Michelle Collins-Smith

Winter Springs, FL *****

ady8mi@r.postjobfree.com

+1-407-***-****

Insurance background. Part time caregiver. CPR current. HIV/AIDS Certificate. Continuing education. HHA certification. Have clean level 2 background.

Excellent customer service.

Work Experience

CSR/Caregiver

Caregiver, driver - Winter Springs, FL

January 2020 to Present

Caregiver/HHA Seminole County, Winter Springs, Oviedo and Longwood area. Prefer repeat clients. Allows me to become accustom to their needs and schedule. workers compensation adjuster,medical sales.

Self

January 2017 to January 2020

Working for Uber on my own schedule.

Adjuster, medical and CEU’s

SMS National

April 2011 to October 2012

Responsible for marketing services to Workers' Compensation client base. Maintain customer satisfaction. Offer and arrange CEU seminars. Quality control of vendor base. Self-employed

Self-employed

December 2009 to April 2011

in the workers compensation field to include all handling and investigations on Worker's compensation claims, medical management, bill review, filings, EDI, state laws, mediations, settlements and conclusion of the claim. Most recently worked with C.N.A to insure proper handling of claims. Kelly Services/ Free State- Optacomp- Blue Cross Blue Shield August 2009 to December 2009

Handling all aspects of workers compensation claim files to include 24 hour three point initial contacts, setting reserves, initiate benefits and complete EDI filings. Medical management, bill review, manage litigation to include settlement evaluations and file resolution, complete 30/90 day File strategy reports and attend File Review with clients.

Senior Risk Manager

Riskaware

August 2008 to March 2009

Risk Management Service, account reviews and meetings with employer representatives. Setting up and attend file reviews.

Mod reviews and presentations.

Claims Examiner III

Sedgwick CMS

October 2004 to August 2008

Handling a dedicated account to include all aspects of claims handling for FL, GA, NC. EDI filings, medical management, bill review, litigation, mediations.

Special Projects

I lead a task force in which analyze and modify the mail room process in improvement efficiency and turnaround time to get the mail to the appropriate adjusters quicker. I was charged with analyzing the Claims Clerk and Claims Assistant responsibilities, and headed the task force to create a manual on the process to set up claims, oversee the transition of responsibilities of bill payment and claims set up, training of the colleagues involved, and presenting on this changes to office management.

Claims Adjuster Handle all aspects of claim handling Broadspire /RSKCO/CNA

December 1996 to October 2004

with multi-state jurisdictions of FL, NC, GA and TN Responsible for handling of special accounts. Litigation, medical management, mediations. Worked closely with the risk managers, including quarterly meetings. Considerable litigation experience.

Claims Supervisor

PCA - Longwood, FL

1995 to 1996

Responsible for supervision of four adjusters

Reviewed claims on a monthly basis to ensure timely handling and within SHI Monitored quality control, to include, state filings, documentation, litigation, reserving, timely payments and settlement authority.

Testified at mediation, depositions, and hearings. Education, training, and license:

* Have been handling Florida claims since 1990

* Hold an All-Lines Adjusters license.

* Attend various seminars for continuing educational credits

• Member of WCCP

Education

High school diploma

Skills

• Medical Management

• EDI

• Delivery Driver Experience

• Risk Management

• Workers' Compensation

• Customer service

• Typing

• Cash handling

• Microsoft Excel

• English

• Windows

• Caregiving

• Home care

• Quality Assurance

• Hospital Experience

Certifications and Licenses

Caregivers vet/HHA

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