Deborah Whited
Watervliet,NY
Summary
Highly trained with a background in WC Insurance
A team player with a vast knowledge of medical terms and working with all types of personalities effectively.
Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate computer systems. Effective at operating within employer regulations and claims department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Experienced WC Insurance successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 7+ years of experience and willingness to take on any challenge.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level claims assistant 3 position. Ready to help team achieve company goals.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
20
20
years of professional experience
Work History
Workers' Compensation Claims Assistant 3
AmTrust Financial
Latham, NY
12.2016 - Current
Claim assistant- complete tasks from adjuster as what may need to be sent or filed
Trained all new assistants.
Became a claim assistant 2 after second year of start date
Work NY claim assignments. We do prescreens and find out more information to the claim - assign to adjusters. Keep track on tracking sheet . (Work assignments) assign according ly to proper adjuster- per SHI
Also work current tasks in pool sent by adjusters.
Send out initial packets when first receive claim.
File state forms with wcb. (All parties)
File denials on medical bills.
Make payments to providers , attorneys, injured worker.
Contact providers or injured workers attorney
Help other when needed
Update screen information
Complete certain projects given from supervisors/director.
- Claims Assistant 3 in Sept 2021 - Lead
Responsibility- Quality review on all other CA work.
Checking to make sure all work is done accurately . Discussed any issues, errors and concerns.
Covered supervisors roles when needed- Distributed work to Claim assistants, phone calls in timely fashion, and questions, monitored bins in regards to Rush work or assignments.
Training assistants on new task assignments and proper completion.
Daily communication and collaboration with adjusters and supervisors.
Call Center Representative
Overton Russell Doerr And Donavan
Clifton Park, NY
03.2005 - 12.2016
Debt collector
Incoming calls
Discussed medical bills in debt collection
Help assist with payments over the phone on their bills in system.
Handled judgments and helped settle with settlements agreed by the attorney.
Outgoing phone calls to discuss medical bill
Education
Ballston Spa Senior High School
Ballston Spa, NYWatervliet Elementary School
Watervliet, NYBallston Spa Middle School
Skills
- P>Documentation abilities
- P>Reporting skills
- P>Insurance industry experience
- P>Insurance coverage verification
- P>Collaborative relationships
- P>Understanding of medical terms
- P>Prior authorization processing
- P>Self-Motivated
- P>Problem-Solving
- P>Organization and Time Management
- P>Planning and Coordination
Timeline
Workers' Compensation Claims Assistant 3
AmTrust Financial
12.2016 - Current
Call Center Representative
Overton Russell Doerr And Donavan
03.2005 - 12.2016
Ballston Spa Senior High School
Watervliet Elementary School
Ballston Spa Middle School