Medical Billing Office
Resume:
Joseph Barbour
**********************@*****.***
Legal, Auditing, Workers Compensation, Legal, Investigation, Catastrophe Examiner Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Senior Claims Examiner IV
EMPLOYERS INSURANCE COMPANY INC - Glendale, CA
November 2010 to Present
• All functions of Workers comp claims from investigations to settlements for small business companies.
• Approved Indemnity & Medical payments, managing & directing all litigation claims.
• Directed all litigation using MPN & UR to keep in current approved ACOEM guidelines.
• Prepared & presented in debt large loss claim analysis to re-insurance carriers.
• Increased reserves due to exposures with settlement authority on large loss & catastrophic claims. Senior Claims Examiner
TAUB SERVICE, IRS, THE CANNON GROUP
April 2003 to November 2010
Claims Supervisor - Workers Comp
KEMPER CLAIMS SERVICES - Calabasas, CA
February 2001 to April 2003
• Supervised unit of 6 Sr. Examiners 1 future Medical Examiner & 2 assistants.
• Reviewed & audited files for proper handling, reserve exposure & settlement.
• Created & maintained internal programs to eliminate penalties & increase efficiency in auditing files.
• Trained Examiners & Assistants on the Labor Code & current case law. Senior Claims Examiner
TAUB SERVICE, IRS, THE CANNON GROUP - VARIOUS TEMP AGENCIES - Los Angeles County, CA October 1998 to February 2001
• Worked with management to transition accounts from TPA transition
• Met & conferred with various Law Firms & Attorneys handling litigated claims
• Prepared Quarterly reviews & analysis for reserve & settlement request Paralegal/ Investigator/ Hearing Representative
Barbour Paralegal - Sacramento, CA
May 1988 to October 1998
• Worked with Law Offices of Brian Varner, Mastagni Holstedt & Chiurazzi, Law office Ron Metzinger
• Opened branch office in Malibu. Represented Federal workers in FECA, EEOC, MSBP cases.
• Performed full investigation for personal injury, EEOC & Workers Comp.
• Legal & Medical research with trial & depositions. Wrote pleadings & maintained fraud investigations.
• Reviewed & negotiated contracts, advertising ads for marketing clients & promotional vendors. Education
BACHELOR OF ARTS in HISTORY
UNIVERSITY OF CALIFORNIA - Northridge, CA
August 1996 to May 1999
Certificate in Paralegal Studies
Lincoln Law School - Sacramento, CA
August 1986 to May 1988
Skills
• Proficient in Microsoft Excel (8 years)
• PowerPoint (8 years)
• Epic (10+ years)
• Westlaw (10+ years)
• outlook (10+ years)
• Word (10+ years)
• Auditing (10+ years)
• Contract Negotiation (10+ years)
• Negotiation (10+ years)
• Utilization Review (10+ years)
• Case Management (10+ years)
• Legal Drafting (10+ years)
• Utilization Management (10+ years)
• Workers' Compensation (10+ years)
• Legal Research
• Medical Billing
• Adobe Acrobat
• Writing Skills (10+ years)
Awards
John Baur Memorial Scholarship
August 1998
Given to deserving History majors for outstanding work Certifications and Licenses
Claims Adjuster Designation
July 2020 to July 2022
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