WC Claims Assistant / Claims Support Specialist
Resume:
Sedgwick Rancho Cucamonga, CA
WC Claims Assistant 04/14- 08/22
Assists claims examiners by providing clerical support. Responsible for payment of all indemnity payments, processing and payment of all bills, performing all clerical tasks and supporting the supervisor to ensure the team is meeting performance standards and procedures. Payment of all indemnity payments and responsibility for ongoing payment as needed, along with creating required DWC notices. Responsible for setting up new claims and creating files, and setting up new claims within 1 day, preparing the required letters and data integrity in the claims system. Contact treating physician for disability status. Send appointment letters, issue TD/mileage, send medical file. Request Job Description from Employer Tribal First San Diego, CA
Valorie D. Green
17906 Valley Blvd Apt 149
Bloomington, CA 92316
*********@*****.***
Professional Experience
Copperpoint Insurance Companies
100% Remote
WC SR. Claims Assistant 08/15/22- 11/07/25
Assisting adjusters with all duties related to Medical Only and Litigated Claims Management. Manage a daily diary consisting of indemnity and other payments, work status updates, regulatory notices, QME Prep, wage calculations and anything my adjusters ask of me. I'm seeking a permanent position as soon as possible. Schedule interpreter for appointments, depositions, etc. Send DWC notices timely. Issue all indemnity payments and awards on time. Send appointment letters, issue TD/mileage, send medical file. Complete referrals to investigators.
WC Claims Assistant 6/12/-3/1/13
Assist the Claims Examiner with any and all clerical duties, Bill calls, pay in full, sets up all medical appointments order records and request surveillance, file and serve. Send DWC notices timely. Contact treating physician for disability status. Complete penalty calculations and prepare penalty worksheets
Medversant Technology Los Angeles, CA
Executive Admin Assistant 1/10-3/12
Primary responsibilities answer telephone and transfer to appropriate staff member, Pick up and distribution of daily mail, sign for distributed packages. Created and modified documents using Microsoft office.
Vascor LTD San Diego, CA
Administrative Assistant 12/08-11/09
Created and maintained excel spreadsheets. Collected and corrected timecards and issued payroll. Assisted the performance product operation shop with installation on vehicles and provide outstanding customer service.
Katie Freeman Insurance Services San Diego, CA
Bookkeeper/ Office Manager 10/4-12/06
Prepared and edited detailed reports from raw data to check accounting documents. Prepared month end reports and provided analysis reporting to Supervisors. Posted credits to general ledger and reconciled bank statements. Verified all financial data and resolved any discrepancies. Input & approve timecards in ADP.
Management Enterprises Inc. San Diego, CA
Assistant Manager 06/03-09/04
Received and posted payments to general ledger. Calculated and verified data to obtain information for reporting purposes. Prepared forms for semi and annual reporting. Coded invoices for proper accounting routing.
Arrowhead Claims Management San Diego, CA
PD/BI Insurance Claims adjustor 09/01-05/03
Settled property damage claims for initial investigation through closure of the claim. Evaluated total losses and issued draft statements. Recorded and documented statements to investigate fraudulent claims. Analyzed and changed coding on premiums reflecting and changes to policy holders. Settled property damage claims for initial investigation through closure of the claim. Evaluated total losses and issued draft statements. Recorded and documented statements to investigate fraudulent claims. Analyzed and changed coding on premiums reflecting and changes to policy holders. Zoological Society of San Diego San Diego, CA
Account Specialist 07/00-08/01
Scanned and entered all purchase orders to match AP payments. Processed invoices and prepared sales reports. Prepared and entered monthly journal entries. Analyzed and balanced all accounts such as cash, prepaid expenses and deferred revenue.
Education
Fontana High School Graduated June 1996
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