Post Job Free

Resume

Sign in

Mental Health Claims Adjuster

Location:
Tempe, AZ
Posted:
March 20, 2024

Contact this candidate

Resume:

KELLI PACICCO

**** * *****

Mesa, AZ *****

ad4gew@r.postjobfree.com

480-***-****

Clinician

SAGE Counseling Services

August 2023 to November 2023

Conducted group counseling in an online format. Client base consisted of mandated counseling for men and women. Mandated groups included services for substance abuse, domestic violence, anger management, psychoeducation, sex offenders. And various other group populations as needed. Primary treatment modality was Motivational Interviewing.

Clinician and Discharge Planner

Community Bridges Inc.

Community Psychiatric Emergency Center (CPEC)

March 2023 to June 2023

Assisted individuals trying to cope with mental health crisis and substance use concerns. Provided evaluations, interventions, and support during a crisis event, while maintaining the dignity of each patient. After a full evaluation is completed, the patient is transitioned to the appropriate next level of care to meet their needs.

Workers’ Compensation Claims Adjuster

PRG Insurance Recruiters

August 2022 to July 2023

Temporary position handling indemnity claims inception through resolution. Included reporting to clients, supporting injured workers, Out sourcing various specialties when necessary (i.e., nurse case managers, private investigators, independent medical examiners, etc.), reserving, negotiating, working with attorneys, working directly with client representatives, and all other aspects of managing a high case load of indemnity claims.

Workers’ Compensation Claims Adjuster

The Best Insurance Recruiting Specialists - Mesa, AZ

December 2020 to August 2022

Temporary position handling both medical only and indemnity claims from open to close. Case handling included complex physical trauma, legal proceedings, wage benefits, permanent disability, and all other claim related issues. Maintained a case load of 130 claims.

-

Handled indemnity claims from open to close. Case handling included complex physical trauma, legal proceedings, wage benefits, permanent disability, and all other claim related issues.

Mental Health Counselor

Private Clinical Practice

June 2014 to November 2020

I closed my practice in 2020 due to COVID-19.

Began practice part-time while working at St. Luke’s Behavioral Health Center. I provided individual and group counseling. Primary specialization in workers’ compensation injuries. Also treated people with chronic medical conditions, medication/substance use, abuse, and dependence and chronic pain management.

Mental Health Counselor, Therapist III

St. Luke's Behavioral Health Center - Phoenix, AZ

September 2015 to February 2016

Work included completing the intake process which encompasses a psychosocial interview, suicide risk assessment, treatment planning, and discharge planning. At time of hire, I was assigned to the chemical dependence unit where I stayed for 3 months. I was later assigned to a general mental health unit. This population included general mental health, serious mental illness (SMI), and chemical dependence populations.

Mental Health Counselor – Behavioral Health Professional

NurseWise Crisis Call Center. Cempatico RBHA - Tempe, AZ

October 2014 to August 2015

Work included telephonic contact with individuals in crisis. Clients were triaged and stabilized until assistance arrived to provide ongoing services. Services were coordinated with other mental health and medical providers throughout the healthcare system.

Workers' Compensation Claims Adjuster

York Risk Services Group - Phoenix, AZ December 2011 to September 2014

Arizona, Colorado, Nebraska, and South Dakota indemnity claims. Maintained timely payment of medical bills, wage benefits and timely filing of state required documents. Consult with injured workers, providers, and employers in the claim process to assist in the medical management/coordination of work related injuries. Specialized in national retail accounts and educational facilities

Workers' Compensation Claims Adjuster

Chartis Claims, Inc - Phoenix, AZ

December 2009 to November 2011

Oversight for Arizona and Utah assigned claims including managing nurse case management, ordering independent medical examinations (IME), and all other aspects of indemnity claim handling, timely issuing of wage benefits, and other aspects of bringing claims to closure. Skilled in negotiating claim settlements including labor market surveys pertaining to loss of earning capacity, annuities and Medicare set-a-sides. Maintain timely wage and permanent disability benefits. Consult with injured workers, providers, and employers in the claim process to assist in the medical management/coordination of work related injuries.

Workers' Compensation Claims Adjuster

Travelers, Inc - Phoenix, AZ

February 2007 to November 2009

Oversight for Arizona and New Mexico assigned no time loss claims. Position included all aspects of bringing medical only claims to closure. Skilled in negotiating claim settlements including labor market surveys pertaining to loss of earning capacity, annuities and Medicare set-a-sides. Consult with injured workers, providers, and employers in the claim process to assist in the medical management and coordination of benefits for work related injuries.

Temporary Positions for Workers' Compensation Claims

Insurance Overload Staffing - Phoenix, AZ August 2003 to January 2007

Oversight for Arizona assigned claims including managing nurse case managers, ordering independent medical examinations (IME), timely issuance of wage benefits, and all other aspects of bringing indemnity and medical only claims to closure. Skilled in negotiating claim settlements including labor market surveys pertaining to loss of earning capacity, annuities, and Medicare set-a-sides. Maintain timely wage and permanent disability benefits. Consult with injured workers, providers, and employers in the claim process to assist in the medical management/coordination of work-related injuries.

EDUCATION

Master of Arts in Mental Health Counseling

Argosy University - Phoenix, AZ 2010 to 2013

Bachelor of Science in Psychology

Arizona State University at the West Campus - Glendale, AZ

1996 through 1997 completed my freshman year. Returned to finish my bachelor degree in 2008. Graduated Magnum Cum Laude in 2010 with permanent membership and additional honors in Psi Chi Honors Society.



Contact this candidate