Claims Assistant Data Entry

Meri Harwood

*** ********* *****, ******, ** ****6 – Cell Phone# 314-***-**** – ***********@***.***

Objective

To continue my learnings in a challenging position, to further expand my ongoing learning, knowledge, and skills.

Experience

Gallagher Bassett Services, Inc., St. Louis, MO

Senior Resolution Manager

2/2007-Present

Investigate, analyze and determine compensability for Worker’s Compensation Claims

Maintain an effective diary system

Interact daily with Clients, Claimants, Medical Providers, Attorneys, and Nurse Case Managers

Licensed to handle multiple state jurisdictions – currently

Negotiate settlements

Prepare necessary State filings within statutory limits.

Manage claim recovery, including but not limited to subrogation

Reports claims to the excess carrier according to Client service instructions as well as obtaining recovery

Work Comp – Licensed to handle claims in the following states:

AL, IN, KY, MI, MN, MS, TX, UT, WI

Claims Assistant

6/2006-1/2007

Under direct supervision, performs basic claim handling functions to include data entry, bill payment, ordering various reports from outside parties, preparing and filing various required forms.

Medical Only

10/2003- 5/2006

Sets up new medical only claims, establishes and maintains proper coding and data per company and client requirements.

Maintains various claims processing and procedure records necessary to conduct business.

Review and authorizing of payments consistent with client requirements, company "Best Practice" and state regulations.

Conducts basic claims processing functions such as data entry, bill payments, ordering medicals reports/bills/records, completion and filing of forms and scheduling appointments.

Interact with clients, claimants and providers as needed.

Education

Vatterott Collet, Sunset Hills, MO

Associates Degree (e.g. Computer Programming)

References

References are available on request.

Contact this candidate