Maureen Dempsey

Experienced Claims Examiner and Senior Claims Representative with over 15 years of expertise in workers' compensation and insurance claims management. Proven track record of conducting investigations, determining liability, managing claim reserves, and negotiating settlements. Skilled in collaborating with legal teams, medical professionals, and stakeholders to efficiently resolve claims and minimize risk exposure.

Claims Examiner - New Jersey Schools Insurance Group - Mount Laurel, NJ

(2025-01)

• Conduct detailed claims investigations to determine liability and exposure
• Establish and manage claim reserves in accordance with company guidelines
• Evaluate and negotiate settlements within authority limits
• Collaborate with legal counsel and nurse case managers on complex claims and litigation
• Attend court proceedings, mediations, and claims committee meetings
• Review and approve medical, legal, and settlement payments

Senior Claims Representative - New Jersey Schools Insurance Group - Mount Laurel, NJ

(2017-01)

• Conduct detailed claims investigations to determine liability and exposure
• Establish and manage claim reserves in accordance with company guidelines
• Evaluate and negotiate settlements within authority limits
• Collaborate with legal counsel and nurse case managers on complex claims and litigation
• Attend court proceedings, mediations, and claims committee meetings
• Review and approve medical, legal, and settlement payments

Claims Representative - New Jersey Schools Insurance Group - Mount Laurel, NJ

(2013-01 - 2017-12)

Medical Only Claims Adjuster - New Jersey Schools Insurance Group - Mount Laurel, NJ

(2011-01 - 2013-12)

Medical Only / Limited Lost Time Claims Adjuster - GAB Robins / Gallagher Bassett Services, Inc. - Burlington, NJ

(2008-01 - 2011-12)

• Processed medical claims and payments in compliance with PA regulations
• Maintained communication with claimants, clients, and providers
• Monitored treatment progress and return-to-work timelines
• Conducted investigations and completed required state documentation

Assistant Manager – Retail - Lucky Brand Jeans

Import Specialist - Notations, Inc.

Costing Engineer - Jones Apparel Group

Server/Bartender - Hospitality Industry

Associate Degree - Fashion Marketing - The Art Institute of Philadelphia

Integrative Arts - Penn State University – Abington