Aston Latson

About Aston Latson

Committed, goal-oriented insurance professional with years of experience and a passion…

Experience

1. Claims Examiner

   Sedgwick

   Apr 2018 — Present

   Analyzes and processes complex and technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.• Negotiates settlement of claims within designated authority.• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.• Prepares necessary state fillings within statutory limits.• Manages the litigation process; ensures timely and cost effective claims resolution.• Coordinates vendor referrals for additional investigation and/or litigation management.• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.• Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.• Ensures claim files are properly documented and claims coding is correct.• Refers cases as appropriate to supervisor and management.

Education

• Broward College

  Associate of Arts (AA)

• Hallandale High

  Diploma

Skills

• As400 System
• Supervising
• Underwriting
• Accounting
• Email
• Presenter
• Mentoring
• Proficient Typing Skills
• Microsoft Office
• Sales
• Insurance
• Training
• Customer Service
• Job Coaching