Tina James

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

North Port FL *****

614-***-****

adhyel@r.postjobfree.com

Professional Experience

KELLER WILLIAMS PREMIER REALTY

Licensed Sales Agent, The Michelle Kovach Network April 2019 to current Licensed agent working with Buyers and Sellers in Ohio, but mostly in Central Ohio. Responsibilities include showing homes, listing homes and working with clients extensively on preparing contracts. Communicating with other agents, mortgage brokers, title companies and other third party vendors. Requirements were to continue education and participate in ongoing knowledge with the real estate market. MEDICAL EVALUATORS LLC

Director, Client Operations September 2016 to November 2018 Responsible for overseeing thirteen staff members and sixty-five physicians in the office locations in Columbus, Dayton, and Perrysburg. Responsibilities included: physicians schedules, physician recruiting, credentialing, medical malpractice, and maintaining yearly credentials. Conducting yearly staff reviews, hiring, wages/wage increases, vacation/schedules, budgets, clients needs and changes, marketing, industry seminars, and participating in day-to-day operations as needed. CAREWORKS CONSULTANTS

Claims Examiner August 2013 to September 2016

Review initial WC claims to determine compensability of the claim. Review and process medical documentation, calculate wages for payment of compensation benefits. Process medical and legal invoices. Prepare defense for litigated issues to include Industrial Commission and court of common pleas cases. Prepare files for IME’s, work with IME doctors, and Q & A IME reports. Analyzing settlement demands to provide the recommendations of the claim potential value to include the necessity of an MSA. Determine if authorization of medical treatment is necessary and appropriate. Review and process medical bills based on BWC standards and fee schedule. Host quarterly claims review with the employers

PREMIERCCS INC.PICKERINGTON OHIO

IME Professional Writer October 2009 - June 2013

Responsible for sorting, organizing, and document medical records in chronological order to provide to physicians for a 2nd opinion exam and review. Outlining specific issues and concerns within the medical to provide an understanding of the medical history. Provide specific questions unique to each individual case to opine on the specific issues that need addressed. Review reports when received to verify questions and answers were provided correctly.

CAMBRIDGE/XCHANGING WORTHINGTON OHIO

Claims Examiner III July 2007 - October 2009

Reviewed initial WC claims to determine compensability of the claim. Process medical documentation, compensation benefits, payment of medical and legal bills. Prepare defense for litigation. Also, I analyze settlement demands and work on excess reimbursement. Determine if authorization of medical treatment was appropriate and necessary. Provide quarterly claims review with the employer COMPMANAGEMENT/SEDGWICK CMS HILLIARD OHIO

Claims Examiner III January 2001 - July 2007

Worked on a highly regarded designated account to provide initial review of WC claims to determine compensability of the claim. Process medical, compensation benefits, payment of bills, and prepare defense for hearings. Also responsible for calculation of wages, analyze settlement offers and provide settlement potential. Determine if authorization of medical treatment was appropriate and necessary in regards to claim allowance.

Education

HONDROS COLLEGE REAL ESTATE WESTERVILLE, OH

LICENSED REAL ESTATE AGENT IN OH

BRADFORD BUSINESS SCHOOL COLUMBUS, OH

Received a Diploma in Legal Secretary.

WESTFALL HIGH SCHOOL WILLIAMSPORT, OH

Received High School Diploma

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