Adrienne Robinson

About Adrienne Robinson

Workers\' Compensation Claims Professional DesignationSelf- Insured Administrator\'s CertificateInsurance Education Association CertificateBachelor of Arts- Music-USC2011- Present- Senior Claims Examiner, ESISAdminister workers\' compensation claims for various Wallstreet Entities, including Banking, Hospitals, Manufacturing, Retail and Entertainment. Assist in the training of Intermittent to junior level examiners, investigate, negotiate settlements, implement medical and legal cost containment protocol, review for potential subrogation recovery.20••••11- Senior Claims Examiner, Keenan and Associates:Administer workers\' compensation claims for Self-Insured Hospitals in compliance with DSIP programs. Responsible for high exposure claims with MSA allocations and SSI indemnification resolution. Strong emphasis on reserving for Estimated Future Medical Liability, leadership skills in litigation management and the ability to effectively discuss and negotiate settlements. 20••••10 Senior Claims Examiner, Employers Compensation Insurance Company: Responsible for administrating small to mid-line employers workers\' compensation benefits. Strong emphasis on litigation management with a high inventory of Broker/Home Office Claims Status Report. 20••••04- Senior Claims Examiner, Crum & Forster/United States Fire Insurance: Responsible for various employers workers\' compensation claims, including Johnson Controls, Los Angeles Opera, Insight Health Care, Wintec, and Medieval Times. 20••••03- Claims Account Executive, Octagon Risk Services:Administer UCLA/Santa Monica Medical Center workers\' compensation claims. 19••••01- Senior Claims Examiner, Gates McDonald: Responsible for various employers such as Federal Reserve Bank, Placentia School District, Coachella Valley Water District, and Albertson\'s Market Grocery.Specialties: High exposure claims including MSA/SS resolutions.Client- Broker Status reports.Litigation Managment/ Sales and Leadership

Experience

1. Senior Workers\' Compensation Claims Examiner

   ESIS, Inc.

   Jun 2011 — Present · Chatsworth, CA, US

   Manage and maintain an environment that fosters teamwork and values diversity. Coach intermediate to senior level examiners based on job knowledge, workflow issues, problem solving techniques, client-base initiatives, planning and organizing objectives; provide stellar customer focus for both internal and external clients, and able to adapt to change at a rapid pace.Experiences include working on a high volume desk with up to 14 different clients, requiring investigation, diary management, SIP reserve analysis, estimating future liability on high exposure claims previously resolved by way of Stipulated Award, evaluating for future medical exposure, medical management, SJDB vouchers, benefit payments and distribution of state mandated notices, while adhering to the statutory timeframes and pursuant to the Labor Code, calculating temporary and permanent disability rates and completing string rating upon claimant reaching maximum medical improvement, subrogation recovery, data integrity, litigation management, Medicare set-aside cost projection, structured settlement and participating in multiple claim reviews pursuant to the client service plan, allowing for additional claim reviews outside of the client service plan upon client’s request within short notice and at the discretion of the management team. Clients include various Wallstreet Entities, including Banking, Hospitals, Manufacturing, Retail and Entertainment.

Education

• University of Southern California

  B.A., Music

  1983

• Overbrook High School- Philadelphia, Pennsylvania

  Music