Marcia M. Irvin
BROWN & BROWN INSURANCE/DONALD P. PIPINO LTD
Fishers
40
years of professional experience
Results-driven Workers’ Compensation Manager with extensive experience in claim cost reduction through strategic early intervention and effective medical management. Delivered successful outcomes through action plans, maintaining accurate reserves, and ensuring timely claim closures.
Work History
Workers Compensation Claims Manager
17 Years 7 Months- Oversaw the claims handling of Simon Property Group's 200 retail properties, 29 Starbucks franchises, and 17 Taubman retail properties.
- Work as advocate and liaison for Simon Property Group between Carrier/Third Party Administrator.
- Monitored and directed handling and settlement of large deductible claims with insurance carrier/third party administrator, minimizing claim costs.
- Work with Third Party Administrator in monopolistic jurisdictions.
- Ensure all claims are reported timely, properly coded, reserved accurately, and maintain current actions plans to move claims toward closure.
- Work with Human Resource & Risk Management when identifying potential red flags on claims that could possibly delay closure or increase settlement.
- Identified and implemented medical facilities for all Simon properties, enhancing access to care for injured employees.
- Established Return-to-Work Program to support injured employees in returning to their roles efficiently.
- Work closely with Safety and Loss Control to help identify procedures to prevent future work injuries.
- Provide input to Carrier/Third Party Administrator legal counsel and Simon Corporate legal counsel on all litigated claims.
- Directed medical case management for all relevant claims.
- Created and implemented cost-reduction procedures for claims at Simon Properties.
- Provided quarterly analysis of claims, identifying trends to inform strategic decisions.
- Participate in bi-yearly claims reviews with carrier/TPA.
Account Sales Manager
6 Years- Executed marketing and sales strategies for rehabilitation services. for #1 Rehabilitation Service Provider Company in Country.
- Maintained 23 accounts throughout Indiana.
- Built relationships with accounts, employers, and legal firms to effectively introduce products and enhance service adoption.
- Building relationships with accounts, employers and legal firms to introduce our products.
- Identified and developed strategies to expand customer base, meeting with new customers to drive service sales.
- Main liaison to help resolve any issues that arise with accounts.
Workers Compensation Claims Adjuster
1 Year- Conducted investigations, directed processes, and settled claims.
- Responsible for investigation, directing and settling of claims.
- Ensured claims were adequately reserved and closed in a timely manner.
- Negotiated settlements with injured workers and attorneys across Indiana, Illinois, and Missouri to achieve favorable resolutions.
Claims Manager
3 Years- Managed staffing for the claims department.
- Oversaw verification and payment processes for childcare providers in Marion and surrounding counties, ensuring timely and accurate transactions.
- Worked closely with verification department to identify and monitor any fraudulent reporting by providers.
- Collaborated with verification department to identify and monitor fraudulent reporting by providers, enhancing integrity of claims process.
Claims Manager
2 Years- Led claims operation with 36 employees for workers compensation company, ensuring effective management and team cohesion.
- Managed clerical staff, adjusters, nurses, and the legal department.
- Responsible for making sure claims were adequately reserved to obtain year-end goals.
- Analyzed reports to identify significant trends and issues, providing actionable insights to branch manager.
- Collaborated with underwriting and loss prevention departments to enhance accounts loss ratios through targeted initiatives.
- Ensured claims were adequately reserved to meet year-end goals.
- Oversaw Indiana and Texas jurisdiction.
Workers Compensation Claims Supervisor
4 Years- Supervised 4 adjusters and 2 clerical employees handling claims across Indiana, Kentucky, and Michigan jurisdictions.
- Conducted file reviews and guided staff to achieve claims department goals.
- Maintained open door policy for employees to address any issues.
Workers Compensation Claims Field Adjuster
4 Years- Investigated, directed, and settled Indiana claims.
- Job consisted of visiting injured workers in their home.
- Facilitated onsite visits with employers to identify and develop return-to-work opportunities for employees.
Claim Representative Trainee
- Provided training on handling General Liability and Workers’ Compensation claims.
- Processed claims efficiently, ensuring timely resolutions for customer inquiries.
- Reviewed documentation for accuracy, maintaining compliance with industry regulations.
- Collaborated with cross-functional teams to streamline claims processing procedures.
Education
Masters - Business Administration
Bachelor - Business Administration
Graduate
Skills
Claims analysis
Client Advocacy
Leadership
Team Leadership
Results Driven
Problem Solver
Time Management
Adaptability
Communication
Team Oriented
Training
- Indiana Workers’ Compensation Institute – attended monthly meetings
- Attend Workers’ Compensation seminars held by Legal Firms, Medical Providers, and various Workers’ Compensation Vendors
Timeline
Workers Compensation Claims Manager
BROWN & BROWN INSURANCE/DONALD P. PIPINO LTD
01.2009 - CurrentRead More
Account Sales Manager
COVENTRY WORKERS’ COMP SERVICES
01.2003 - 01.2009Read More
Workers Compensation Claims Adjuster
EMPLOYERS SECURITY INSURANCE
01.2002 - 01.2003Read More
Claims Manager
DAYBREAK MANAGEMENT
01.1998 - 01.2001Read More
Claims Manager
EBI COMPANIES
01.1996 - 01.1998Read More
Workers Compensation Claims Supervisor
AETNA LIFE & CASUALTY
01.1992 - 01.1996Read More
Workers Compensation Claims Field Adjuster
AETNA LIFE & CASUALTY
01.1987 - 01.1991Read More
Claim Representative Trainee
AETNA LIFE & CASUALTY
01.1987 - 01.1987Read More
Lawrence North High School
Graduate
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University Southern Indiana
Bachelor from Business Administration
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Indiana Wesleyan University
Masters from Business Administration
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