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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
d HYPERLINK "mailto:EMAIL AVAILABLE"emiesstormy HYPERLINK "mailto:EMAIL AVAILABLE"@ HYPERLINK "mailto:EMAIL AVAILABLE"gmail.com PHONE NUMBER AVAILABLEObjectiveTo obtain a position that will utilize my abilities to resolve problems and case management experience to further the purpose of the company.Work HistoryCompel USA Senior Claims Engineer 01/2020- presentManaging claims of risks classes of medical and professional Indemnity.Collaborating with colleagues and management to ensure open communication.Investigate complexes of the claim, determine liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, paying out benefits, resolves and keeping record the claim.Double checking for errors or fraudulence that may require contact from third party, including medical records, employer consult a police report.Vema Corporation Project Coordinator 09/2018 - 11/2020Provided support to Case Managers and Supervisors to ensure health cases were completed on time and within budget.Reviewed and managed behavioral health cases and medical records, in a timely manner.Processed cases in need of further review either for clarification, updates or resolution.Received and responded to incoming client calls in a prompt and professional manner.Ebony House Case Manager 02/2014 - 08/2018Assigned, monitored, administered and organized social work cases for individuals.Maintained all relevant and necessary files, documentation, and paperwork regarding participating individuals and families.Evaluated and recommended appropriate social programs, federal grants, refunds and benefit packages.Administered cases involving guardianship, well-being, financial burden and housing needs.Newman Center Intense Case Manager 04/2008 - 07/2018Provided support and oversight to other team members managing high risk members.Adhered to company policies and procedures and submitted reports in a timely manner.Identified members problems based on analysis of assessments dataImplemented intervention strategies aimed towards accomplishing member goals.Education1996 Graduate High School Diploma2009 2011 Ashford UniversitySkillsAnalysis skillsNegotiatingCCSMI site for claims informationCustomer serviceComputer skillsGroup TherapyBehavioral HealthSupervisingCitrixSalesCustomer Relationship ManagmentServingMedical RecordsIndvidual/Group CounselingTying skillsMedical Office ManagementProject CoordinationConflict ManagementWindowsMerchandisingFraud Prevention and DetectionMobile applicationsUnderwritingOrder FulfillmentTechnical SupportRetail SalesInbound and Outbound CallsManagement Skills |
