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Nancy J.

Weller
8564 Deer Chase Drive
Riverview, Florida 33569
813-672-1321
Email wn644166@westpost.net

OBJECTIVE
It is my immediate goal to continue my career in Claims Administration and Risk
Management in the Tampa, Florida marketplace. Ultimately, my goal is to advanc
e and grow with an organization that will blend my experience and talents with t
heir needs.
WORK HISTORY
01/23/2006 - 01/29/2010 Hillsborough County Sheriff's Office
Claims Representative II/Claims Supervisor
Claims Representative I
My job responsibilities in the Claims Representative positions for the HCSO have
required strong knowledge of Worker's Compensation, Modified/Light Duty Program
s, Short Term Disability, Long Term Disability, Personal Illness/Injury Claims,
Personal Modified/Light Duty Programs and the Family Medical Leave Act. I also
have established strong TPA experience to ensure all claims are handled appropri
ately from initiation to an equitable conclusion. My Legal knowledge within the
WC field has allowed me to work closely with assigned attorneys on all litigated
claims. The HCSO Workers' Compensation program transitioned from The Florida
Sheriff's WC Fund to becoming Self Insured 10/01/2006. My role in this transit
ion and administration of our SI Program was extensive.
I further handled Personal Claims which included Short Term and Long Term Disabi
lity Claims are initiated by the employee with carrier. It is imperative to res
pond quickly to requested Short Term Disability verification of information, as
well as, Long Term Disability Employer Request information.
FMLA Grants need to meet requirements as outlined in the Standard Operation Proc
edures.
Any employee requesting this FMLA Grant claim secures Application and Health Car
e Certification justifying need for a Continuous or Intermittent Leave Grant.
Personal Illness/Injury Medical Condition, Light Duty claims are additional set
of claims handled. These Personal claims are monitored and recorded.
07/23/2001-5/30/2004 Showboat Atlantic City Casino Hotel
Harrah's Entertainment. Inc.
Risk Management Administrator, Claims Administration
The Risk Management Claims Department provides Claim Management Services for Aut
omobile Liability, General Liability, Property Liability, Innkeeper's Legal Liab
ility and Worker's Compensation claims. . Property Risk Management works direc
tly with the Corporate RM officials. Our primary objective was to professionall
y and effectively manage all property/casualty losses to optimize cost control a
nd enhance relations with both guests and employees.
This property was purchased 06/01/1998. When my employment began, we carried 51
open pre-acquisition GL claim in litigation. Reserves exceeded $500,000.00, ca
rried directly on the books/Operation Expense. Through a pro-active program, my
focus immediately shifted to eliminate and close those open
Litigated GL Claims. At the time of my resignation, all but 2 of those claims w
ere settled/resolved.
The 2 open GL litigated claims carried reserves of $55K. Thus, additional respo
nsibilities involved
communication skills-written and oral, Discovery, Depositions and Trials, workin
g closely with Corporate
Legal, Las Vegas, NV and assigned Defense Counsel. This office attended all Tri
als. Expense and Costs of all litigated claims were followed with quarterly rep
orts from Las Vegas Legal.
NANCY J WELLER
PAGE TWO

Together with the Loss Control Manager, drafted and implemented Temporary Modifi
ed Duty Program. This Policy was incorporated into the Employee Handbook. This
handbook advised all employees that they are required to advise their authorize
d treating physician that Temporary Modified Duty was available. This was Polic
y was launched in a special distribution of a revised Employee Handbook. All em
ployees were required to sign off on this new revision. All newly hired employe
es were advised of this policy during their initial company orientation. Throug
h strict Medical and Disability Management, open communication with direct repor
t Managers, Medical Unit and NJM Insurance Company, this program was extremely e
ffective. In the first 6 months of this Return To Work, Light Duty Program, Emp
loyee lost time claims were reduced by 50%.

02/04/1997-06/09/2001 Scibal Associates, Inc.


