Arnella C. Madriaga

**** ****** *****

South San Francisco, Ca

94080

650-***-****

Dr. Carmen Sabolboro - Office Assistant- Jan 2010- May 2012

South San Francisco, Ca 94080

Process all dental bills to be sent to the carrier

answer phone and schedule appointments for patients

Greet patients

Verify insurance coverage from carriers

Claims Assistant Examiner- Sedgwick CMS Jan 30, 2004- June 30, 2009

Oakland, Ca

Process new claims and make 3 point contact to Employer, Employee and Doctor

Set up medical appointment and provide customer service as required

Ensure all Indemnity benefits and Awards are paid on time

Process all approved provider bills timely

Prepare objection letters to providers for medical bills, delayed, denial

Contact treating physician for disability status

Handle medical only files

Send all DWC notices

Schedule appointments for AME/QME for evaluations

Send appointment letters, Issue TD/mileage and send medical file

Schedule Interpreters for appointments if needed

Request Job Descriptions from Employer

Request 5020, DWC-l and 5021

Subpoena Records

File and Serve documents on attorneys, WCAB, Doctors

Submit C&R, Stipulated Awards to WCAB for approval and documentation

Process checks- stop payment, cancellations, void

Conduct ISO reports to ensure if there are prior claim info from pass carriers

Various Temporary Assignment- Essential Staffing 2003

Assigned to various companies

Answer telephone calls, handled medical only claims and assist with claims Adjuster, Issue benefit payments

Send all DWC-l notices

Set QME/AME evaluation

Fremont Compensation - Medical Only Examiner 1992-2002

San Francsico, Ca

Initial 3 point contact

Review files to see if transferring to Indemnity

Send DWC letters

Process medical bills and review files for closure

Education

Star of the Sea Academy- San Francisco, Ca

Skyline College

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