Manager Case

Lauren Myers

Email: abqrwf@r.postjobfree.com

Address: ** ******* ******

City: Allston

State: MA

Zip: 02134

Country: USA

Phone: 781-***-****

Skill Level: Experienced

Salary Range: $35,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Lauren L. Myers, B.S.

70 Adamson Street

Allston, MA 02134

Phone 781-***-****

E-mail: abqrwf@r.postjobfree.com

Highly experienced and enthusiastic personal assistant to various individuals (references available). Duties included accounting, scheduling appointments, receptionist duties, filing and some nursing assistance for when/if they became incapacitated due to sickness or injury. Additionally have much experience with insurance claims and computers.

Technical Skills

* Word - Windows XP

* Extensive phone work

* Microsoft Word

* Microsoft Office

Various Reputable Temporary Companies for Per Diem Work June 2005 - Present

Boston, MA

Per Diem work supplied on a regular bases to Temporary Placement Companies, such as Epic Staffing and Tac Temporary Staffing. Assignments have included; Case Manager monitoring the reporting of care given to various patients in nursing homes. Assignments included Substitute teacher, Adult Day Care, handling reception, billing and filing, Multi-lines insurance representative, case manager.

Law Offices of Robert V. Collins

Melrose, MA July 2002 - June -2005

Part Time Receptionist and Bookkeeper - reviewed reports and assisted in determining liability assessment and degree of medical impairment on injury cases based upon past experience as a claims representative. Researched documents and assisted in preparation for negotiation, arbitration and/or potential court cases. Handled billing and conducted account recruitment.

Utica National Insurance

Wakefield, MA May 2001 - July 2002

Senior Claims Representative- Provided consultation to New England Regional Branch. Had case pending of more complex workers compensation cases to coordinate injured workers medical care with the goal of return to transitional duty and then full duty as soon as medically able by review of claimants files per company guidelines. Also assisted adjusters in adjudicating files based upon my interviews with the claimant and the providers. Monitored our vendors who provided case management services and independent medical exams. Provided monthly reports and spreadsheets emphasizing strategies for cost containment with regard to file management and vendor quality. Monitored reports provided by all the vendors to optimize their usefulness both fiscally and substantively.

Additional Experience

NSTAR (formerly Boston Edison)

Boston, MA

Case Manager Administrator / Supervisor of Workers Compensation Representatives

* Coordinated the handling of short-term disability cases to assure a safe and healthy return to work for sick or injured employees working with management and unions.

Correctional Medical Services

Dedham, MA

Utilization Manager

* Responsible for the development of contracts and continued negotiations with the Department of Corrections and Hospitals to return inmates back to the prison infirmaries one medically stable.

* Saved one thousand hospital days equaling one million dollars saving the first year and continued that for both years I was there (until they lost the contract in Massachusetts).

John Hancock Mutual Insurance Company

Boston, MA

Case Manager, Long Term Care Department

* Duties included interpretation of complex long-term care policies to determine if policy holders qualified for nursing home or home health care benefits.

Education

Suffolk University, Boston, MA

* Bachelor of Science in Psychology and Sociology

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