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Medical Administrative

Location:
Stockton, California, United States
Posted:
March 28, 2019

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Resume:

FAYE LOCKETT

PROFESSIONAL PROFILE

Self-motivated examiner with over 20 years of related experience and significant job success within Workers’ Compensation law for both employers and injured workers. Organized and detail oriented individual who exemplifies professionalism, and an ability to manage multiple projects and tasks at any given moment. Demonstrated history of successfully drafting and processing important and secure private/sensitive documentation, while facilitating legal administrative functions and promoting effective resource utilization. Highlighted leadership qualities and the ability to work with and direct individuals from varying backgrounds, while promoting team values. Driven partner with desire for increased responsibility and personal growth while leveraging related work experience and a current industry-related education within the performance-based environment of a growing firm. Regarded as results oriented, and an effective communicator

Sr. Claims Examiner – Duties & Responsibilities

Coordinate all investigative and administrative duties while communicating critical and sensitive information with various offices, departments, and other parties.

Determine acceptance, delay or denial up front. Review for payment after initial 3pt contact for medical management thru to return to work or settlement/closure.

Manage a large volume of sensitive documents, files, records, and information in a secure, organized and professional manner for both administrative and court levels.

Facilitate all facts from medical and legal perspective files including docketing cases, discovery, deposition summaries/notices and appeals board trial preparation.

Collaborate with attorneys, investigators for pretrial preparation including the preparation of trial exhibits and notebooks.

Prepare all necessary files for WCAB hearings while drafting and preparing independent medical examination letters to physicians.

Maintain a strong working knowledge of all services, workers’ compensation regulatory and procedural policies, and resource utilization. Interface with brokers, mediators, employers, physicians, management teams to assemble resolution strategy.

PROFESSIONAL EXPERIENCE

7/2018 – Present, Pegasus Risk Management – Modesto, CA

Workers' Compensation Claims Examiner

3/2018 – 7/13/2018, Safeway - Pleasanton, CA

Workers' Compensation Claims Examiner (Temporary)

5/23/2016 – 3/2018, JT-2 Integrated Resources

Workers' Compensation Claims Examiner

6/2015 – 5/2016, Temporary Assignments

Workers' Compensation Claims Examiner

7/2014 – 6/2015, Corvel Corporation

Workers' Compensation Claims Examiner

3/2012 – 5/9/2014, Various Temporary Assignments

Workers' Compensation Claims Examiner

Patriot Risk Services Group, Rancho Cordova, CA

City of San Jose, San Jose, CA

PG&E, Tulloch, CA

6/2007 – 10/2011, Majestic Insurance, San Francisco, CA

Workers’ Compensation Claims Examiner (third party administrators) - Caseload 140

1/2004 – 6/2007, Sedgwick CMS

Workers' Compensation Claims Examiner - Caseload 170

EDUCATION

San Francisco State University - San Francisco, CA

Bachelor of Arts in Fine Arts

CERTIFICATION

SIP certified as self insured licensure / Certified Claims Examiner



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