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Click here or scroll down to respond to this candidateCandidate's Name
Winter Springs, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEInsurance background. Part time caregiver. CPR current. HIV/AIDS Certificate. Continuing education. HHA certification. Have clean level 2 background.Excellent customer service.Work ExperienceCSR/CaregiverCaregiver, driver - Winter Springs, FLJanuary 2020 to PresentCaregiver/HHA Seminole County, Winter Springs, Oviedo and Longwood area. Prefer repeat clients. Allows me to become accustom to their needs and schedule. workers compensation adjuster,medical sales.SelfJanuary 2017 to January 2020Working for Uber on my own schedule.Adjuster, medical and CEUsSMS NationalApril 2011 to October 2012Responsible for marketing services to Workers' Compensation client base. Maintain customer satisfaction. Offer and arrange CEU seminars. Quality control of vendor base. Self-employedSelf-employedDecember 2009 to April 2011in the workers compensation field to include all handling and investigations on Worker's compensation claims, medical management, bill review, filings, EDI, state laws, mediations, settlements and conclusion of the claim. Most recently worked with C.N.A to insure proper handling of claims. Kelly Services/ Free State- Optacomp- Blue Cross Blue Shield August 2009 to December 2009Handling all aspects of workers compensation claim files to include 24 hour three point initial contacts, setting reserves, initiate benefits and complete EDI filings. Medical management, bill review, manage litigation to include settlement evaluations and file resolution, complete 30/90 day File strategy reports and attend File Review with clients.Senior Risk ManagerRiskawareAugust 2008 to March 2009Risk Management Service, account reviews and meetings with employer representatives. Setting up and attend file reviews.Mod reviews and presentations.Claims Examiner IIISedgwick CMSOctober 2004 to August 2008Handling a dedicated account to include all aspects of claims handling for FL, GA, NC. EDI filings, medical management, bill review, litigation, mediations.Special ProjectsI lead a task force in which analyze and modify the mail room process in improvement efficiency and turnaround time to get the mail to the appropriate adjusters quicker. I was charged with analyzing the Claims Clerk and Claims Assistant responsibilities, and headed the task force to create a manual on the process to set up claims, oversee the transition of responsibilities of bill payment and claims set up, training of the colleagues involved, and presenting on this changes to office management.Claims Adjuster Handle all aspects of claim handling Broadspire /RSKCO/CNADecember 1996 to October 2004with multi-state jurisdictions of FL, NC, GA and TN Responsible for handling of special accounts. Litigation, medical management, mediations. Worked closely with the risk managers, including quarterly meetings. Considerable litigation experience.Claims SupervisorPCA - Longwood, FL1995 to 1996Responsible for supervision of four adjustersReviewed claims on a monthly basis to ensure timely handling and within SHI Monitored quality control, to include, state filings, documentation, litigation, reserving, timely payments and settlement authority.Testified at mediation, depositions, and hearings. Education, training, and license:* Have been handling Florida claims since 1990* Hold an All-Lines Adjusters license.* Attend various seminars for continuing educational credits Member of WCCPEducationHigh school diplomaSkills Medical Management EDI Delivery Driver Experience Risk Management Workers' Compensation Customer service Typing Cash handling Microsoft Excel English Windows Caregiving Home care Quality Assurance Hospital ExperienceCertifications and LicensesCaregivers vet/HHA |
