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Data Entry Medical

Location:
New York City, New York, 10475, United States
Posted:
November 24, 2018

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Resume:

George Taylor McDavid

Bronx, NY ***** 718-***-****

ac7r8d@r.postjobfree.com

PROFESSIONAL SUMMARY (ADMINISTRATION, LEGAL, FINANCIAL MANAGEMENT)

Analyst and Army Veteran (Adjutant General Administrative Corps) earning the Army Commendation Medal and 2 Army Achievement Medals for achievement in Administration. Proven ability to interact and collaborate with multiple levels of management and diverse cultural audiences. Seeking a career change. Areas of interest: Human Resources, Legal and Finance. Possess a comprehensive background in team stewardship, compliance and financial management. Experienced in helping companies translate their business goals to reality. Skilled in collaborating cross-functionally with colleagues and partners to manage programs and complete projects within deadlines and budget constraints. Influential in streamlining processes and problem solving. Recognized as an enterprising, dedicated hands-on individual throughout career, committed to individual expertise and organizational effectiveness.

Account Management

Recovery Solutions/Collections

Human Resources/Benefits

Problem Resolution

Fraud/Investigations/Adjudication

Forecasting Revenue

Settlement Negotiation

Audits/Litigation/Medical Claims

Workers' Compensation/Disability

OSHA Standards

FMLA Protocols

Contract Obligations

PROFESSIONAL EXPERIENCE AND ACHIEVEMENTS

From the period of April 2017 employment situation has involved freelancing assignments involving data entry, administrative work and taking care a loved one. I am available .

Recovery Resolution Analyst WEISS, WEXLER & WORNOW, Attorneys at Law (Electrical Safety Account),5/ 2012 – 11/2016

Collaborated with senior partners to discuss the effects of reimbursement settlements.

Calculated amounts due and acquired lien amounts for debts; conducted audits and double-checked filing requirements.

Actively maintained diary system for data entry; drafted client correspondence and reports to senior partners.

Established reserves and budgets for workers’ compensation claim cases.

Introduced new procedures for subrogation recoveries in addition to a system that yielded a forecasted $1.5M in revenue per annum, now standard for the company.

Implemented the next steps for resolving an issue with Special Funds and the Department of Taxation.

Conducted claim audits to reimburse medicare.

Consultant (Litigation Management) WEISS, WEXLER & WORNOW Attorneys at Law (Various Insurance Companies' Account), 1/2010 – 5/2012

Reported suspected fraud to the Office of Inspector General.

Generated subpoenas for medical records related to diabetes, orthopedic injuries, and high blood pressure; subsequently researched pharmacy prescriptions for reimbursement, social security, medicare as advisor to insurance companies obtaining reimbursements.

Submitted assignments to investigators for subrogation potential.

Oversight for Accounts Receivable and Accounts Payable in addition to expenses earmarked for resolving payment problems.

Drafted pre-trial and trial write-ups that allowed clients to receive recovery amounts above 50%.

GCG RISK MANAGEMENT, New York, NY 7/2006 – 1/2010

Case Manager/Analyst (Lenox Hill Hospital Account)

Drafted material goods accounting reports in addition to total benefit costs per New York State guidelines.

Managed money transactions of indemnity and posted medical payments to ledgers; managed bill payers.

Accountable for cases involving FMLA and OSHA on claims.

Consistently achieved an 85% to 95% audit ratings from public accounting agencies.

Used cost containment programs for reducing workers' compensation and disability claims costs by 150K.

Resolved transaction-related issues with accounting and banking departments with costs of over $90K per month.

GAB ROBINS, New York, NY 4/2005 – 6/2006

Billing Analyst (Legion Account)

Oversight for workers' compensation claims currently in liquidation in addition to related risk transfers.

Consistently achieved a $12K goal in billing for the company.

HEREFORD INSURANCE COMPANY, New York, NY 11/2002 – 4/2005

Claims Auditor/Team Leader (Taxi Commissions)

Conducted audits on claim cases.

Drafted status reports to supervisors and stakeholders an NYS Liquidation Bureau.

Collaborated with associates to design strategies for medical and indemnity cost reduction and for closing on cases.

Additional Experience

Reinsurance Accounting Analyst at American United Life Reinsurance Co. (1/2001 to 11/2002) in New York, NY.

Cleaned-up a backlog of treaties and books of business from AIG, Aon Re Worldwide, Benfield, Guy Carpenter and Travelers Gulf Insurance, a claim inventory of 2000 catastrophic cases. Identified, reviewed and verified contract provisions, Audited TPAs. Developed Accident Valuation Models to forecast reserves levels. Issued cash disbursements upon receipt of precautionary notices.

EDUCATION & CREDENTIALS

Bachelor of Science in Finance, Long Island University, Long Island, NY

Certificate in Paralegal Studies, American Bar Association, Long Island University July 1994

TECHICAL SKILLS

Software: Microsoft Office (2003, 2007, 2013, 2016; Access, Word, Excel, Power point, Outlook

Operating Systems: Mac/Microsoft Windows (95, 98, XP, Vista) Windows 10, AS400 PBM Database Management.



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