Summary
Overview
Work History
Education
Skills
Languages
Timeline

CORINNE ALVAREZ

Buena Park,CA

Summary

Bilingual claims assistant with 25 years of workers compensation experience. Excels in organization, works well independently or in team environments, and exudes a friendly and personable disposition.

Overview

34
34
years of professional experience

Work History

Claims Assistant

COPPERPOINT INSURANCE / PRG
2023.09 - 2024.03
  • Issued benefits to Injured workers
  • Typed benefit letters , state form's
  • Processed bills, subpoena records, paid awards
  • Scheduled QME appointments, QME Strikes, called for medical status
  • Calculated Wage Statements

Claims Assistant

SOMPO INTERNATIONAL /PRG
2023.02 - 2023.09
  • Logged, allocated and managed claims.
  • Transmitted case files between offices.
  • Scheduled medical appointments and claims depositions.
  • Issued benefits to injured workers, typed letters and state forms, data entry, processed bills, subpoena records, scheduled Panel QME appointments.

Sr. Claims Clerk

BROADSPIRE/ CRAWFORD & CO.
2024.03 - Current

IMRs (Independent Medical Review)

  • Daily NOARFI Process, Retrieve new NOARFI’s
  • Import reports into IMR Crusher
  • Log completed IMR’s
  • Send updated spreadsheet to Lexitas
  • Request for Further Information (RFI’s)
  • Send medicals to Maximus Federal Services
  • Paid Invoice's

Award Log

• Daily Logging / Maintenance

• Weekly Email


MBR (Medical Bill Research)

• Daily Research & Payments

• Weekly Report Import/Export

o CA TAT Duration

o MBR Research

o AIG Med Payments Report (to AIG & Teri)

Claims Assistant

GALLAGHER BASSETT SERVICES
1996.10 - 2022.10
  • Issued benefits to injured workers, typed letters and state forms, data entry, processed bills, subpoena records, scheduled Panel QME appointments, Prepared QME itemized medical index of records and cover letters, paid mileage and file and serve
  • Translated Spanish speaking calls, photocopying, scanned and organized files requiring detail for audit, requested records
  • Prepared settlement documents and submitted electronically to the Workers Compensation Appeals Board (EAMS), communicated with WCAB and DEU
  • Communicated with medical doctors and claimants regarding medical evaluation reports and medical status updates.

Operator/ Reservations

PORTOFINO HOTEL & YACHT CLUB
1990.07 - 1995.09
  • Answered phones, data entry, trained administrative personnel and new hires on office protocols
  • Performed general clerical tasks such as faxing, photocopying, and scanning documents
  • Efficiently fielded phone calls on a multi-line system
  • Responded to and resolved customer complaints
  • Make and confirm reservations
  • Answer inquiries pertaining to hotel services, guest registration, and travel directions, or make recommendations regarding shopping, dining, or entertainment.

Education

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GAHR HIGH SCHOOL, CERRITOS, CA

Skills

  • Customer Service
  • Microsoft, Word, Excel, Outlook , Adobe Acrobat
  • Created compliant letters and DWC notices
  • Prepared QME itemized medical index of records and cover letters
  • Bilingual
  • 10-Key Touch
  • Check Disbursement
  • Microsoft Office
  • Document Organization
  • Customer Experience
  • Data Entry
  • Workers Compensation
  • HIPAA Regulations
  • Claims Understanding
  • Inputting Claims
  • Checking Medical Status
  • Form Preparation

Languages

Spanish
Professional Working

Timeline

Sr. Claims Clerk - BROADSPIRE/ CRAWFORD & CO.
2024.03 - Current
Claims Assistant - COPPERPOINT INSURANCE / PRG
2023.09 - 2024.03
Claims Assistant - SOMPO INTERNATIONAL /PRG
2023.02 - 2023.09
Claims Assistant - GALLAGHER BASSETT SERVICES
1996.10 - 2022.10
Operator/ Reservations - PORTOFINO HOTEL & YACHT CLUB
1990.07 - 1995.09
GAHR HIGH SCHOOL - ,
CORINNE ALVAREZ