Third-Party Liability Business Administrator

ANGELA LAYNE

*** ******** **** ** ***********, GA. 30121

C: 603-***-**** *************@*******.***

PROFESSIONAL: Business Administrator with finely honed customer service skills. Dedicated to the task with diligent organizational skills, conscientious focus on problem solving, excellent interpersonal and communication skills including public speaking. A leader with exceptional skills of guidance, mentoring, training and communication.

WORK HISTORY

WellSense Health Plan Company

Third Party Liability Supervisor/May 2018 to September 2026

Distribute Correspondence Report for Third Party Liability.

Run ISO Batch Liability Claims Report.

Run Liability Credit Balance Report.

Run QC Reports for TPL Team.

Run Recovery Reports for TPL Team.

Run Open Accident Cases for TPL Team.

Monitor Active Call Services for TPL Team.

TPL Inventory keep within 30 days

Monthly meeting with TPL Team.

Fostered employees’ growth and learning with compatible and friendly working environment.

Established process to improve departmental communication and awareness.

Established process to improve Quality Control of TPL claims monitoring.

Oversee New Hampshire Accident, WC and General Liability Cases.

Negotiate Established Liens with Attorneys.

Retract Claims paid by third party requested by Providers.

Record Settlement Checks in OPL system.

Process Third Party Liability Accident Code Report.

Open new Third-Party Liability, Motor Vehicle Accident and Workers Comp Cases.

Customer Service calls from Providers, Members, Auto Carriers and Attorneys.

EDUCATION

Master of Business -

University of Phoenix/ Massachusetts/2008

Master of Science - Legal Studies

Kaplan University/ Fort Lauderdale, FL/2015

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