Ciara Neilan
Atlanta
Summary
Results-driven Workers' Compensation Claims Specialist II with over five years of insurance and sales experience, and a proven track record of managing complex workers' compensation claims, driving strategic claim resolutions, and mentoring new team members. Experienced in coverage analysis, litigation management, medical case coordination, and negotiating favorable settlements, while maintaining exceptional customer service. Recognized for strong leadership, critical thinking, relationship building, and the ability to manage high-volume workloads in fast-paced environments.
Overview
6
6
years of professional experience
Work History
Claims Specialist 2
Liberty Mutual
Atlanta
11.2021 - Current
- Promoted to Claims Specialist II (March 2024–Present), Claims Specialist I (March 2022–March 2024), and Associate Claims Specialist (November 2021–March 2022).
- Manage a caseload of 90–100 Florida workers' compensation claims, ensuring timely handling and compliance with state regulations.
- Conduct coverage and compensability investigations (ICPs) to determine claim liability, and develop strategic resolution plans.
- Coordinate medical treatment, facilitate return-to-work efforts, and proactively drive claims to successful resolution.
- Partner with defense counsel to manage litigated claims, negotiate settlements, and control claim costs.
- Mentor and train new Claims Specialists by providing onboarding, technical guidance, and performance coaching.
- Build strong relationships with injured workers, employers, attorneys, medical providers, and vendors, while delivering exceptional claims service.
- Conduct comprehensive claim investigations, review new claims, and manage high volumes of emails, voicemails, and inbound/outbound calls.
Mobile Account Executive
T-Mobile
Tampa
03.2021 - 11.2021
- Built and strengthened relationships with new and existing accounts to drive revenue growth, consistently exceeding monthly targets.
- Reviewed accounts monthly to monitor and track customer satisfaction and complaints.
- Presented key decision-makers with new and updated account strategies.
- Drove new business development through qualifying leads, building relationships, and executing strategic sales.
- Achieved 123% annual sales quota in the first seven months.
Wellness Coordinator
The Joint Chiropractic
Tampa
11.2020 - 03.2021
- Increased membership enrollment through relationship building and community outreach.
- Educated patients on wellness services, and coordinated scheduling.
- Delivered exceptional customer service in a fast-paced healthcare environment.
Education
Bachelor of Applied Science - Supervision and Management, OA Supervision and Management
Pasco Hernando State College
Wesley Chapel, FL05.2020
High School Diploma -
Wiregrass Ranch High School
Wesley Chapel, FL06.2016
Skills
- Workers' Compensation Claims Management
- Claims Investigation
- Coverage and Compensability Analysis
- Litigation Management
- Settlement Negotiation
- Medical Case Management
- Return-to-Work Coordination
- Regulatory Compliance
- Risk Assessment
- Leadership & Mentoring
- Customer Relationship Management
- Strategic Claims Resolution
- Process Improvement
- Problem Solving
- Microsoft Office Suite
- Mentoring
Timeline
Claims Specialist 2
Liberty Mutual
11.2021 - Current
Mobile Account Executive
T-Mobile
03.2021 - 11.2021
Wellness Coordinator
The Joint Chiropractic
11.2020 - 03.2021
Bachelor of Applied Science - Supervision and Management, OA Supervision and Management
Pasco Hernando State College
High School Diploma -
Wiregrass Ranch High School