Lori Duduk
Bryantown
Summary
Highly motivated Resolution Manager focused on Workers Compensation claims. Self motivated and customer- focused. Employs High Level negotiation skills in resolving claims to the satisfaction of all involved parties.
Experienced claims professional with an objective mindset focused on efficiently managing litigation cases and claims settlements. Methodical and consistent with a superior work ethic.
Overview
32
32
years of professional experience
2006
2006
years of post-secondary education
Work History
Sr. Resolution Manager
Gallagher Bassett Services
Elkridge
03.2000 - Current
- Identified and collected evidence and determined its value to a specific claim.
- Recommended settlement offers and negotiated payment arrangements.
- Obtained all necessary information to complete proper evaluation of injury claims.
- Contacted injured parties and legal representatives to negotiate final settlements for claims.
- Closed an average of 60 cases per quarter.
- Attended anti-fraud training, conferences, client SIU training and industry seminars.
- Conducted interviews, gathered detailed information and completed field investigations.
- Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control.
- Mentored 20 new members of the claim staff.
- Reduced loss ratios through fair and prompt processing of claims.
- Obtained relevant evidence and information regarding suspicious claims.
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
- Managed a caseload of 150 or more; 25 clients
Senior Workers Compensation Adjuster
RSKCO
Silver Spring
05.1999 - 03.2000
- Actively pursue closure of all open claims via structured settlements and or full and final Agreements.
- Recorded interviews and dictation.
- Established excellent rapport with all negotiating parties.
- Handled MD, DC VA, PA and NJ jurisdictions.
- 3rd party Administration involved large accounts
Workers Compensation Claims Examiner/Liability claims Examiner
Nationwide Insurance Company/Wausau Insurance
Towson
10.1997 - 04.1999
- Negotiation with physicians, Attorneys, and claimants.
- Established excellent rapport with all negotiating parties.
- Handled both medical and indemnity claims from start to finish.
- Claims file management processes.
- Litigation resolution.
- Strong interpersonal and communication skills.
- Workers' compensation claims.
- Self-directed.
- Team player.
- Report writing.
- Critical thinker.
- Decisive.
- Medical terminology specialist.
- Insurance fraud expertise.
- Carrier reporting.
- Captive Groups.
- MD, DC, VA, PA claims.
- Attended hearings, pre-trials, trial.
- Adjusted auto liability claims.
- Recorded interviews.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Set up appointments for auto damage, rental coverage.
- Negotiated minor bodily injury claims.
- Aggressively investigated Active claims
Workers Compensation claims examiner
Nationwide Insurance Company
03.1994 - 05.1997
- Investigated MD workers compensation claims.
- Negotiated settlement with Attorneys, Physicians, and Claimants.
- Handled Medical and Indemnity claims.
Report Center Customer Service Representative
Nationwide Insurance Company
Linthicum
03.1994 - 05.1997
- Secured reports via Telephone for all lines of insurance (Homeowners, Auto, and Workers Compensation).
- Scheduled appointments for auto damage.
Report Center Team Leader
Nationwide Insurance Company
- Supervised 7 Customers Service representatives.
- Administered Performance Evaluations.
- Monitored phone calls.
- Attended managerial sessions to improve productivity within unit.
- Organized individual employees vacation, sick, and leave.
Education
Bachelor of Science - Management
University of Md University College
Annapolis, MD, usSkills
- Strong interpersonal and communication skills
- Self-directed
- Team player
- Report writing
- Critical thinker
- Decisive
- Medical terminology specialist
- Insurance fraud expertise
- Carrier reporting
- Captive Groups
Timeline
Sr. Resolution Manager
Gallagher Bassett Services
03.2000 - Current
Senior Workers Compensation Adjuster
RSKCO
05.1999 - 03.2000
Workers Compensation Claims Examiner/Liability claims Examiner
Nationwide Insurance Company/Wausau Insurance
10.1997 - 04.1999
Workers Compensation claims examiner
Nationwide Insurance Company
03.1994 - 05.1997
Report Center Customer Service Representative
Nationwide Insurance Company
03.1994 - 05.1997
Report Center Team Leader
Nationwide Insurance Company
Bachelor of Science - Management
University of Md University College