Case Manager Management
Resume:
Badia H. McGlaun **** Stoneycroft Dr, Lancaster, TX 75134
***********@*****.***
Professional Experience
DOWNS & STANFORD, PC Dallas, TX
Workers’ Compensation Case Manager May 2022-March 2024 Along with handling attorney, manage approximately 150-200 cases from beginning until we and/or client have received settlement;
Process new intake files by making initial contact with the client, verifying intake packet with the client, opening the file on the Firm’s case management software, sending representation/opening letters, setting up initial medical appointment, obtaining subpoena records, etc.;
Answer heavy volume of telephone calls/emails from clients, insurance companies, defense counsel, doctors and medical facilities, and any other parties associated with the case; Medically manage the cases by scheduling medical appointments, requesting treating physician changes, setting AME’s/PQME evaluation appointments; etc.;
Follow up with doctors for reports or status; Review pertaining correspondence for each case; Keep files up to date with medical evidence by obtaining medical reports; Along with handling attorney, review medical reports;
Ensure client is receiving all Workers’ Compensation benefits they are entitled to; Request doctor panels for case development;
Prepare files for hearings, trials, and depositions by writing case summaries, creating medical index, preparing trial exhibit, etc.;
Complete IMR application and send medical reports to IMR; Object to medical reports as requested by attorney; Shrink file by eliminating unnecessary documents that have already been scanned in the electronic file; Enter any and all notes relating to each case on the Firm’s case management software; Alert the Attoreys when defense counsel/adjusters have not responded to requests for medical treatment or benefits and/or when good faith efforts have been exhausted; Maintain open lines of commutation with client to improve the Firm’s overall client retention; and Perform other duties as assigned by Management and/or Attorneys. STATE FARM INSURANCE COMPANY Richardson, TX
Claims Associate Auto August 2018-April 2022
Proactively investigating claims, applying coverage, accurately documenting the file, and paying what is owed. Answering inbound calls and making outbound calls to customers and claimants. Accurately document claim files. Process information and make sound, fact-based decisions. Multi-task across technical platforms within a fast-paced call center environment.
AMERICAN TAX REPORTING/SLK GLOBAL SOLUTIONS AMERICA Dallas, TX Payment Processing Team Lead December 2014-December 2017 Reconcilement of accounts. Key deposits. Prepare wire transfer documentation. Create checks. Prepare packaging for payments. Make calls to taxing jurisdictions requesting data. Scan images. Communicate delays. Assist others should files be current. Quality Control of payments. Research discrepancies. Communicate with Client both orally and written. Document processing procedures. Train new employees. Supervisor a staff of 5-10 employees. Assist in yearly evaluation of staff. Assist with audits: Quality Control, Client, Government. Demonstrate leadership qualities. Exercise and make sound judgement calls as required. TEXAS DEPARTMENT OF INSURANCE/DEPARTMENT OF WORKERS COMPENSATION Dallas, TX Receptionist/Docket Clerk September 2011-March 2014 Schedule Benefit Review Conferences and Contested Case Hearings to be heard before Hearings Examiners; establishes files for upcoming hearings. Types, takes, and transcribes technical and/or high volume dictation or handwritten notes to prepare legal documents using personal computers to prepare special reports as well as routine and special correspondence for all Hearings Officers such as Decisions and Orders; electronically submitted mails to Austin Central Office. Answers customer questions which may include inquiries regarding upcoming hearings, continuances, cancellations, and requests for Orders; communication with managers, private sector businesses, insurance carriers, colleges and universities, law firms and attorneys, and other internal and external customers. Back-up receptionist. Perform other duties as assigned. Administrative Assistant II/Receptionist January 2008-September 2011 Answer incoming and place outgoing calls on a multi-line switchboard console. Greets callers and walk-in customers, identify their needs, and notifies appropriate staff person or section who will provide assistance. Performs routine clerical tasks, such as typing, opening, and sorting and stamping of incoming mail from external customers; assists in the records maintenance area, which may include the opening, sorting, filing, and data entry of mail. Perform other duties as assigned.
NEW PATHS INC/COMMUNITY CORRECTIONS Flint, MI
Receptionist/Substance Abuse Technician February 2003-December 2007 Answer incoming and place outgoing calls on a multi-line switchboard console. Greets callers and walk-in customers, identify their needs. Collect and test urine samples from probationers/parolees. Communicate between MDOC staff, Judges, Courts, Caseworkers, and New Paths staff regarding clients. Provide testimony in court proceedings. Supervision of part-time Substance Abuse Technicians. Maintain and manage all documents and case records related to client files. Supervise and monitor residents in and outside of the facility along with their activities. Interview clients for intake process into various programs. CITY OF FLINT/FINANCE Flint, MI
Customer Service Representative February 1995-May 2002 Answered phones at call center. Assisted customers with billing inquiries. Performed general office duties including filing, data entry, research, and mail processing. Balanced cash overages/shortages for bookkeeping department. Water Pollution Control Operator/WPCF June 1997-November 1998 Monitored and maintained water pollution control plant operations. Collected and analyzed sample data. Performed Operational checks and adjustments according to manual or policy. Serviced and maintained equipment and facilities.
Public Housing Aide/Flint Housing Commission May 1995-August 1995 Processed Section 8 applications. Performed general office duties. Conducted telephone interviews for potential Section 8 applicants. Mailed all required application forms to determine eligibility for Section 8 program. Scheduled appointments for housing inspections.
Education
Kaplan University August 2008-November 2011
Mountain View College August 2017-Present
Contact this candidate