Dawn Parshall

About Dawn Parshall

Experienced Workers\' Compensation Specialist with over 25 years handling claims and 30…

Experience

1. Workers\' Compensation Claims Specialist

   CorVel Corporation

   Nov 2018 — Present

   Claims Specialist: Manages claims and supporting the goals of claims department. Adheres to client and carrier guidelines, across a large variety of industry. • Receives claims, confirm policy, coverage and acknowledgement of the claim. • Establish timely reserves and ongoing review throughout claims cycle within authority limit. • Determines validity and compensability of the claim. • Timely resolution to claims by developing case strategy, escalating issues as appropriate. • Manage claims from opening to conclusion of claims. • Ensure customer service, proactively communicating, responding to inquiries, following customer protocols. • Manage expenses by working within vendor approved networks. • Identifying potential subrogation and fraud. • Assist with more complex or problematic claims. • Additional projects and duties as assigned. • Ensure timely completion of all task required. Jurisdictions: TN, GA, KY, NC, SC, AL, VA. TN Certified Workers Compensation Professional (CWCP) Licensed in KY, NC and SC. MY STRENGHTS:* Excellent customer/client communication skills * Collaborating in a team environment and building cross functional working relationships * Ability to gather unique perspectives from other teams/function to optimize outcomes * Understands, analyzes, and applies the component parts of an insurance policy for complex claims * Organize and coordinate work flow * Handling multiple priorities simultaneously in a fast-paced environment * Meeting timelines and deadlines * Technical skills, in particular MS office suite, ability to learn new systems quickly * Organization, Motivated, Flexibility and Creativity