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Click here or scroll down to respond to this candidateCandidate's Name
Holly Hill, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLESelf-discipline and attention to detail helps me work well on my own in a remote environment. My extensive customer service background and strong computer skills make training others an asset that employers often utilize me for, and I enjoy creating the training programs. A strong base in medical terminology and general medical education, has been an underlying treasure in all of my prior employment.Authorized to work in the US for any employerWork ExperienceIn Home CaregiverSelf-employed - Ocala, FLSeptember 2022 to PresentResponsibilities:Home health coordinationCancer treatment coordinationLymphedema therapy assistanceMeal preparation, cooking and planningMedical Dressing changesHouse and Pool cleaning and maintenanceDriving to appointmentsMedical decisions during surgeryPet sittingOn-scene Bodily Injury AdjusterCustard Independent Adjusters - Ocala, FLAugust 2019 to September 2022Responsibilities:On-scene commercial/auto accident investigations in collaboration with defense counsel for fatality and severe injury.Damage documentation and statements.Negotiations for settlement with represented and non- represented parties. General file handling and detailed diary entries.Well checks on claimants for long term disability. Recipient of a Daily Scoops claimant accolade in the company paper. High metrics in case handling.Reason for leaving: moved to be close to family.State Farm - Receptionist & Personal AssistantNathan Thomas State Farm - Wildwood, FLMarch 2017 to August 2019Responsibilities:Ability to multitask, detail oriented, quick learner with substantial organizational skills. Strong Customer service experience & ability to relate to customers. Solid Communication background: able to relay information to customers & co-workers. Office duties:Familiarity with Windows, Outlook, ABS & NECHO System platforms. Schedule sales representative appointments.Multi-line phone call Routing & Mail Distribution. Knowledge of general office equipment: Fax, scanner/printer, coffee, etc. Handle sensitive documents, data verification, Money & Billing concerns. Extensive knowledge of insurance products.Personal Assistant Duties for Owner:Coordinate personal & office Calendar, Personal events & Travel arrangements. Schedule Training & Outlook MeetingsCreated PowerPoint training videos for the Receptionist position. Reason for leaving: recruited away for higher pay and a remote position.General Liability & Casualty Claims - Staff Adjuster Westfield Insurance Group - Lake Mary, FLDecember 2014 to August 2016Responsibilities:High levels of data entry input & validation.Manage customer expectations, customer service & Rental control. Fair Claims Practice & HIPPA compliance.Loss exacerbation reviews, File presentations & reports for Management & Legal Dept. Conclude settlement negotiations for Non-Represented parties with company Release. Maintain attorney relations & Negotiate pre-litigation settlements. Claim Investigations: Scene, Liability & Fraud with SIU involvement. Medical Records reviews: Analyze for Contra-indicated treatment & patient non-compliance. Worker's Compensation non-compliance reviews.Billing reviews: Over billing, bundling, repeat or unauthorized coding levels. Computer assisted IDC 10 analysis.Reason for leaving: Moved due to family emergency.Casualty Claim Adjuster & Legal LiaisonNevada General Insurance - Las Vegas, NVJanuary 2013 to February 2014Business/Process Analyst 2013-2014.Responsibilities - Analyst:Analyze & update company processes & forms: Efficiency gains via automatic data population & report generation. Macro enable all existing forms to auto-populate direct from system. Outlining & updating procedural requirements & compliance documentation. Assistance to I.T. with Beta testing & System stressing. Continued responsibilities as a Claim Adjuster and as we reduced employees I stepped in to operate mail processing machinery.Reason for leaving: I worked my way up through the company until I was assisting the Claims & Legal Supervisors. The company was bought out.Liability & Casualty Claims AdjusterNevada General Insurance - Las Vegas, NVJanuary 2005 to February 2014Analyze & update company processes & forms: Efficiency gains via automatic data population & report generation. Macro enable all existing forms to auto-populate direct from system. Outlining & updating procedural requirements & Compliance documentation. Assist I.T. with testing Beta testing and System stressing. Manage customer expectations throughout the claims process. File presentations for file values on round tables, to upper management & Legal Counsel. Negotiate Injury Settlements.Level 3 independent settlement authority up to $5,000.00 (2nd highest in the company). Monitor files for Lawsuits & place files in to Suit for Legal Department. Legal File preparation for Law Suits filed.New Claim Assessments: Coverage, Liability, fraud & scene investigations. Identify loss exacerbation potentials.Bodily Injury Evaluations:Manual cost analysis: Billing & Coding. Research: Service bundling, up-coding, ICD9 & CPT verification. Authenticating lost wages/tips (shift premium differences) & over-time. DUI/DWI verification & limits exposure/exacerbation assessments. Medical records review:Contraindications for minors.Conflicting treatment protocols & treatment compliance. File preparation for Independent Medical Reviews (IMR).ExpeditorNevada General Insurance - Las Vegas, NVJanuary 2005 to January 2006Claims intake & distributionAdjuster load balancing & assignmentInitial Contact - point of controlCustomer ServiceData entry & extensive computer skills: Outlook, NECHO, Excel, PowerPoint, MS Word Promoted to Liability Adjuster 2006 - 2007; Promoted to Casualty adjuster: 2007EducationBachelor's in Kinesiology /Sports Injury Management University of Nevada Las Vegas - Las Vegas, NV1996 to 1999Course Work in Pre-medicine & Sports MedicineLongwood College - Farmville, VA1995 to 1996Course Work in NursingRichmond Memorial School of Nursing - Richmond, VA 1994 to 1995Internship: Physical Therapy TechnicianHealth South - Williamsburg, VA1993 to 1995Associate in Business AdministrationRappahannock Community College - Rappahannock County, VA 1992 to 1994Skills Windows (10+ years) Microsoft Outlook (5 years) Powerpoint (5 years) ABS & NECHO (2 years) Printer, Fax, Scanner - Basic office equipment (10+ years) Multi-Line Phone System (3 years) Mail distribution (5 years) Typing 50 WPM (10+ years) Money Handling (10+ years) Customer Service (10+ years) medical records reviews (9 years) 10-key (10+ years) Front Desk Front Office Reception HIPAA CPS System (2 years) Caregiving Customer service Computer skills Microsoft Office Pet SittingLanguages Spanish - Beginner French - Beginner Japanese - BeginnerCertifications and LicensesAdjuster's License in FL - current. Prior licenses held in: NC, SC, FL, VA, MD, NV, NM, AZJanuary 2005 to PresentRecently re-certified for my FL 620/520 with self-appointment. Driver's License |
