Medical Assistant

CHANDA IVEY

**** ******** **** *****

Laurel, MD 20724

Phone: 1-410-***-****

E-mail ***********@*****.***

Education Associate Marketing

St. Petersburg College

Tampa, FL

Registered Medical Assistant/Phlebotomist

Concorde Career Institute

Tampa, FL

Work History

08/2008-04/2010 Nationwide Insurance Company

Columbia, MD

Medical Claims Examiner

Reviewed policies, claim forms, and managed all external

and internal communication with claimants, attorneys and

medical staff to determine injuries and

determine/establish reserve requirements under Maryland

State Laws.

Reviewed and evaluated all incoming medical bills before

authorization of payment.

Documented records, updated status notes, results of

external information gathering and relevant medical

reports, hospital records, medical history, police

reports and expert opinions. Arranged Independent

Medical Evaluations if deemed necessary.

Attended depositions, mediations, arbitrations and all

other legal proceedings, as needed.

Developed litigation plans with defense counsel and tract

adherence to plan in order to control legal expenses and

assure effective resolution.

Identified and recommended referral of potentially

fraudulent claims to SIU.

02/1998-02/2006 Allstate Insurance Company

Tampa, FL

SR. Claims Administrator

Applied knowledge of coverage's, state and local laws to,

plan, recommend, reserve and execute the investigation,

valuation, disposition and settlement of simple auto

claims consistent with claim settlement policies &

procedures, statutory, regulatory requirements and

adjudicate claims in accordance with company procedures.

Obtained facts to evaluate coverage, negligence and

causation/damages and procured-recorded statements.

Created, compiled, and maintained, various spreadsheets

of client records.

Obtained releases, proofs of loss or compensation

agreements and issued company drafts in payments for

claims.

Conducted background investigations, credit checks,

claims history, to recognize and forward appropriate

files to SIU.

Supported litigation team in settlement and negotiation

process of intricate, involved low complexity claims for

auto.

Provided training, file handling guidance and/or

coaching/mentoring to other claims personnel, as well as

presentations, seminars, and training classes on proper

claim procedure.

08/2001-2/2006 Gulf Coast Processing

Tampa, FL

Administrative Assistant

Reviewed lender-originated single family mortgage loans

to ensure compliance with federal, state, and program

requirements.

AR/AP, Payroll, Data Entry, prepared correspondence

letters, maintained client files, answered phones.

Compiled information and prepared moderately complex

reports balanced routine general ledger lines and

expenses.

Arranged appointments, meetings, speaking engagements,

board meetings, various business and social events.

Oversight of complex planning logistics for domestic and

international trips; assure accuracy for detailed

itineraries, agendas, and schedules.

Maintain electronic calendar for president and CFO.

09/95-11/98 Clearwater Clinical Lab

Tampa, FL

Phlebotomist/Office Manager

Responsible for completing medical insurance forms,

answer phones, written correspondence.

Liaison between physician, pharmacies, patients,

insurance companies and other outside agencies.

Patient scheduling. Patient billing, Claims

authorizations, Accounts Payable/Accounts Receivable.

Phlebotomy and basic diagnostic laboratory tests.

07/95-08/96 Bay Area Medical Clinic

Tampa, FL

Externship as Medical Assistant, Phlebotomist

Responsible for sending referrals follow-ups, and other

correspondence.

Scheduling appointments, filing, and heavy phone

interaction with patients.

Placed calls to pharmacies for new prescriptions and

refills, medical billing.

Maintained physician electronic calendar, as well as

office calendar.

Performed ECG'S and basic clinical assisting.

Computer Skills Calyx Point

Microsoft Office XP Professional

Xactimate, ADP, SAP

Windows

Lotus, Excel, Word, Outlook, E-mail, and Internet

Data entry 10,000 keystrokes, 55wpm

ICD-9, CPT, and HCPCS coding experience.

Extensive Internet Research

Peachtree accounting, Quickbooks

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