DEBORAH CROWLEY
Lutz, FL ***** 518-***-**** ***************@*****.***
ADMINISTRATIVE PROFESSIONAL
Database & Document Administration Coordination Collaboration Supporting Teams and Driving Operational Efficiency Administrative professional with 20+ years’ experience in a fast-paced corporate environment supporting Workers’ Compensation claims teams at AIG. Able to adapt to meet evolving team needs while working collaboratively. Planning Organization Communication Data Entry Business Correspondence Coordination Teamwork Medical Billing & Coding Policy & Procedure Workers’ Compensation (WC) Claims Database Management PROFESSIONAL EXPERIENCE
Sedgwick Franklin TN Nov 2022-Jun 2023
Bill Review Analyst
Responsible for analyzing billing records and determine if there are any inaccuracies. Checking invoices making sure all documents are accurate. Managing the status of accounts and balances and identifying inconsistencies, issuing bills, receipts and invoices. Responsible for examining financial transactions making sure they are calculated verify, update and process so the clients or customers are charged the right amount. AIG Tampa, FL Nov 1992-Oct 2022
Administrative Assistant Electronic Claim Service Operations (ECSO) Support internal Adjuster and Underwriting teams while coordinating with external Medical Providers and insurance company partners involving all New York State-based WC claims. Report to Arizona-based Administrative Manager. DOCUMENT ADMINISTRATION
• Provide quick and efficient C240 wage calculations reporting accurate wage and attendance information for injured workers to meet regulatory requirements.
• Review and ensure completed payments or C-8.1 is on file for each medical bill received within 30 days to avoid potential losses and fees.
SPECIAL ASSIGNMENTS
• Administer up to 12K ongoing War Hazard case files averaging $1M each. Complete case history, medical billing, and payment documentation for submission to legal team for review and action.
• Handle all internal ServiceNow (Google, phone, fax, email, equipment) administration access, set ups, issuance, and recoveries for ECSO staff nationwide. Ensure appropriate internal worklists are set appropriately. RESEARCH & INFORMATION GATHERING
• Update and maintain Electronic Claim Service Operations (ECSO) information within E Policy Review System
(EPRS). Pull policies and distribute to adjusters and managers.
• Research and gather missing information on unassigned cases by reaching out to providers. Complete file updates/corrections and forward as appropriate.
ELECTRONIC FILING & INDEXING SYSTEM TECHNICAL SUBJECT MATTER EXPERT (SME)
• Support Philippines-based Shared Services team with training and support. Serve as an internal AIG subject matter expert (SME) in processes and procedures relating to claims and Boardmail at AIG.
• Implemented BoardMail in New York for workers compensation claims and C11, and C240 form administration via electronic filing and indexing system. Recognized as the subject matter expert (SME). Commented [A1]:
TRAINING & EDUCATION
Coursework:
Personal Auto Coverage Claims Basic Property Casualty Principles Writing Effective Business Letters Delivering Quality Services Legal Concepts & Doctrine Fraud Awareness Workers’ Compensation Claims Annual Compliance Training:
Phishing Email, Security Awareness, Fraud Reporting, Code of Conduct, Global Anti-Corruption, Acknowledge for General Insurance