Manager Medical
Resume:
Phyllis L. Mack
Farmington Hills, Michigan 48334
Employment History
BA Degree, Oakland University
Northwestern High School
Additional Courses:
Lawrence Inst. Of Technology: Insurance 21,22,31 & 32
Pictorial Work Comp Coverage, Medical Terminology & Medical Test & Signs
USF & G Multi-Line Claims Training School in Baltimore MD
Ohio’s BWC Beginners & Advance Training Class in Ohio
Tennessee BWC Training Seminar in Tennessee
Windows, WordPerfect Computer Training, ImageRight, AS400 System
Work Experience:
Caregiver-May/10 to Present
Providing care for a senior lady, while her daughter is at work.(Parttime)
The Auto Club-May 07 to Dec.4/08
PIP Claims Rep.-Handling MN No Fault Claims
Caregiver-August/06 to May/07
Provided care for a senior couple while there daughter worked.
Affirmative Insurance Service- May 2002 to July 2006
Sr. PIP Adjuster-Handling assigned risk litigated, medical only and loss time cases.
Sedgwick Claims Management- May 2000 to July 2002
Claims Examiner III-Assigned to the Delphi Ohio & Michigan work Comp Team, handling work comp cases from beginning to closure.
ContinuesCare LLC- Jan.1999 to Dec.1999
Manager-Handled Ohio, Il & some Tennessee Work Comp Cases and trained new rep.’s and handled all complaints received on cases or regarding rep’s.
Reviewed nurse case managers reports. Issued payment on all loss time work comp cases.
City Management Corp.-Jan. 1995 to June 1998
Sr. Claims Rep./ Interim Supervisor-Handled all claims over 10,000 and supervised the multi-line claims staff as well as the short/long time disability staff.
Set on the union/laborer grievance committee for questionable vehicle accidents. Developed and implemented CMC Return To Work Program.
I conducted audits on all out of states claims being handled by the TPA every 6 months to insure proper reserving and handling.
Attend mediations sometimes with or without our in house attorney.
USF & G Insurance Company-May 77 to Jan. 95
Held various positions from Multi-Line Trainee to Work Comp Consultant: These positions entailed 17 years managing and administering claims of all lines
and coordinating efforts with Loss Control & Underwriters in interviewing prospective policyholders.
Hobbies:
Tennis, reading, jewelry craft, catering, bowling, hosting dinner parties.
References:
Business:
Charlotte Tobias-248-***-****
Sharon Hill-248-***-****
Personal:
Joyce Carmocrche-248-***-****
Sandra Green-313-***-****
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