Nicole Fox
@nicolefox
Senior workers' compensation claim specialist delivering consistent resolutions.
What I'm looking for
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
Senior Claim Specialist I
Liberty Mutual
Jan 2022 - Apr 2025 (3 years 3 months)
Investigated and made compensability decisions, maintained 100% closing ratio, and led resolution strategy and special projects that improved team audit scores and operational outcomes.
WC Claims Specialist
Insurance Recruiting Specialist
Aug 2021 - Jan 2022 (5 months)
Investigated COVID-19 related losses, updated claim records for non-injury determinations, ensured proper filing with clerical teams, and maintained a 100% closing ratio.
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.
Investigated and determined compensability of new losses, reserved claims for financial exposure, collaborated with defense counsel, and negotiated settlements to full resolution.
Senior WC Claim Adjuster
Gallagher Bassett
Aug 2014 - Jan 2018 (3 years 5 months)
Managed compensability investigations, prepared client status reports, attended client meetings, mentored staff on technical issues, and negotiated claim settlements to closure.
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.
Supervised adjusters auditing files for quality assurance, managed claims exceeding $2M exposure, led training that raised audit scores from 75% to 95%, and analyzed suspicious/fraudulent claims.
Investigated new claims, conducted recorded injured worker interviews, documented investigations for clients, and negotiated settlements reducing aged pending claims by 35%.
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
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
Bachelor of Arts, Leadership and Administration
Bachelor of Arts in Leadership and Administration focused on leadership, organizational management, and administrative practices.
Availability
Location
Authorized to work in
Job categories
Interested in hiring Nicole?
You can contact Nicole and 90k+ other talented remote workers on Himalayas.
Message NicoleFind 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!
