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Carole Fishback

Carole Fishback

Claims examiner

Followers of Carole Fishback458 followers
location of Carole FishbackPortland, Oregon Metropolitan Area

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  • Timeline

  • About me

    Turned a major page, & joined BBSI - a truly collaborative, advocating atmosphere -I’m not only empowered but part of the successful outcomes we all seek to achieve in claims work

  • Education

    • University of Northern Iowa

      2003 - 2006
      BA Fine Art, Writing

      Activities and Societies: vendor photography/coverage of campus events, writing competitions and submissions for art magazine. Art exhibitions

    • Skyline College

      1993 - 1996
      Associates of Arts Arts

  • Experience

    • Crawford & Company

      Jan 1986 - Jan 1990
      Claims examiner

      workers compensation claims, receptionist, mail clerk, investigations, benefits administration,narrative status reporting, assumed supervision of acquired Longshore/Asbestos claims account

    • CNA

      Jan 1990 - Jan 1996
      Senior claims examiner

      workers compensation claims specialist; initial investigation, reserves, benefit administration, coordination of vocational rehabilitation benefits and services, managed self-insured claims desk and all statutory filing, reporting and Longshore claims specialist (incl supervision); CA, HI jurisdictions. Narrative reporting, conducted computer training, participated in quarterly claims reviews, attended hearings, participated in claims negotiations, arranged client service calls.

    • TANNER INSURANCE COMPANIES

      Jan 1996 - Jan 1997
      Account Manager

      · Provided direction and oversight for multiple third party/insurers' files, with focus on reserve adequacy and resolution action plans. Coordinated claims reviews, suggested proactive safety procedures, conducted safety presentations, identified loss trends, acted as consultant for new/existing clients. Co-creator of in-house, self-insured claims department; maintained standard loss reporting

    • KEMPER INSURANCE COMPANY

      Jan 1997 - Jan 2000
      Senior Claims Specialist

      · Managed Workers' Compensation claims and investigations; complex, national accounts.· Coordinated claims reviews with insured (frequent travel)· Developed and delivered safety programs.

    • NATIONWIDE INSURANCE COMPANY

      Jan 2000 - Jan 2001
      Claims Examiner/Subrogation Specialist

      · Negotiated third party claims recoveryfor subrogation unit.· Handled Workers' Compensation claims; calculated/monitored reserves, medical and indemnity payments, vocational rehabilitation and assisted in return to work programs, settlement negotiations, quarterly reporting.

    • Bituminous Insurance

      Oct 2000 - May 2005
      Senior claims examiner

      senior claims adjuster responsible for handling/investigation of complex caseload of workers compensation and property loss claims in South Dakota, Nebraska and Iowa jurisdictions. This included safety presentations, claims reviews, self-insured tracking and reporting, settlement negotiations, attending hearings, service calls to clients, coordinating rehabilitation and vocational services, medical and return to work, reserves,statutory filing and processing of payments.

    • Hawkeye Claims

      May 2005 - Feb 2006
      Field adjuster

      field investigations of auto, property and general liability claims; includes gathering of records, police reports, recorded statements, accident scene photography, receipts. Coordinated/monitored medical treatment, repairs and salvage with local vendors, submitted narrative reporting and participated in settlement negotiations.

    • TempsNow

      Mar 2009 - Sept 2010
      Account Representative

      co-managed onsite personnel staffing dedicated to client's two production plants. This 24/7 position involved overseeing testing, interviews, orientations and problem-solving of approximately 120 employees and included payroll distribution, conducting job tours, training presentations, conflict resolution, workers compensation claims processing, maintenance of confidential records

    • Volt

      Jul 2011 - Nov 2011
      Admin assistant

      processed engine warranties for John Deere; statistical management, bulk registrations, processed payments, coordinated incoming warranty claims for repair services, telephone inquiries and followup

    • Insurance Overload Staffing

      Jul 2012 - Jan 2013
      Claims Rep I

      research, data spreadsheet management for salvage recovery of total loss claim on Ohio claims unit. Salvage recovery involved multiple state jurisdictions - recovery processed in accordance with each state.State Auto Insurance

    • York Risk

      Jul 2013 - Aug 2013
      Claims Assistant/Tailored Management

      Oregon & Washington claims; assisting senior claims examiner on mail, incoming calls, oversight and management of litigation updates, medical and benefit payments, drafting statutory compliance notifications, correspondence and handling of confidential information, preparing files for shipment, processing daily mail and distributions.

    • Lumberman's Underwriting Alliance

      Dec 2013 - Jun 2015
      Claims Examiner

      Senior level claims management of complex claims consisting of primarily PEO accounts (temp workers). This position required effective early investigation, communications among all parties, overseeing litigation and medical case managers, claim reviews and subrogation recovery wherever applicable.

    • Argo Group

      Jun 2015 - May 2020
      Senior Claims Examiner

      Senior level claims management of complex/litigated claims with emphasis on sound reserve practices and superior communications with all parties for resolution. Currently certified in both California and Oregon claims handling.

    • North American Risk Services (NARS)

      May 2020 - Aug 2021
      Senior Claims Examiner

    • BBSI

      Aug 2021 - now
      Claims Consultant

  • Licenses & Certifications

    • California Self-Insured Certificate

      State of California - Dept of Industrial Relations
      Nov 1995

    • Oregon Claims Examiner Certification

      Reinisch Wilson Weier PC
      Apr 2018

  • Volunteer Experience

    • volunteer worker, fundraiser photographer and contributor

      Issued by Iowa Food Bank
      Iowa Food BankAssociated with Carole Fishback

    • volunteer photography

      Issued by Hospice of Central Iowa
      Hospice of Central IowaAssociated with Carole Fishback