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Medical Training

Location:
Los Angeles, CA, 90601
Salary:
looking for opportunity
Posted:
June 23, 2013

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Resume:

BARBARA YGNACIO

*** ********** *****, ******** **. 90601

Cell 626-***-****

***********@*****.***

OBJECTIVE

Seeking a position as a Workers compensation Claims Analyst where I can utilize my past

professional experience and where I can advance within the company.

PROFESSIONAL SKILLS

• Strong background in both litigated

• Multi-tasked and action-oriented

and non-litigated claims handling

• professional with excellent administrative and

Savvy negotiator with a proven track

project coordination skills in supporting

record in the recovery and settlement

multidisciplinary teams in a fast-paced

of complex claims

environment

• Successfully collected over $1 million

• Computer skills: Windows, MS Word,

in property damage claims for a major

Excel, PowerPoint, SAP, Valley Oak System

utility over a 12-month period

(VOS) and WITS (payroll system)

• Effective communicator who interacts

productively on all business levels,

advances customer satisfaction, and

demonstrates a strong ability to train

and coach new personnel

PROFESSIONAL EXPERIENCE

07/2012 Corvel (Temporary) Rancho Cucamonga, CA

Claims Examiner

Handled Los Angeles County of Education workers’ compensation accounts

Handled exposure including Indemnity, Litigated, Future Medical, Life Pension and Death benefits.

Issued payments accordingly and timely.

2007 – 2011 Tristar Risk Management Alhambra, CA

Claims Examiner II

Handled Los Angeles Police Department and Los Angeles Fire Department Sworn Program.

Handled high level cases for exposure including Indemnity, Litigated, Future Medical, Medical

Only, Life Pension and Death Benefits claims. Issued 4850, Salary continuation and Temporary

Total Disability payments accordingly. Handled Lien issues before WCAB court appearances.

Worked closely with Utilization Review on medical issues.

2006 – 2007 Integrated Claims Associate Torrance, CA

Jr. Claims Examiner

Handled Pomona Unified School District, City of Inglewood and City of Rialto.

Handled caseload for Indemnity claims and issued payments for Indemnity cases for Salary

continuation or Temporary Total Disability.

1981-2005 Sempra Energy Los Angeles,

CA

Progressive career with this utility included positions at various subsidiaries:

2000-2005 San Diego Gas & Electric Los Angeles,

CA

Claims Specialist

Managed Workers' Compensation, disability, sickness allowance, and pregnancy-illness benefits to

achieve minimal litigation exposure and cost-effective benefits delivery. Analyzed cases, developed

action plans for resolution and settled within authority. Served as technical resource to employees,

supervisors, doctors, payroll and various human resource departments regarding industrial and non-

industrial injuries. Reviewed/approved benefits payable to injured/sick employees; monitored

employee's medical progress to expedite return to work; calculated individual case reserves.

Assisted with training of regional staff; visited field offices to coordinate case strategy. Identified

and investigated special cases; sought recovery from third parties; coordinated vocational

rehabilitation. Participated in and testified at grievances, arbitration and WCAB hearings.

1983-2000 Pacific Enterprise Los

Angeles, CA

Small Claims Representative

Processed and settled a high volume of property damage and liability claims for Sempra Energy and

its subsidiaries. Supported field operations with technical advice and training in risk management.

Represented company in small claims court. Successfully recovered $1 million in damages for San

Diego Gas & Electric in 1999. Recommended and coordinated the implementation of corporate

software upgrade which saved the company over $5,000.

1981-1983 Southern California Gas Company Los Angeles,

CA

Data Entry Operator

Entered a wide range of reports and documents into computer system.

EDUCATION/TRAINING/CERTIFICATIONS

Business Administration courses - East Los Angeles College; Monterey Park, California

Certified Self-Insurance Administrator, State of California

IEA Workers' Compensation classes

Associate Certification in Risk Management

Completed Effective Negotiating Skills Training

Completed Contractor Safety Awareness Training



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