Anita Spradling

Distribute all incoming documents for the imaging area.

Accurately process and image Workers Comp documents.

Analyzes policy, claims, medical billing and fax documents to determine action to be taken.

Prepares and images documents received from agents, policyholders, claimants, vendors, healthcare providers and government agencies.

Responsible for maintaining the storage , archiving and retrieval of a major portion of Company documents.

Obtained and documented first notice of injury and first notice of loss information from customers for workers compensation. Provided direct guidance and assistance to customers responding to inquiries , and/or explaining processing procedures to deliver the best possible outcome. Analyzed information received on the claim and triaged the facts to determine whether further information was needed and what action must be taken. Work was driven by multiple reporting channels such as email, phones and fax.

Examined and resolved non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Processed product or system-specific claims to ensure timely payments and generated and calculated deductibles and maximums as well as researched and resolved pending claims.