Debbie Fuller

Project Lead for automated medical bill reviews for Auto and Workers Compensation utilizing Mitchell Medical Decision Point and Ingenix PowerTrak applications.

Identified Nurse Reviewers and Injury Claim Trainers performance issues and initiated actions for resolution.

Provided Corporate training to field Nurse Reviewers, Injury Claim Trainers, Claims management and defense attorneys.

Collaborated with Corporate Claims Management and Corporate attorneys providing medical expertise and resources on catastrophic medical injury claims.

Collaborated with multiple Corporate departments providing medical bill review expertise for the development and implementation of company wide electronic claim system.

Performed file reviews on complex medical claim files addressing mechanism of injury, appropriateness of prescribed treatments and medications for auto and workers compensation claims.

Created and conducted training classes for claims associates, management and defense attorneys utilizing Power Point .

Collaborated with defense attorneys providing medical expertise on various injuries and conditions and performed file reviews.