1. JJENNIFERENNIFER M. RM. REEVEEEVE
Address: 13023 44th
Avenue West, Mukilteo, Washington 98275
Cell: 425.218.5057 Email: JenniferReeve1@outlook.com
~ RISK MANAGER ~
Risk Assessment and Mitigation | Claims Investigation and Resolution | Litigation Management
Loss Prevention| General Insurance Policy Coverage| Project Management| Claims Reporting and Documentation
QQUALIFICATIONSUALIFICATIONS PPROFILEROFILE
Detail-oriented and performance-focused professional with 8 years of direct management experience within the Third
Party Administrator (TPA) and insurance industries encompassing medical, general liability, workers compensation,
product liability, international exposures, and subrogation recoveries. Adept at conceptualizing innovative
methodologies, controls, and strategies to analyze global financial impacts by resolving compound risk liabilities.
RRELEVANTELEVANT EEXPERIENCEXPERIENCE
NORTHWEST ADMINISTRATORS, SEATTLE, WA
Health and Welfare Manager 2012–2016
o Supervised daily health and welfare operations which consisted of 30 bargaining unit medical processors, 4 time
loss adjusters, 4 claims supervisors, and 2 overpayment staff assistants.
o Organized medical and time-loss processing resources for projects as well as presented monthly trust group life
reports, overpayment financials, and domestic/international partner statistics to trust board members.
o Functioned as the focal point of contact for union representative inquiries into trust member’s claim appeals,
medical processing escalations, and time loss determinations.
o Assisted vendors in addressing contract questions, incorrect billings, preferred provider organization (PPO)
payments, and Electronic Data Interchange (EDI) transmission errors.
Key Highlights
Instituted improvements in the claims process which reduced the medical processing time by 12% through
the elimination of administrative responsibilities previously assigned to the processors.
Restructured the overpayment program to target developing trust write-off thresholds on uncollectible debt,
establishing trust legal counsel referral guidelines, and engaging PPO providers, thus aiding in the recovery
of unpaid debts.
SPECIALTY RISK SERVICES/SEDGWICK THIRD-PARTY ADMINISTRATOR, LAKE MARY, FL
Team Leader| Continuing Education Unit (CEU) Coordinator 2007–2012
o Directed assigned staff in the achievement of business plan goals and compliance with legal statutes, policy
provisions, special handling and company guidelines, while fostering a culture of customer service excellence
and professional accountability.
o Partnered with business units to utilize all tools available for workers compensation management involving: cost
allocation systems, occupational health protocols, “Return to Work” programs, and nurse case management
intervention.
o Ensured the accurate interpretation of workers compensation plan provisions while adhering to collective
bargaining unit agreements, employee communications, and executive leadership revisions.
Key Highlights
Prepared loss analyses and budgets, identified excess carrier exposures, recommended solutions,
implemented approved programs, and promoted loss prevention.
Led on-site quarterly account meetings to streamline light duty return to work programs, modified safety
protocols, and reviewed large loss claims for settlement/mitigation strategies.
SPECIALTY RISK SERVICES, LAKE MARY, FLORIDA
Workers Compensation Specialist 2005–2007
o Handled the investigation, reserve recommendations, and settlement of over 160 lost time files within the
Florida, Louisiana, and Mississippi venues.
o Coordinated all elements of litigation efforts associated with assigned claims to ensure a timely and cost-effective
resolution.
o Organized live mediations, hearings, and depositions to transition litigated cases towards systematic settlement.
Key Highlights
Decreased indemnity on transitional employment, which resulted in clients’ average reduction of paid
amounts by 17% on each lost time claim.
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2. JJENNIFERENNIFER M. RM. REEVEEEVE
Address: 13023 44th
Avenue West, Mukilteo, Washington 98275
Cell: 425.218.5057 Email: JenniferReeve1@outlook.com
EARLIER POSITIONS HELD:
THE HARTFORD INSURANCE COMPANY, MOUNTLAKE TERRACE, WA
Subrogation Claims Specialist 2001–2005
o Oversaw the equitable recovery of 955 third party administrators claims which included workers compensation
cases, auto casualty exposures, product liability, integrated disability, claim administration, and risk
management services nationwide.
o Focused on resolving medical liens while preserving a high net recovery through calculated negotiations with
claimants counsel.
Key Highlights
Surpassed corporate goals by 31% through the direct recovery of $5,480,200.00 on over 4,900 property,
casualty, and workers compensation cases.
ALLSTATE INSURANCE, MARYSVILLE, WA
Bodily Injury Claims Adjuster 1998–2001
o Executed the investigation, evaluation, and disposition of over 220 bodily injury claims.
o Contacted claimants in person and telephonically to settle their bodily injury claims; which mitigated the future
exposure of prolonged non-medically necessary and/or excessive treatment.
o Evaluated and settled bodily injury claims with pro se and attorney represented injured parties.
OOTHERTHER EEXPERIENCEXPERIENCE
WASHINGTON STATE PATROL, BELLEVUE, WA
Communication Officer
THE BON MARCHE, EVERETT, WA
Management Trainee, Sales
EEDUCATIONDUCATION ANDAND CCREDENTIALSREDENTIALS
Master of Business Administration
University of Phoenix, Maitland, FL
Accumulative GPA: 3.9
Bachelor of Arts in Economics, Minor in Business Administration
Western Washington University, Bellingham, WA
Senior Claims Law Associate Designation
Workers Compensation License:
Florida 520 - All Lines Independent Adjuster License
AACTIVITIESCTIVITIES
Active Panelist | Florida Arbitration Forum (2004–2005) and Washington State Arbitration Forum (2001-2004)
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