Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Gina Simondi

Saint Charles

Summary

Results-driven workers’ compensation leader with 25 years of industry experience, including 17 years in leadership roles. Proven expertise across the full spectrum of claims management—from medical-only to complex, multi-million-dollar losses—spanning multiple jurisdictions. Skilled in team development, operational strategy, compliance, and client relationship management, with a track record of delivering high-quality outcomes and driving efficiency.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Supervisor, Workers’ Compensation

Sedgwick CMS
05.2013 - Current
  • Lead and develop a team of up to 7 adjusters handling medical-only, indemnity, and high-exposure claims
  • Oversee claims operations for key accounts including State Farm; previously supported CommonSpirit and Atlas programs
  • Drive performance management, quality assurance, and process consistency across jurisdictions (CA, AZ)
  • Partner with senior leadership and clients to ensure service excellence and operational alignment

Unit Manager, West Region

Hanover Insurance Group
Roseville, CA
09.2012 - 05.2013
  • Built and managed a multi-state workers’ compensation team (CA, CO, TX, OK)
  • Directed workflow development, compliance initiatives, and large loss claim reviews
  • Managed vendor partnerships and operational budgets, ensuring cost control and efficiency
  • Led hiring, onboarding, and training of new staff

Claim Consultant

Sedgwick CMS
Rancho Cordova, CA
02.2011 - 09.2012
  • Managed high-volume caseload (~160 claims) for a dedicated Wells Fargo program
  • Collaborated directly with client stakeholders, including participation in annual strategy meetings
  • Delivered consistent claim resolution and maintained strong service performance metrics

Claims Supervisor

York Insurance (now Sedgwick, formerly Avizent)
El Dorado Hills, CA
01.2008 - 02.2011
  • Supervised a team of 6 lost-time adjusters supporting Wal-Mart Stores, Inc.
  • Oversaw an inventory of ~900 claims, ensuring quality, timeliness, and compliance
  • Mentored staff across varying experience levels to improve technical and operational performance

Claims Examiner

Travelers; Liberty Mutual Insurance
08.2000 - 01.2008
  • Handled a broad range of workers’ compensation claims, building foundational expertise in investigation, evaluation, and resolution

Education

Bachelor of Arts - Psychology

University of California, Davis

Associate of Arts - Liberal Arts

Skyline College

Skills

  • 25 years workers’ compensation experience (8 years adjusting, 17 years leadership)- excellent problem solver
  • Multi-jurisdictional expertise (CA, AZ, CO, TX, OK)
  • Large loss and complex claims management
  • Team leadership, coaching, and talent development
  • Operational workflow design and compliance oversight
  • Client and vendor relationship management
  • Budget management and expense control
  • SIP Certified WCCA WCCP ARM (in progress)

Certification

  • Licensed Pharmacy Technician (1996–2003)
  • Alpha Phi Sorority Member/ Co-Coordinator, Peer Counseling Group
  • Conversational Spanish

Timeline

Supervisor, Workers’ Compensation

Sedgwick CMS
05.2013 - Current

Unit Manager, West Region

Hanover Insurance Group
09.2012 - 05.2013

Claim Consultant

Sedgwick CMS
02.2011 - 09.2012

Claims Supervisor

York Insurance (now Sedgwick, formerly Avizent)
01.2008 - 02.2011

Claims Examiner

Travelers; Liberty Mutual Insurance
08.2000 - 01.2008

Associate of Arts - Liberal Arts

Skyline College

Bachelor of Arts - Psychology

University of California, Davis
Gina Simondi