and claims best practices. I conducted thorough investigations to determine compensability and coverage by gathering factual, medical, and legal evidence, while proactively developing action plans to move cases toward timely closure. My responsibilities included administering accurate and compliant payment of indemnity and medical benefits, monitoring adherence to New York’s payor compliance standards, and maintaining detailed oversight of all claim activities through eCase. I collaborated closely with defense counsel to strategize on litigated files, evaluate exposure, and negotiate favorable outcomes, including Section 32 settlements, SLU stipulations, and permanency determinations. In support of financial accuracy, I worked with the Reserves Department to identify significant claim developments, ensured proper reserve adjustments, and facilitated the establishment of Medical Set Asides and annuities where necessary. I also identified potential subrogation and fraud cases, referring matters to the appropriate units for recovery or investigation. By leveraging the NY PAR system and vendor resources, I effectively managed prior authorization requests, ensuring compliance with medical treatment guidelines. Additionally, I performed audits of prior awards, verified calculations, and maintained strict adherence to statutory deadlines for filings, documentation, and form submissions. Through active participation in Claims Reviews and cross-departmental collaboration, I consistently demonstrated strong analytical, negotiation, and decision-making skills that supported both optimal claim outcomes and the organization’s commitment to exceptional policyholder service
Claims Account Specialist
November 2021 - July 2023
I was responsible for managing the full life cycle of claims—from investigation and evaluation to resolution—while ensuring strict compliance with state regulations, company policies, and best practices. I investigated and analyzed each loss event to determine compensability, gathered medical and factual evidence, and recommended appropriate courses of action to support timely and accurate claim decisions. My role included administering the delivery of indemnity and medical benefits, authorizing and monitoring medical treatment, maintaining open communication with injured workers, policyholders, and medical providers, and ensuring all actions were thoroughly documented throughout the claim’s progression. I collaborated with policyholders and the Loss Control Department to facilitate effective stay-at-work and return-to-work programs, helping to minimize downtime and promote recovery. Additionally, I identified and pursued subrogation opportunities for third-party recovery and worked closely with the Special Investigations Unit (SIU) to address potential fraud indicators. I also coordinated with internal departments—including Medical Services Administration, Legal, Sales, and Underwriting—to ensure seamless claim management and compliance. Through proactive communication, analytical decision-making, and a strong customer-centric approach, I upheld the organization’s commitment to quality service, ethical standards, and operational excellence.
Claims Information Specialist
July 2020 - November 2021
Unlicensed Account Representative
May 2019 - June 2020
As a Claims Information Specialist, I served as the first point of contact for internal and external customers, providing exceptional customer service and accurate information regarding workers’ compensation claims. I efficiently processed first reports of injury received by phone, email, and fax, ensuring timely and precise data entry to support the claims handling process. My role required navigating multiple computer systems and databases simultaneously to verify details, document interactions, and facilitate resolution of inquiries. I actively listened to callers to assess needs, resolve issues at the CIS level when possible, and appropriately triaged or transferred calls to ensure prompt and effective service. I also completed authorization requests, escalated matters to the appropriate personnel when necessary, and conducted follow-up callbacks to maintain communication and service continuity. Through professionalism, attention to detail, and a strong customer-focused approach, I supported the smooth operation of the Workers’ Compensation Claims Department while consistently upholding the organization’s standards for accuracy, responsiveness, and quality service.
As a Customer Service Representative, I responded accurately and efficiently to a high volume of telephone inquiries from both prospective and current policyholders, ensuring that each interaction reflected professionalism, empathy, and product knowledge. I provided quality assistance by addressing questions, resolving issues, and completing all necessary follow-ups and workflow transactions in a timely and organized manner. My role required navigating multiple computer systems to access and update policy information, process transactions, and deliver accurate solutions that met customer needs. Through clear communication, attention to detail, and a commitment to service excellence, I consistently upheld the company’s standards for responsiveness and customer satisfaction while supporting positive relationships with policyholders.
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