Matthew Balantac
@matthewbalantac
Detail-oriented claims examiner with expertise in complex insurance resolutions.
What I'm looking for
I am a detail-oriented and analytical professional with extensive experience in managing and resolving complex insurance claims. My career has been marked by a commitment to delivering efficient, fair, and timely resolutions that align with organizational goals. I excel at conducting thorough investigations, assessing claims for accuracy and compliance, and negotiating settlements to achieve optimal outcomes for both clients and the company.
Throughout my career, I have successfully improved claims management processes, reducing resolution times and enhancing client satisfaction through clear communication and strategic problem-solving. I have a strong ability to navigate regulatory requirements while managing a diverse portfolio of claims. My leadership skills have allowed me to guide teams in developing innovative solutions that meet the needs of all parties involved, ensuring a collaborative and effective claims resolution process.
Experience
Work history, roles, and key accomplishments
Claims Examiner
Tristar Risk Management
Examined and processed claims, ensuring accuracy and compliance with established procedures. Collaborated with various parties to facilitate claim settlements.
Sr. Claims Examiner
Sedgwick CMS/SRS
Jan 2011 - Dec 2015 (4 years 11 months)
Managed complex claims and spearheaded issue resolution to minimize client risk and exposure. Conducted thorough investigations to ascertain workers' compensation benefits eligibility, ensuring adherence to legal and policy requirements.
Claims Examiner Senior
Spherion/Fireman’s Fund
Managed and processed claims, ensuring accuracy and compliance with established guidelines. Collaborated with various stakeholders to facilitate timely claim resolutions.
Claims Supervisor
Kemper Employers Claim Services
Supervised claims operations, ensuring adherence to company policies and regulatory requirements. Provided guidance and support to claims staff.
Director of Marketing
Alpine Information Systems
Led marketing initiatives to promote information systems and solutions. Developed and executed marketing campaigns to reach target audiences.
Sr. Claims Examiner
Intercare
Jan 2022 - Dec 2024 (2 years 11 months)
Managed and resolved claims to ensure timely and effective outcomes. Conducted thorough investigations to ascertain claim benefits and guide stakeholders through the resolution process.
Sr. Claims Examiner
Next Level Administrators
Jan 2020 - Dec 2022 (2 years 11 months)
Managed a portfolio of 150 lost time and litigated workers' compensation claims, focusing on resolving complex cases efficiently. Developed and implemented strategic solutions while ensuring thorough investigation and accurate determination of benefits.
Senior Marketing Representative
Newton Medical Group
Developed and implemented marketing strategies to promote medical services and attract new clients. Managed client accounts and maintained strong relationships.
Area Account Manager
Gould and Lamb
Managed a portfolio of accounts, ensuring client satisfaction and identifying opportunities for growth. Developed and maintained strong client relationships.
Sr. Claim Examiner
Alternative Service Concepts
Jan 2017 - Dec 2020 (3 years 11 months)
Managed workers' compensation claims, ensuring investigation and accurate determination of benefits. Implemented strategic solutions, effectively serving as a liaison between the company and major clients to facilitate understanding and resolution of claims.
Unit Manager
Hanover Insurance Group
Jan 2015 - Dec 2017 (2 years 11 months)
Oversaw daily operations of a workers' compensation claims unit, ensuring adherence to legal and regulatory guidelines. Conducted comprehensive monthly audits to evaluate examiner performance and maintain high standards of claims management.
Claims Examiner Senior- Supervisor
Insurance Relief Risk/Frank Gates
Managed and supervised claims processes, ensuring efficient resolution and adherence to company policies. Provided guidance and oversight to a team of claims examiners.
Account Manager
Medical Services Company
Managed client accounts within the medical services sector, ensuring effective communication and service delivery. Addressed client needs and resolved issues promptly.
Senior Claims Manager
Liberty Mutual
Managed complex claims, overseeing investigations and negotiations to achieve optimal outcomes. Provided strategic direction for claims resolution.
Education
Degrees, certifications, and relevant coursework
California State University, Sacramento
Bachelor of Science, Business Administration with a concentration in Marketing
Completed a Bachelor of Science degree with a major in Business Administration, focusing on Marketing. Gained comprehensive knowledge in business principles and marketing strategies.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Social media
Job categories
Interested in hiring Matthew?
You can contact Matthew and 90k+ other talented remote workers on Himalayas.
Message MatthewFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
