Medical Billing Workers Compensation
Resume:
Karl Welsbacher
Email: *********@********.***
Address: **** *********** *****
City: Lodi
State: CA
Zip: 95240
Country: USA
Phone: 209-***-****
Skill Level: Director
Salary Range: 60
Willing to Relocate
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Karl M Welsbacher Jr.
1727 Scarborough Drive
Lodi, California 95240 Home Phone: 209-***-**** Cell Phone: 209-***-****
Seeking a challenging position, with growth potential, where my extensive experience
as a Claims Examiner will be used effectively.
Key Strengths
Excellent technical knowledge of claims management Can effectively produce independently and in any size group Innovative, positive, team player Self-Insured Administrators Certificate Personable, friendly manner both on phone and in person Exceptionally dependable and able to handle the demands of a fast paced work place Ability to multi-task Strong verbal and written communication skills Excellent knowledge of California's Workers' Compensation laws and the procedures and regulations of the Administrative Director Division of Workers' Compensation Ability to motivate, supervise, inspire and manage both co-workers and subordinates
Professional Experience Senior Claims Examiner- Cambridge Integrated Services- Sacramento, CA Effectively manage a caseload of 300 workers compensation files from all over California Initiate and conduct claims investigation in a timely manner Manage medical treatment and medical billing for temporary and permanent disability compensation and death benefits within pre-established authorized limits Perform file reviews, audits and drive claim towards resolution, perform CIRGA forms Manage high exposure, complex, insured and self-insured claims from inception to negotiated settlement Ability to prepare and present information via weekly, monthly, and quarterly reports
Senior Claims Examiner- Zurich Insurance- Sacramento, CA Effectively manage a caseload of 200 very complex workers compensation files from all over California Initiate and conduct claims investigation in a timely manner Manage medical treatment and medical billing for temporary and permanent disability compensation and death benefits within pre-established authorized limits Perform file reviews, audits and drive claim towards resolution, prepare CIGA reports Manage high exposure, complex, insured and self-insured claims from inception to negotiated settlement Ability to prepare and present information via weekly, monthly, and quarterly reports Served as active supervisor when supervisor was out of the office
Karl M Welsbacher Jr.
1727 Scarborough Drive
Lodi, California 95240 Home Phone: 209-***-**** Cell Phone: 209-***-****
Professional Experience
Senior Claims Examiner- Kemper Insurance- Sacramento, CA Provide benefits to injured workers under California labor codes Served as active supervisor when supervisor was out of the office Effectively manage a caseload of 300 workers compensation files from all over California Initiate and conduct claims investigation in a timely manner Manage medical treatment and medical billing for temporary and permanent disability compensation and death benefits within pre-established authorized limits Perform file reviews, audits and drive claim towards resolution, prepare CIGA reports Manage high exposure, complex, insured and self-insured claims from inception to negotiated settlement Ability to prepare and present information via weekly, monthly, and quarterly reports
Claims Supervisor- Bragg Associates- Roseville, CA Provide direction, leadership and training to in-house claims professionals. Manage caseload distribution and oversee appropriate case assignments Effectively manage a caseload of 300 workers compensation files from all over California Initiate and conduct claims investigation in a timely manner Manage medical treatment and medical billing for temporary and permanent disability compensation and death benefits within pre-established authorized limits Perform file reviews, audits and drive claim towards resolution, prepare CIGA reports Manage high exposure, complex, insured and self-insured claims from inception to negotiated settlement Ability to prepare and present information via weekly, monthly, and quarterly reports
Education WCCP Designation Insurance Educational Association Certificate of Proficiency in Workers Compensation Insurance Educational Association
Bachelor of Arts Public Administration, Minor in Economics
San Diego State University - Majored in Accounting Business
Computer Skills
Highly skilled at entire MS Office Suite: Microsoft Word/Excel/PowerPoint/Access/Publisher/ Outlook/Outlook Express
Internet proficient
Type 50 WPM
ALL REFERENCE AVAILABLE UPON REQUEST
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