Sonya Syrkett

**** **** ***

Lakeland, FL *****

813-***-**** Cell

Summary of Qualifications:

Personal Injury Protection, Bodily Injury, and Uninsured Adjuster, experience with negotiations and settlements

Workers compensation medical bill review and follow up

Medical Unit Secretary, Medical Coder and Administrative Assistant

Experience also includes auditing medical bills for Insurance companies and experience with the Clerk of Courts legal systems.

Professional

01/2007 - Present Anthem Blue Cross and Blue Shield, Tampa FL

Claims Analyst III (Health and Dental)

Responsible for processing all advanced level claims transactions.

Accurately interprets, understand and apply Medicaid contracted rules.

Understand and implement appropriate claims processing and course of actions with adjusting claims.

Responsible for preparing correspondence, maintenance of phone logs & provider contact logs, as well as projects resolution of all AmeriGroup markets

Code and review medical bills, strong knowledge of medical terminology, Coding and hospital per diems Code HCFA 1500, apply Fee Schedules.

6 months experience working on the adjustment team.

Trained to work CWS station (Pega 7)

Trained to work the new FUSE system (Pega 8)

05/2006 - 01/2007 First Acceptance Insurance, Tampa FL

Complex Liability Adjuster

Investigate, evaluate and equitably settle various claims exposures of a complex nature. Conduct a complete and factual investigation to determine coverage, liability and damages. Negotiate bodily injury settlements with both unrepresented claimants and attorneys. Negotiate total losses. Research statues for legal issues and give guidance to other employees on those issues as well as contractual issues.

03/2004 - 05/2006 Clerk of Courts, Bartow, FL

Support Specialist D/Hearing Specialist

Processing Citation Tickets

Building Defendant History

Building Non -Arrest Cases

Processing Notices/Juvenile Cases

Summons

DUI Immobilization Procedure before court hearing

Transfers to and from Circuit Criminal

10/1997 - 03/2004 GEICO Direct Insurance, Lakeland, FL

Administrative Assistance/Medical Coder

Audit and process medical bills from auto accidents

Update and process new CPT code to the database

Process settlement checks for Attorneys and Claimants

Log all ADR mediations and structure settlements

Prepare vouchers for associate’s reimbursement and update claims business

Notarize all Affidavits of Coverage for adjusters on a daily basis

Reconcile error and other Home office reports

Process five months outstanding checks and IRS reports

Licenses

Florida State 520 licenses

Education

Roffler technical Institute - Received Certificate Department of Education, State of Florida Nursing Certificate

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