Emalita Hall

• · Administer workers' compensation claims involving lost time from work outside of the waiting period in states we do business or the claims that go lost time from being out of work from surgeries.
• · This includes, but is not limited to payment of lost time benefits, coordination of medical care, litigation management as well as ensuring regulatory compliance - administer litigated lost time
• workers' compensation claims -direct activities of defense counsel for workers' compensation claims and negotiate claims settlements directly with claimant or attorneys
• · Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
• · Recommend settlement offers and negotiated payment arrangements.
• · Reviewed data to verify validity of claims and determine case management actions. Investigation of all claims to determine if they are compensable or not under Florida work comp statues (using Investigation Claims Search and ISO, surveillance when necessary)
• · Handling 3rd party liens when appropriate
• · Adding reserves to the claim based upon the level of medical treatment exposure anticipated on the claim
• · Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
• · Reduced loss ratios through fair and prompt processing of claims.
• · Interviewed claimants, medical specialists and employers to determine pertinent claim information.
• · Authorizing surgeries if related to the work injury, reviewing ICD codes to make sure they meet the requirements, checking ODG guidelines to see how long post op should be along with DMEs and Physical therapy
• · Attending depositions and mediations
• · Carry a FL 620 adjusters licenses

· Administer workers' compensation claims involving lost time from work outside of the waiting period in states we do business or the claims that go lost time from being out of work from surgeries.

· This includes, but is not limited to payment of lost time benefits, coordination of medical care, litigation management as well as ensuring regulatory compliance - administer litigated lost time

workers' compensation claims -direct activities of defense counsel for workers' compensation claims and negotiate claims settlements directly with claimant or attorneys

· Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.

· Recommend settlement offers and negotiated payment arrangements.

· Obtained necessary information to complete proper evaluation of injury claims.

· Reviewed data to verify validity of claims and determine case management actions. Investigation of all claims to determine if they are compensable or not under Florida work comp statues (using Investigation Claims Search and ISO, surveillance when necessary)

· Handling 3rd party liens when appropriate

· Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.

· Interviewed claimants, medical specialists and employers to determine pertinent claim information.

· Authorizing surgeries if related to the work injury, reviewing ICD codes to make sure they meet the requirements, checking ODG guidelines to see how long post op should be along with DMEs and Physical therapy

· Attending depositions and mediations

· Carry a FL 620 adjusters licenses

• Maintained confidentiality in handling sensitive information while performing administrative tasks.
• Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
• Prepared and edited documents to produce precise, accurate and professional communication.
• Assisted in financial tasks such as invoicing, expense tracking, and budget preparation to ensure accuracy.
• Addressed and resolved complaints, concerns and service requirements to deliver prompt
  remedial action.
• Inspected properties regularly to identify deficiencies and schedule repairs.
• Collected monthly assessments, rental fees, deposits and payments.
• Created and updated marketing materials for properties.
• Solicited and analyzed bids for repairs, renovation and general maintenance.
• Showed tenants around properties, highlighting features and redirecting concerns to capture interest.
• Created and updated marketing materials for department programs and properties.
• Increased occupancy through dynamic marketing initiatives.
  

• Prepared lease paperwork and obtained signatures and first payments from new residents.
• Promoted high level of customer service and assistance by greeting clients, responding to
  concerns, showing units and quickly resolving issues.
• Contacted and followed up with tenants on renewal notices.
• Encouraged prospective tenants to fill out applications after property tours.
• Conducted background checks on applicants.
• Promoted property to businesses in local area through marketing collateral, phone calls and
  email messages.

• Prepared lease paperwork and obtained signatures and first payments from new residents.
• Promoted high level of customer service and assistance by greeting clients, responding to concerns, showing units and quickly resolving issues.
• Contacted and followed up with tenants on renewal notices.
• Encouraged prospective tenants to fill out applications after property tours.
• Conducted background checks on applicants.
• Promoted property to businesses in local area through marketing collateral, phone calls and email messages.