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Compensation Claims Case Management

Location:
Las Vegas, NV
Salary:
75,000
Posted:
May 21, 2024

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Resume:

Marisa L. Garcia

**** *** ****** **., **** ****

Las Vegas, NV 89131

702-***-**** / ad5var@r.postjobfree.com

Summary:

• I have demonstrated the ability to complete task time and accurately despite interruptions and completing demands. I am a Team Player, Self-Motivated, Personable and Detail Oriented. I hold a current NV Staff Adjusters License.

Skills:

• • Risk Management

• • Case Management

• • Workers’ Compensation/Med Legal

• • OSHA Credited Classes

Experience:

03/2023 Workers’ Compensation MO Adjuster Gallagher Bassett Process all workers’ compensation claims, monitor medical treatment, Mail, Phones, Various Office Duties, Medical Only Claims 10/2022-3/2023 Sierra NV Administrators

Process all workers’ compensation claims, monitor medical treatment, Mail, Phones, Various Office Duties, handled claims for uninsured employee injuries. 06/2022-10/2022 Workers’ Compensation Adjuster / AmTrust Process all workers’ compensation claims, monitor medical treatment, respond Attorney Letters, assign outside council, Mail, Phones, Various Office Duties 06/16/21 – 05/2022 Workers’ Compensation Sr. Analyst / MGM Resorts Int. LV NV Process all workers’ compensation claims, Assist Director with office procedures, monitor medical treatment, respond Attorney Letters, assign outside council, Mail, Phones, Various Office Duties, Assist the Light Duty Specialists in the return-to-work process, Lead the claim representative and coordinator.

05/07/19-06/2021 Industrial Claims Adjuster / CCMSI – LVMPD Account Process all Worker’s Compensation Claims, interview each Police Officer, Monitor, and coordinate all medical treatment, respond to Attorney letters/requests, Phone, Mail, Death Benefits, Coordinate PPD’s, through claim closure. Dealt with the Heart & Lung Bill.

12/2018 – 05/2019 Workers’ Compensation Liaison/Medical Legal Liaison/ Desert Orthopedic Center / LV NV

Workers’ Compensation Liaison between the Dr’s and outside adjusters in getting the necessary medical documents, appointments. Marketing the Dr.’s on staff, Assisted with Legal IME’s., Phones, Mail.

08/2018 – 12/2018 Workers’ Compensation Medical Only Adjuster / ESIS / LV NV Monitor and process all medical only workers’ compensation claims, with a few California Claims. Phones, Mail.

08/2017 – 08/2018 Workers’ Compensation Legal Assistant / Craig Kenny & Assoc. / LV NV Process new Workers’ Compensation Claims, Monitor Treatment and Communicate with the Adjusters handling the claims with several different TPA’s and Self Insured. Phones, Mail, Phones, Assist Attorney’s prepare for court.

04/2011 – 08/2018 Industrial Claims Adjuster / MGM Resorts International 2011 – 2012 I was at Mandalay Bay in General Liability, then was promoted 2012 to the Corporate Office in the Workers’ Compensation Dept. I started as the workers’ compensation claims coordinator then was promoted to a lost time adjuster. Process all Worker’s Compensation Claims, monitor all medical treatment to closure of claim, phones, mail.

Education & Training: High School Diploma / Valley High School Graduate / OSHA Certificate / Safety Consultation and Training Section.

References available upon request.



Contact this candidate