Workers Compensation Manager
Resume:
Denise Bonita
Germantown, Maryland 20876
abhpyw@r.postjobfree.com
Specialization in National Account servicing, Loss Prevention and Risk Management.
S trength’s include:
* MD, VA, DC, PA Workers Compensation *General and Professional Liability
* Builders Risk Coverage *Problem Resolver
* Contract Negotiations *Deadline Sensitive
* Detail Oriented *Skilled Analyst/Administration
Skills
* Team Leader *Risk Management & Loss
P revention workshops
* Executive Secretarial Skills *Experienced payroll coordinator
PROFESSIONAL EXPERIENCE:
G allagher Bassett Services, Rockville, M D ( 2007-2010)
Senior Claims Adjuster, Workers Compensation/Third Party Administrator
As listed below under the Schaffer Companies, Gallagher Bassett Services took over the
Montgomery
County Workers Compensation claims from The Schaffer Companies as of 7/1/07. The job
d uties are
i dentical, the Third Party Administrator changed. Co-ordinate Montgomery County
Workers Compensation claims for several county agencies, including: City of Rockville,
M aryland National Capital Park & Planning Commission, Dept. of Public Works.
Negotiate settlements with attorneys and injured workers directly. Evaluate
compensability/liability and settle claims within prescribed limits. Make effective use of loss
management techniques. Handled high dollar exposure cases. Close attention to Special
Service Inst ructions, medical management/bill payments/bill audits and return to work
issues. Trained employees to fill Workers Compensation Adjuster positions, handling MD
claims. In addition, I presented seminars to educate the county agencies on reporting new
claims, responsibilities of the agencies and return to work programs.
T he Schaffer Companies, Rockville, M D (2006-2007)
Senior Claims Adjuster, Workers Compensation/Third Party Administrator
Co-ordinate Montgomery County Workers Compensation claims for several county agencies,
including: City of Rockville, Maryland National Capital Park & Planning Commission,
Dept. of
Public Works. Negotiate settlements with attorneys and injured workers directly. Evaluate
compensability/liability and settle claims within prescribed limits. Make effective use of loss
management techniques. Handled high dollar exposure cases. Close attention to Special
Service
Instructions, medical management/bill payments/bill audits and return to work issues.
T rained
employees to fill Workers Compensation Adjuster positions, handling MD claims.
Page -2-
Denise Bonita
S URG ICAL ANESTHESIA BI LL I NG, LLC., Germantown, M D (2004-2006)
Cash Coordinator/Accounts Receivable
Daily posting and reconciliation of payments from patients and insurance payers.
Secondary claims submission for all payers. Knowledge of insurance payer terminology,
HCFA 1500 claims submission, via paper and electronically. Medical record retrieval,
H igh volume calls and inqui ries. Pre-certification, authorization, and Explanation
of Benefits analysis. Bad debt identification. Customer negotiations regarding bad debt.
Cross t raining and reporting to the Billing Manager directly. Windows and M icrosoft
applications,
as well as MSI application.
F RANK GATES SERV ICE COMPANY/MC I., Rockville, M D (2001-2004)
Senior Claims Adjuster, Workers Compensation/Third Party Administrator
Co-ordinate Montgomery County Workers Compensation claims for several county agencies,
i ncluding: City of Rockville, Housing Opportunities Commission, Maryland National
Capital Park
& P lanning Commission. Negotiate settlements with attorneys and injured workers
d irectly.
Evaluate compensability/liability and settle claims within prescribed limi ts. Make
effective use of loss management techniques. Handled high dollar exposure cases. Close
a ttention to
Special Service Instructions, medical management/bill payments/bill audits and return to
work
issues. Conducted seminars with Montgomery County agencies on Loss Prevention and
R isk
M anagement in the workplace. Experience with medical terminology including CPT
coding.
Administrative strengths include knowledge of office equipment, computer skills, and
t yping ability
of 75 WPM, detail oriented.
Member of the Corporate Steering Commit tee and conducted workshops to implement Core
Values,
Core Objectives and Goals of the company. Recipient of the Corporate Profile Team 2001
award.
L IBER TY M U TUAL I NSURANCE CO., Rockville, M D (1998-2001)
Senior Claims Case Manager I I
Evaluate compensability/liability and settle claims within established limits. Implemented
Safety
and Risk Management workshops in order to prevent on-the-job injur ies. Negotiate
settlements
w ith attorneys, and injured workers directly. Communicate with policyholders/customers,
w itnesses, etc, in order to gather information regarding claims and refers tasks to auxiliary
u nits as
necessary. Respond to various writ ten and telephone inquiries including status reports.
Key
member of United Parcel Service dedicated claims service team. Conducted Safety seminars
to
reduce injury in the workplace, as well as Loss Prevention seminars for several local UPS
locations.
Good interpersonal, analytical and negotiation abilities. Knowledge of legal liabili ty,
general insurance policy coverage and State Worker’s Compensation Acts for Maryland,
V irginia, and Washington, DC jurisdictions.
Page -3-
Denise Bonita
MANORCARE H EALTH SERV ICES, I NC., Gaithersburg, M D (1995-1998)
Claims Examiner I I
Coordinated self-administration of worker’s compensation and liability policies and
procedures for 48 healthcare facilities in PA. Reviewed and analyzed incoming claims to
determine coverage and compensability issues. Reduced lost t ime cases by 15% over the
past three years saving $2M in Worker’s Compensation costs. Organized and conducted
presentations on current Worker’s Compensation laws.
Managed and purchased patient t rust fund bonds, construction, performance, maintenance,
and utility bonds for nursing facilities nationwide. Negotiated with brokers for buying
policies. Organized Risk Management seminars with 48 PA nursing homes on Risk
M anagement
and prevention of injuries in the workplace.
Supervised the insurance certificate programs for various vendors, particularly on
construction projects. Heavy interaction and consultation with project managers and
supervisors on construction projects. Supervised third party administrators.
FLORAL EVENTS UNL I M I TED, Silver Spring, M D (1990-1995)
Office Manager/Secretary/Administrative Assistant/Bookkeeper/Collections
Proficient in all phases of contract wri ting and CEO correspondence. Prepared
contracts for various clients for corporate and private f loral events. Assumed high
volume accounting and bookkeeping responsibilities with extensive responsibili ty for
collections and monthly computer billing, payroll and creating systems where none had
previously existed. Maintained relationships with customers and vendors. Handled,
monthly tax
payments to various jurisdictions. Mail distr ibution. Accomplished 40% improvement in
collected
accounts. Negotiated bad debt with customers. H igh attention to detail.
E DUCATION: Presently taking a course in the Associate in Claims Program.
F ranklin Senior H igh School, Reisterstown, MD
COMPUTER KNOWLEDGE: Bocomp, Claimline, Express, Lotus 1-2-3, Mainframe, Gates
2000, MSI applications, Excel and various Risk Management Programs and Windows
applications, Quicken. Also familiar with RiskTrac and Risxfacs.
* References available upon request
Contact this candidate