Compensation Claims Quality Assurance

Alfreda E. Richardson

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

Columbia, SC 29201

Daytime phone 803-***-**** Evening phone 803-***-****

**********@*****.***

Objectives: I am seeking a challenging position where I may utilize my present skills, and learn additional skills. I take pride in the quality of my work, and I am prepared to work long hours to meet whatever deadlines imposed.

Proficiencies: Microsoft Word, Excel, and Outlook

Experience

SC School Board Association (SCSBA): Workers Compensation Claims Adjuster II (March 1996 – August 2003) My responsibilities were to investigate workers’ compensation claims, input first reports in the system, contact the injured employees, schedule doctor appointments, and file various workers’ compensation forms with the SC Workers’ Compensation Commission. Pay weekly indemnity to loss time employees and process medical bills according to the SC Fee Schedule. Attended informal conferences, hearings, authorized medical treatment, and assigned case manager nurses to claims. Type reports and letters, close files

Southeastern Freight Line: Senior Workers Compensation Adjuster (August 2003 – present) My responsibilities are to investigate workers compensation claims for compensability, review medical reports, input claims in the computer, review and process medical bills according to SC Workers’ Compensation Fee Schedule. Assign claims to nurse case managers, Vocational Rehabilitation, negotiate settlement of claims with employees and their attorneys, schedule doctor appointments, assist attorneys, doctors, and hospital over the phone regarding workers’ compensation claims. Pay weekly indemnity and temporary partial checks to injured employees on workers’ compensation. Attend informal conferences, hearings, and depositions. File various form with the workers’ compensation commission, setting reserves, and closing files

Education

Dreher High School Diploma (June 1976) Columbia, SC 29205

Strayer University (August 2009 – December 2010) Columbia, SC 29210

Certification

South Carolina Adjuster License Mary Brewer School of Insurance (Sept 1990)

Associates in Workers’ Compensations Claims Law American Educational Institute

References

Ranae Brown SCSBA 803-***-****

Mary Anderson SCSBA 803-***-****

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