Cathy Smith
Jacksonville
Summary
Dedicated Claims Examiner with experience in claims adjudication of injured federal employees. Skilled in providing accurate responses in high call volume environment. Knowledgeable with medical terminology and analyzing medical reports. Experience with a background in reviewing and processing medical claims.
Overview
20
20
years of professional experience
Work History
Claims Examiner
Department of Labor/Office of Workers' Compensation Program
10.2005 - 12.2025
- Reviewed and processed federal workers' compensation claims for accuracy and compliance with federal regulations.
- Conducted thorough investigations to evaluate claim validity and determine eligibility.
- Reviewed and assessed medical bills for accuracy and compliance with established guidelines before authorizing payments.
- Delivered exceptional customer service by empathetically addressing claimant concerns and clarifying the claims process.
- Directed effective caseload handling to uphold quality benchmarks while consistently meeting deadlines.
Skills
- Customer Service and Support
- Disability Claims Process
- Policy Interpretation
- Decision-making
- Scheduling Medical Treatment
- Knowledge of Medical coding
- Case Management
- Teamwork and Collaboration
Timeline
Claims Examiner
Department of Labor/Office of Workers' Compensation Program
10.2005 - 12.2025