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Medical Workers Compensation

Location:
Chandler, AZ, 85226
Posted:
October 04, 2010

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Resume:

Patricia Z. Blackwell

**** *. ****** ****,

Chandler, AZ 85226

480-***-****

480-***-****

EXPERIENCE

For the past 6 months I have worked temporary positions with companies that

deal with workers compensation. With Medical Assurance Group I scheduled

medical appointments for work comp carriers. With the City of Mesa I

handled work comp claims, both medical only and time loss. Further detail

regarding these temp positions can be provided.

I have worked in human resources handling new hire orientations, all new

hire paperwork, insurance benefits, workers compensation, liability

insurance, human resource laws and regulations.

I am a licensed adjuster in the State of Arizona.

July 2004 - June 2009

Workers Compensation Adjuster

Pinnacle Risk Management Services

7500 N. Dreamy Draw, Suite 135

Phoenix, AZ 85020

480-***-****

. Handled time loss claims and medical only claims when an investigation

was required to determine compensability.

. Communicated with injured workers, insured providers and attorneys

when claims were in litigation or required a legal opinion.

. Completed recorded statements when required.

. Obtained wage documents and calculated average monthly wage.

. Paid compensation benefits and filed ICA forms within the time limits

required.

. Coordinated modified duty with physicians, employers and injured

workers.

. Maintain diary and report regularly to clients, meeting each client's

instructions and guidelines.

. Determine if an independent medical evaluation was necessary and

scheduled it. Coordinate travel arrangements and accommodations when

necessary and prepared necessary documents for the evaluation.

. Negotiate settlement with injured workers and monitor vocational

plans.

. Attend Industrial Commission hearings, if necessary, when a claim was

in dispute.

. Monitor medical treatment according to the workers compensation

statutes.

January 2004 - April 2004

Workers Compensation Adjuster

Bashas Risk Management Department

Tempe, AZ

. Handled medical only claims, all setups, 3- point contact calls, and

determined compensability.

. Arranged and handled all medical treatment throughout the life of the

claim.

. Reviewed and paid medical bills.

. Communicated with injured workers and providers as treatment

progressed.

September 2002 - January 2004

Workers Compensation Adjuster

SCF of Arizona

Phoenix, AZ

. Handled time loss claims and medical only claims if an investigation

was required to determine compensability.

. Communicated with injured workers, insured providers and attorneys

when claims were in litigation or required a legal opinion.

. Obtained wage documents and calculated average monthly wage.

. Paid compensation benefits and filed ICA forms within the time limits

required.

. Coordinated modified duty with physicians, employers and injured

workers.

. Maintain diary and report regularly to clients, meeting each client's

instructions and guidelines.

. Determine if an independent medical evaluation was necessary and

schedule it. Coordinate travel arrangements and accommodations when

necessary and prepared necessary documents for the evaluation.

. Negotiate settlement with injured workers and monitor vocational

plans.

. Attend Industrial Commission hearings, if necessary, when a claim was

in dispute.

. Monitor medical treatment according to the workers compensation

statutes.

March 2001 - June 2002

Workers Compensation Adjuster

Wilton Adjustment Services

Anchorage, Alaska

. Handled time loss claims

. Communicated with injured workers, insured providers and attorneys

when claims were in litigation or required a legal opinion.

. Completed recorded statements when required.

. Obtained wage documents and calculated average monthly wage.

. Paid compensation benefits and filed Alaska Work Comp Board forms

within the time limits required.

. Coordinated modified duty with physicians, employers and injured

workers.

. Maintain diary and report regularly to clients, meeting each client's

instructions and guidelines.

. Determine if an independent medical evaluation was necessary and

schedule it. Coordinated travel arrangements and accommodations when

necessary and prepared necessary documents for the evaluation.

. Negotiated settlement with injured workers and monitored vocational

plans.

. Attend Board hearings, if necessary, when a claim was in dispute.

. Monitor medical treatment according to the workers compensation

statutes.

September 1998 - March 2001

Workers Compensation Adjuster

Northern Adjusters, Inc.

Anchorage, AK

. Handled time loss claims and medical only claims. Tasked with all

aspects of claims management.

. Communicated with injured workers, insured providers and attorneys

. When claims were in litigation or required a legal opinion.

. Completed recorded statements when required.

. Obtained wage documents and calculated average monthly wage.

. Paid compensation benefits and filed ICA forms within the time limits

required.

. Coordinated modified duty with physicians, employers and injured

workers.

. Maintain diary and report regularly to clients, meeting each client's

instructions and guidelines.

. Determine if an independent medical evaluation was necessary and

schedule it. Coordinate travel arrangements and accommodations when

necessary and prepared necessary documents for the evaluation.

. Negotiate settlement with injured workers and monitor vocational

plans.

. Attend Industrial Commission hearings, if necessary, when a claim was

in dispute.

. Monitor medical treatment according to the workers compensation

statutes.

May 1992 - September 1998

Workers Compensation Adjuster

Carr Gottstein Foods Company (Now Safeway)

Anchorage, Alaska

. Handled both time loss and medical only claims for a self-insured

grocery chain

. Obtained wage information and determined time loss benefits



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