Post Job Free

Resume

Sign in

Senior Claims Examiner Workers Compensation

Location:
Oakland, CA
Salary:
OPTIONAL
Posted:
January 19, 2022

Contact this candidate

Resume:

Norma Hartsfield

Claims Processor – Mail Clerk

adpy2h@r.postjobfree.com

Berkeley, CA 94703

510-***-****

Recognized for consistently meeting key performance in all areas (speed, accuracy, and volume) Exceeded client expectations by delivering solutions in an efficient manner. Retained and acquired knowledge of company policies and procedures and workers’ compensation rules and regulations

WORK EXPERIENCE

BOEHM & ASSOCIATES

1988 – Present Senior Claims Examiner

Senior Claims Examiner specializing in workers’ compensation and third party cases

Prepared cases for court while working closely with legal staff

Analyzed and created summary of benefits/itemization of charges

Filed liens in EAMS – Electronic Adjudication Management System

Served bills and medical reports to substantiate liens

Prepared Proof of Service and other documents to e-file in EAMS

Prepared weekly lien report of how many cases produced per week

Mailed documents to injured workers, defense attorneys, and applicant attorney’s to obtain information to file liens for workers’ compensation and third party cases

In-take of daily mail that consisted of review, in-put and scan to legal staff

Review Veterans Administration medical reports to redact diagnosis not related to claim

EDUCATION

High school diploma – Oakland, CA

SKILLS

33 years of experience in workers’ compensation and third party claims Microsoft Office; Word, Excel, Ring Central, Ricoh copier/fax, scanner Medical billing

Efficient in reading client claims

Knowledge of CPT and diagnosis codes



Contact this candidate