White Plains Workers' Compensation

ARDIANA GJELAJ

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

914-***-**** - ad5omy@r.postjobfree.com

OBJECTIVE: Efficient and motivated professional with years of experience seeking to apply my skills to a Part- Time position. EDUCATION

The College of Westchester

Health Care administration

Bachelors December 2024

AT Shtjefen Gjecovi High School Lezhe, Albania

Major: Business Administration September 1996- July 2000 Medical Law and Ethics Cambridge

College

January 2021

White Plains Hospital

Billing Associate Workers Comp/ No Fault

October 2022 -

Present

• EXPERIENCE

• Workers' Compensation Claims Manager

• WPH Orthopedic DEP.

• White plains New York

• Managed a team of claims adjusters, overseeing the processing and resolution of workers' compensation claims.

• Evaluated claim eligibility, reviewed medical documentation, and determined appropriate compensation based on established guidelines and regulations.

• Collaborated with medical professionals, employers, and attorneys to gather necessary information and ensure accurate claim assessment.

• Negotiated settlements with claimants and their representatives, effectively balancing the interests of all parties involved.

• Extensive knowledge of workers' compensation and no-fault claim procedures, regulations, and laws.

• Proficient in evaluating claim eligibility and determining appropriate compensation.

• Strong ability to gather and analyze medical documentation, liaise with healthcare providers, and assess medical treatments.

• Skilled in negotiating settlements and coordinating with insurance carriers, attorneys, and other stakeholders.

• Excellent problem-solving abilities with a keen eye for detail, ensuring accurate and efficient claims processing.

• Exceptional customer service skills, providing empathetic support to injured workers and claimants.

• Proficient in utilizing various software applications and claim management systems to streamline processes and enhance efficiency.

• Strong organizational skills, capable of managing multiple priorities and meeting deadlines. White Plains Hospital White Plains. NY

Office Assistant October 2019 - 2022

• Handling incoming calls and other communications for medical professional across multiple disciplines.

• Managing filing system. Perform administrative and clerical tasks (such as scanning or printing)

• Preparing and editing letters, reports, memos, and emails

• Greeting patients and visitors as needed.

• Updating paperwork, maintaining documents, and word processing.

• Helping organize and maintain office common areas.

• Performing general office clerk duties and errands.

• Maintaining office equipment as needed.

• Creating, maintaining, and entering information into database

• Provided training to new employees on office procedures. Obstetrics & Gynecology for Women-By Women Greenwich, CT Office Assistant February 2015 – October 2019

Perform duties under moderate supervision with advanced proficiency in administrative and organizational skills.

Provide routine and more complex administrative support such as: typing memos and letters, answering telephones, and taking and distributing messages.

Coordinate calendars and meetings including calendars for Billing and Coding Managers, managing meeting invites, travel arrangements, refreshments, or events for department.

Responsible for answering and screening incoming telephone calls and inquiries, taking appropriate messages and making proper referrals.

Billing, called collected past due payments from patients. Fontana Bridal Greenwich, CT

Bridal Consultant / Store manager February 2002-Janury 2015

Started as a bridal consultant and quickly moved to being an assistant store manager.

Handled a busy line of phone calls.

Trained new hires.

Performed clerk duties very accurately.

Prepared work orders, invoices, and schedules

Clients were happy by the suggestions and ideas that I provided for them. SKILLS

Quick learner who handles pressure well while multi-tasking in a demanding environment

Naturally patient, organized, and consistently reliable.

Ability to accept direction and supervision.

Sociable and great communication skills

Internet Surfer, MS Office Proficient

Fluent in Albanian, English; Basic in Italian, and Spanish

REFERENCES/

Upon Request

Contact this candidate