Eximanda Mitchell
Midlothian,TX
Summary
Knowledgeable specializing in Worker's Comp. and bringing over 15 years of related experience. Committed with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organization. Excellent decision-making and prioritization skills.
Overview
26
26
years of professional experience
Work History
Workers Compensation Coordinator
ASAP Consultants
Mansfield, TX
04.2017 - 03.2023
- Responsible for enhancing the Worker's Compensation claim management process while effectively managing overall costs.
- Conducted claim investigations of losses through techniques including interviewing with all involved parties. Gathered and secured evidence to enable third party to make determinations in accepting or denying compensability of reported claims.
- Administering benefits to injured workers and observing the Texas Worker's Comp Act, rules and corporate procedures.
- Point of contact for all claims matters both internally and externally. Maintained contact with injured employees, insurance company, and medical providers on lost time.
- Implemented plan for timely resolution of claims.
- Partnered with multiple departments to coordinate and manage Return to Work programs for employees to ensure that work restrictions and transitional work guidelines were being adhered to.
- Reviewed and paid medical bills and treatment notes.
- Conducted quarterly claims reviews with TPA to insured proper management of claims.
Workers' Comp Insurance Verifier/PreCert
Dallas Medical Center
Dallas, TX
05.2014 - 04.2017
- Performed verification of Worker's Comp. coverage.
- Identified important patient and demographic information.
- Verified that patients had proper insurance coverage prior to procedures scheduling.
- Communicated with insurance carrier, patient and third party to verify patient insurance benefits.
- Examined claims, records and procedures to grant approval of coverage.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Workers' Compensation Case Manager
Bailey & Galyen Law Firm
Arlington, TX
06.2012 - 06.2014
- Participated in client interviews, observed questioning process and documented information.
- Filed clients' legal documents in relevant courts for processing.
- Provided administrative support and conducted research to assist attorneys in civil litigation preparation.
- Maintained knowledge on case status by reviewing relevant records and reporting back to clients.
- Corresponded daily with clients, insurance adjusters and doctors.
- Recorded judicial decisions, legal articles and legal codes.
- Responded to client calls and inquiries to deliver applicable information.
- Drafted motions, briefs and other legal documents.
- Drafted correspondence, documented data and submitted materials to appropriate parties.
- Met with clients and attorneys to discuss case details and evidence.
- Knowledgeable dealing with pleadings, affidavits, motions and exhibit preparation.
- Organized and prepared case exhibits and evidence for trial.
Bilingual Recruiter
Link Staffing
Arlington, TX
04.2010 - 06.2011
- Reviewed employment applications, candidate backgrounds, skills, drug testing, compensation needs and other qualifications.
- Explained job duties, compensation and benefits to potential candidates.
- Attended career fairs and networking events to help fill openings and build candidate pipeline.
- Ensured adherence and compliance to U.S. EEO regulations and all employment legislation.
- Arranged job fairs with many different organizations, including WorkForce Commission, Colleges and Universities.
Bilingual Workers Comp Legal Asst/Case Manager
The Morris Law Firm
Dallas, TX
08.1997 - 06.2004
- Handled telephone calls, meeting plans and conference organization requirements.
- Corresponded daily with clients, insurance adjusters, doctors and attorneys.
- Maintained knowledge on case status by reviewing relevant records and reporting back to clients.
- Participated in client interviews, observed questioning process and documented information.
- Conducted thorough research and review of case information to assist attorneys.
- Drafted motions, briefs and other legal documents.
- Knowledgeable dealing with pleadings, affidavits, motions and exhibit preparation.
- Drafted witness declarations and pretrial statements.
Education
Workers Comp Adjuster - Worker's Compensation
Kaplan College - Columbus
Fort Worth, TX04.2016
High School Diploma -
Sunset High School
Dallas, TX05.1992
Skills
- Knowledge of Worker's Comp
- Computer Skills
- Planning & Organizing
- Fluent in Spanish
- Reliable & Trustworthy
- Customer Service
- Critical Thinking
- Organizational Skills
- Good Work Ethic
Timeline
Workers Compensation Coordinator
ASAP Consultants
04.2017 - 03.2023
Workers' Comp Insurance Verifier/PreCert
Dallas Medical Center
05.2014 - 04.2017
Workers' Compensation Case Manager
Bailey & Galyen Law Firm
06.2012 - 06.2014
Bilingual Recruiter
Link Staffing
04.2010 - 06.2011
Bilingual Workers Comp Legal Asst/Case Manager
The Morris Law Firm
08.1997 - 06.2004
Workers Comp Adjuster - Worker's Compensation
Kaplan College - Columbus
High School Diploma -
Sunset High School
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