Results-driven Senior Claims Coordinator with over 15 years of skilled claims management, risk assessment, and regulatory compliance. Proven track record in developing risk mitigation strategies and enhancing claims handling quality. While leveraging technology to improve claims processing time by 25%.
Overview
29
29
years of professional experience
3
3
Certifications
Work History
Senior Claims Coordinator
Apis Services
Reading
07.2025 - Current
Managed TPA for high-volume complex workers compensation, commercial auto liability, and bodily injury claims, ensuring adherence to client-specific TPA guidelines.
Performs audits on TPA adjusters, evaluating claims handling quality and identifying areas for improvement.
Developed and implemented risk mitigation strategies for affiliates, enhancing claims management effectiveness.
Partnered with affiliates executive team, on-site leads, and human resource business partners to analyze claims handling quality trends and drive improved outcomes.
Handles high-volume COI requests from Affiliates and vendors with a focus on timely and accurate processing.
Director of Risk Management & Compliance
Bachman’s, Roofing, Building & Remodeling, Inc.
Wyomissing
11.2010 - 05.2025
Responsible for investigating, evaluating and negotiating insurance claims across multiple lines of business from an office setting.
Served as primary liaison for regulatory bodies, federal and state inspectors, and insurance loss control to facilitate compliance and risk mitigation.
Reported regularly on risk management activities to senior leadership team.
Ensured compliance with all relevant regulatory requirements regarding corporate governance.
Reviewed and updated company policies and procedures to ensure adherence to applicable laws, regulations, and standards.
Performed root cause analysis following any incident involving significant losses or liabilities due to negligence or mismanagement.
Oversaw strategic design and development of health and welfare programs, including life, short term disability, and FMLA, to enhance employee support and compliance.
Acted as subject matter expert for claims, coverages, litigation, and mechanics liens.