Claims Assistant Senior

Tamra Gay Waddell

Senior Claims Specialist – (contract)

Strategic Comp - New York, NY August 2022 to January 2023

Completed Workman’s Comp Claims, Lost Time, RPO’s and Litigation Claim's.

Set up diaries, saved notes, updated, closed, or re-opened WC claims, send out acknowledgement letters, Hippa documents and medical authorizations.

Experience in Maven, Juris, DocX, Claim Connect, Teams, Microsoft Office. Sr. Out-of-Network Claims Specialists – (contract) DataIsight - Houston, TX September 2021 to June 2022

Answered high volume of inbound calls from Insurance Providers, Patients, or Doctors.

Researched and explained patient invoices to patients and if the charge was in or out of network.

Made outbound calls to physicians, physicians’ offices, Anesthesiologist, ambulance services, and hospitals.

Opened new claims on the current invoices, negotiated current bills with providers on patient’s behalf and amend the invoice.

Resolved issues for patients who were receiving invoices from providers, ambulance services or medical facilities.

Utilized the following; Juris, Toolbox, Claim Connect, Wiki Resources. Workers Compensation Claims Assistant – (contract) Sedgwick CMS - Bartlesville, OK July 2017 to August 2021

Completed Workman’s Comp Claims, Lost Time, RPO’s, and Litigation Claim's.

Set up diaries, saved notes, updated, closed, or re-opened WC claims, send out Acknowledgement Letters, Hippa and medical authorizations.

S.O.A.P notes for PT, MD, faxed over files to D.A office, Attorney’s, diaries appointment for Adjusters. Juris, Claim Connect.

Secretary

Martin & Associates - Tulsa, OK April 2011 to June 2017

Answered phones, booked appointments, took messages for Attorneys as well as A/R and A/P.

Composed legal documents for court proceedings such as; Affidavits, Dismissals, and Petitions.

Filed legal documents and Notarized Legal Documents.

Spoke with Judges, DA’s, translated audio tapes to documents and dictated notes. Technical Support

DSR - Bartlesville, OK January 1999 to December 2002

Answered inbound calls from various states and provided Linksys, Cisco Router, and software setup support.

Setup VPN for Clients to connect with company.

Provided technical support globally to assist issues with equipment and VPN’s.

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