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Nicole FoxNF
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Nicole Fox

@nicolefox

Senior workers' compensation claim specialist delivering consistent resolutions.

United States
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What I'm looking for

I seek a role where I can lead claims resolution, mentor staff, drive audit and operational improvements, and collaborate with clients and counsel for measurable outcomes.

I am a seasoned workers' compensation claim specialist with extensive experience investigating claims, making compensability decisions, and negotiating settlements to full and final resolution.

Over my career I have held senior roles at multiple national insurers and third-party administrators, led special projects that improved operational outcomes and audit scores, and maintained a consistent 100% closing ratio in several positions.

I have supervised and mentored teams, guided special initiatives at local and regional levels, and collaborated with defense counsel on litigation strategies while managing high-exposure files.

I bring strong written communication, client-facing presentation experience, proven leadership, licensing across multiple states, and a track record of reducing aged pending claims through focused resolution strategies.

Experience

Work history, roles, and key accomplishments

PE

WC Claims Specialist

People 2.0

Oct 2020 - Jun 2021 (8 months)

Investigated COVID-19 losses, updated claims to reflect non-injury status, filed necessary state forms, and sustained a 100% closing ratio.

IS

Senior WC Claim Adjuster

Insurance Recruiting Specialist

Feb 2014 - Aug 2014 (6 months)

Reviewed and resolved aged run-off claims for a large client, negotiated settlements, and presented claim status reports to clients, brokers, and carriers during transitional processes.

CNA Insurance logoCI

Claims WC Specialist

Dec 1999 - Sep 2005 (5 years 9 months)

Investigated workers' compensation claims, assigned financial reserves, implemented action plans that reduced aged pending claims by 30%, and processed recoveries to lower exposure.

Education

Degrees, certifications, and relevant coursework

CB

Complete Game Broadcasting/ABI Radio and Television Broadcasting

Radio and Television Broadcasting

Completed Radio and Television Broadcasting program with focus on broadcasting skills and media production.

Beulah Heights University logoBU

Beulah Heights University

Bachelor of Arts, Leadership and Administration

Bachelor of Arts in Leadership and Administration focused on leadership, organizational management, and administrative practices.

Tech stack

Software and tools used professionally

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