Administrative Assistant Medical
Resume:
Melissa C. Hughes
Glen Allen, VA 23060
abh3ie@r.postjobfree.com
Experience:
Claims Consultant - The Reciprocal Group - 2/2000-2/2010
Managed medical malpractice liability claims and general liabili ty claims for physicians,
dentists, hospitals, nursing homes and counselors in multi-jurisdictions. Investigated
claims by interviewing insureds, plaintiffs and experts. Reviewed medical records to assist
i n determining liability. Determined compensability of claims and established reserves
following department guidelines. Resolved claims using various techniques including
negotiation, mediation and arbitration. Provided wri t ten reports to management and
various commit tees. Once company was placed into liquidation, handled claims on behalf of
i nsureds. Processed and approved Proofs of Claim against the Estate of Reciprocal of
A merica. Maintained filing system for Proofs of Claims. Followed up with claimants for
necessary information. Performed other duties as requested relating to the liquidation of
t he company.
Administrative Assistant I I - The Reciprocal Group - 2/1995-1/2000
Reported directly to three Second Vice Presidents. Position evolved due to increased
responsibilities: handled all incoming claims from insured via phone, email, fax and postal
service; verified insurance policy information for all new claims; and assigned claims to
consultants. Generated monthly reports by downloading information from the AS400.
Submit ted monthly and quarterly reports to upper management. Submit ted reports
electronically to various government entities on a monthly basis. Answered five-line phone,
assisting insureds regarding claims. Set up file-away claims. Prepared bills for payment.
I ni tiated the automation of monthly and quarterly reports for three departments, which
were used corporate-wide, as well as externally. Coordinated the installation of modems in
seven offices, thus enabling information to be t ransmit ted between the home office and
b ranch offices in a more timely and cost effective manner. Supervised conversion of reports
to all offices from WordPerfect to Word. Collaborated with government entity to implement
i nstallation of software package. Maintained dairy t racking system for three officers.
Verified department t imesheets. Educated department, five branch offices and teleworkers
on the use of Word and Excel. Worked on intra-company commit tees to develop more
efficient methods regarding day-to-day functions. Facilitated company Special Events
Commit tee.
Claims Assistant - The Reciprocal Group - 9/1993-2/1995
Reported directly to the Second Vice President of the Medical Professional Liability
Department. Answered five-line phone. Developed forms using Lotus, typed
correspondence, maintained diary t racking system for three officers, ordered supplies,
maintained department it inerary, as well as schedule for conference room. Ensured forms
d istributed on a monthly basis both internally and externally. Improved work f low by
reducing the amount of t ime involved in submit ting reports to government entities.
Word Processor - The Reciprocal Group - 8/1992-9/1993
Ut ilized knowledge of WordPerfect. Typed correspondence and reports for eighteen
i ndividuals. Developed department manual. Created letterhead for headquarters and eight
b ranch offices, including thi r teen departments within those offices.
Secretary - Williamsburg Community Hospital - Home Health Care - 2/1990-8/1992
Reported directly to the Executive Director. Mastered WordPerfect and Lotus. Answered
f ive-line phone, directing calls to appropriate personnel. Ordered and received all medical
and office supplies for two departments and two branch offices. Reviewed supply invoices
for accuracy. Developed and computerized inventory system for those supplies, thereby
decreasing expenses by 38%. Reduced cost of one medical form by $500. Maintained
o rientation packets, new employee information and all employee updates required. Verified
a ll bills. Maintained daily log of all checks received. Assisted billing department as
needed.
Education :
5/1989 - Texas A & M University - Bachelor's Degree - H istory/Finance
Lucas Travel School - Richmond, VA - 1993
References available upon request.
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