Customer Service Medical

Location:

Posted:

August 08, 2011

DANNY A. ANFENSON

Las Vegas, Nevada 89123

EXPERIENCE

• Taught classes to casualty specialists regarding red flags, current trends, up-coding in

medical billing and staged accidents.

• Expert testimony under oath in a case where an insurer of AAA was involved in

questionable claims.

• Expert testimony under oath in a deposition wherein a plaintiff filed a lawsuit against

AAA and a medical provider performed treatment on the plaintiff.

• Experienced team leader and mentor with excellent problem solving and customer service

skills.

• Responsible for clinic inspections to determine what medical equipment was used; who

worked at the clinic; who owned the clinic; and who was licensed.

• Investigate auto and homeowners exposures identified as potential fraud.

• Team leader in bodily injury and material damage.

• Investigate liability and negotiate property damage.

• Interpret medical reports and evaluate injury claims.

• Negotiate settlements with attorneys.

• Responsible for policies and procedures for both automobile and homeowners.

ACCOMPLISHMENTS

9/98-6/2011 SIU Litigation Specialist investigating and handling suspected fraudulent claims

to conclusion

1/96-9/98 Casualty Specialist investigating and handling bodily injury claims to conclusion

11/93-1/96 Material Damage Specialist investigating and handling low complex claims

WORK HISTORY

11/1993-6/2011 SIU Litigation Specialist - California State Automobile Association

Las Vegas, NV

Education:

Bachelor of Science in Business Administration, California State University, Hayward,

Associate of Arts – General Studies, Contra Costa Junior College, San Pablo, CA

NICB Basic Academy

NICB Advanced Academy

Awards and Professional Memberships:

2010 Rewards & Recognition Quarterly Award Winner, SIU Department

2011 Rewards & Recognition Quarterly Award Winner, SIU Department

2000-2011 IASIU Nevada Chapter Board Member

2000-2011 Las Vegas Mini-Medical Fraud Task Force Member

2010 NICB Certificate of Appreciation for Contributions to the Las Vegas Mini-Medical

Fraud Task Force