Somers Point, New Jersey
Third Party Administrator
Senior Claim Analyst
Handled worker's compensation claims for Ocean/Monmouth County Joint Insurance F
und. Investigated and obtained authority for payment of worker's compensation l
osses commensurate with client instructions. Coordinated with excess carriers,
worked with
Medical Rehabilitation vendors, attended client meetings, arranged seminars for
staff, assisted in training less experienced adjusters on the handling of WC cla
ims. Assigned outside investigation/surveillance, as necessary. Handled litiga
tion working with JIF Defense Solicitor regarding correct Defense assignments an
d updates. Followed litigated claims through equitable disposition, to include
Trial and Appeals.
*Three Point Contact
*Compensability Investigation
*Denials
*3P/Subrogation Investigation
*Special Investigations assignment, i.e., Surveillance, Activity Checks, Depend
ency Checks, Potentially
fraudulent claims
*Central Index Bureau Reporting/Results
*Early Excess Reporting to Excess Carrier of catastrophic injuries meeting their
specific requirements
*File Documentation
*Medical Management/Cost Containment
*Timely payment of Temporary Total, Permanent Partial, all Bills
*Reserve Worksheets
*Payment Authority Requests (PAR's) completion and submission for JIF Committee
review and approval
*Re-evaluation of Reserves according to Client requirements
*Excess Loss Reporting with all developments of investigation
*Compliance with all state forms, statutes and procedural manuals
*Timely referral of all Employee Claim Petitions, both Formal and Informal to as
signed outside counsel
*Timely referral of all Motions for Continuation of Medical and Temporary Disabi
lity Benefits
*Bona fide Offers
*Litigation updated case analysis subsequent to review of final IME
*Client communication regarding all case negotiations, prior awards, 2nd Injury
Fund
*Settlement Authorization secured from Client per Account requirements
10/10/1977-01/26/1984 Liberty Mutual Insurance Group
Cherry Hill, New Jersey
*Liability Claims Supervisor
*Workers Compensation Claims Supervisor
*Liability Attorney and Suit Senior Adjuster - Outside
*Liability Attorney and Suit Adjuster - Outside
*Liability Intermediate Adjuster - Outside
NANCY J WELLER
PAGE THREE

*Liability ICP (Immediate Contact Program) Adjuster - Outside


*Workers Compensation Senior Adjuster
*Workers Compensation Attorney and Suit Adjuster - Outside
*Workers Compensation Intermediate Adjuster - Outside
*Workers Compensation ICP (Immediate Contact Program) Adjuster

LMG is a leading global insurer and currently sixth largest property and casualt
y insurer in the US.
LMG has built a worldwide reputation as an insurance leader, with over 90 years
experience in workers compensation. LMG provides property and casualty insuranc
e along with loss prevention and risk and disability management services.

Positions within Liberty Mutual Insurance Company consisted of Multi-Line Adjust


er, Worker's Compensation Adjuster, Liability Suit Adjuster, Worker's Compensati
on Suit Adjuster and Multi-Line Supervisor. Supervised outside Road Adjusters,
Inside Claim Adjusters, Claim Representative and full time Rehabilitation Nurse.
Duties further included reserve/loss control estimation, personnel reports, in
sured medical cost control studies, insured service calls and implementation of
loss control programs. Formal training included Supervisor/Management Training,
Boston MA, Auditor Examination Training, Boston MA, and In Depth Multi-Line Adj
usting Training, Bala Cynwood PA.

EDUCATION Rowan University BA


Business
Gloucester County College
AA General Studies

LICENSE State of Florida Independent Adjuster All Lines Type Class


0520
DESIGNATION CWC -Board Certification Workers' Compensa
tion
PCA - Professional Claims
Adjuster
ORGANIZATIONS Association of Workers' Compensation Claims Profession
als
Tampa Florida Chapter
Risk and Insurance Managem
ent Society, Inc Associate Member
Tampa Florida Chapter

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