Experienced Claims Assistant professional with excellent time management and multitasking abilities. Prioritizes tasks and uses sound judgment to make decisions. Fast learner, well-organized and hardworking with good written and verbal communication skills. Looking for a Medical Only position that allows me to apply my acquired knowledge to its fullest and to further develop my technical skills.
Overview
17
17
years of professional experience
Work History
Sr. Claims Assistant
The Walt Disney Parks And Resorts, US Inc.
01.2016 - Current
Daily processing and oversight of examiner indemnity diaries.
Processing payments including but not limited to lien settlements, awards, mileage, indemnity benefits and reimbursements.
Provide clerical functions for claim data management which includes but not limited to preparing DWC Notices, claim address changes, status screens, phone numbers, return to work screens, MMI dates as applicable.
Prepare and/or processing medical appointments including cover letters and medical reports.
Process 72 hour notice for litigated claims.
Request and/or file and Serve legal documents including but not limited to litigation files, medical reports, health services/human resources records, offers of modified/alternative work, Independent Medical review documents, settlement documents.
Provide technical administrative assistance to Workers' Compensation team and answer department phones on rotation, which includes calling trouble tickets.
Followed detailed directions from management to complete daily paperwork and computer data entry.
Safeguarded sensitive information through proper documentation handling, data entry, and record maintenance procedures.
Demonstrated adaptability by quickly mastering new processes applications as needed for various tasks.
Offered technical support and troubleshot issues to enhance office productivity.
Claims Assistant
The Walt Disney Parks And Resorts U.S. Inc.
02.2007 - 12.2015
Processed provider billing (Non-Medical State Reporting bills) for the DLR Workers' Compensation Department in the GenIris System.
Process request for File and Serves, Lien Objections, claim letters, examiner UR Approval letters and log from the admin support team shared mailbox as needed.
Process the DLR Workers' Compensation daily mail by opening, indexing, date stamping and scanning into eDocs system.
Requesting and logging personnel and Cast Health records as well as review for dependent information.
Process requests for ISO index Bureau reports.
Process MMI Transmittal, call me letter, and general faxing of medical documents to HMS from the shared mailbox.
Provide assistance to the Support Manager in sorting the Stratacare bills and general projects as time permits.
Provide assistance to the CARS conversion team in testing Admin Support Team functions within the CARS System. Enhanced claims processing efficiency by streamlining workflows and optimizing data entry procedures.