Faith Lubaga

Experienced Claims Examiner with over a decade of insurance industry experience handling complex bodily injury and litigated claims. Demonstrated expertise in coverage analysis, investigation, medical evaluation, and claim resolution. Proven ability to manage claims from inception through closure, coordinate with legal counsel, and evaluate exposure across multiple jurisdictions.

Claims Examiner II, Lost Time - Markel

(2014-06)

Manage workers' compensation claims through the full claim lifecycle, including litigated and non-litigated matters, with responsibility for investigation, evaluation, and resolution. Analyze coverage and compensability through detailed review of policies, claim documentation, and supporting records, ensuring accurate and defensible claim handling.

• Conduct and direct thorough investigations into loss facts, medical treatment, and wage exposure through timely contact with insureds, claimants, and medical providers.
• Evaluate liability and damages through review of medical records, treatment plans, and billing, ensuring appropriateness and alignment with claim exposure.
• Collaborate with defense counsel on litigated matters, contributing to strategy, evaluating exposure, and supporting resolution through settlement negotiations. Demonstrate ability to manage higher-exposure claims, balancing cost containment with appropriate outcomes.
• Establish and manage indemnity and medical benefits, issuing timely payments on accepted claims and monitoring ongoing exposure. Set and adjust reserves within authority, providing well-supported recommendations for reserve changes.
• Maintain consistent communication with all stakeholders, delivering clear coverage positions and professional service. Identify potential red flags in claims and escalate matters for further investigation when appropriate.
• Represent organizational standards through strong production, compliance, and quality-focused claim handling.

Long Term Disability Benefit Specialist - Kelly Services / Lincoln Financial Group

(2014-01 - 2014-06)

• Reviewed disability claims to determine coverage and eligibility based on medical and policy documentation.
• Investigated ongoing entitlement through medical record evaluation and coordination with claimants, employers, and providers.

Annuity Product Specialist - Pacific Life

(2013-01 - 2014-01)

Delivered client service and product support, providing guidance on financial products and resolving contract-related inquiries

Financial Services Representative - TD Ameritrade

(2007-08 - 2012-12)

Provided high-level customer service across multiple communication channels, resolving client issues and supporting account management with a focus on client satisfaction and retention.

Associate degree - Health Information Management - Metropolitan Community College