Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kareda Carmichael

Chicago,IL

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking, and time management abilities.

Overview

15
15
years of professional experience

Work History

Workers' Compensation Claims Manager

UI Health
Chicago, IL
02.2015 - Current
  • Collaborated with external vendors to ensure timely payment of benefits.
  • Assisted with training new employees on company policies and procedures related to Workers' Compensation.
  • Developed and implemented strategies to reduce Workers' Compensation costs.
  • Created detailed reports summarizing claim status and resolution progress.
  • Reviewed medical reports to determine claim eligibility.
  • Audited existing processes for accuracy and efficiency improvements.
  • Monitored compliance with state-specific regulations regarding Workers' Compensation claims handling procedures.
  • Managed a staff of adjusters responsible for processing Workers' Compensation claims.
  • Drafted correspondence related to claim decisions or denials for review by management.
  • Researched and resolved complex Workers' Compensation issues.
  • Conducted investigations into potential fraudulent claims activities.
  • Advised employers on ways to minimize their exposure to future liability arising from workplace injuries.
  • Maintained records and documentation related to all claims activities.
  • Investigated complaints from claimants regarding denied or delayed payments.
  • Analyzed financial statements from employers to assess risk associated with potential Workers' Compensation claims.
  • Analyzed data, trends, and metrics to identify problem areas in the claims process.
  • Provided guidance and support to team members in resolving difficult cases.
  • Participated in hearings before administrative law judges concerning disputed compensation awards.
  • Negotiated settlements with claimants and attorneys on behalf of employers.
  • Served as a liaison between employers, injured workers, insurance carriers, healthcare providers, legal representatives, and other stakeholders involved in the claims process.
  • Implemented best practices for adjudicating claims within established timelines.
  • Delegated work to staff, setting priorities and goals.
  • Analyzed employment-related data and prepared reports.
  • Administered employee insurance, pension and savings plans, working with insurance brokers and plan carriers.
  • Oversaw merit, sales commission and bonus programs with monthly, quarterly and annual payouts.
  • Researched employee benefit and health and safety practices, recommending changes or modifications to existing policies.
  • Conducted randomized feedback surveys.
  • Constructed detailed job descriptions and classification systems to define job levels and families.
  • Developed recommendations for improvement of organization's personnel policies and practices.
  • Created personnel forecasts to project employment needs.
  • Evaluated competitor, legislative and collective bargaining trends to make effective decisions about benefits and compensation structuring.

Certified Medical Assistant

UI Health
Chicago, IL
01.2009 - 02.2015
  • Administered injections, immunizations, medications, wound dressings and other treatments according to physician instructions.
  • Maintained cleanliness in examination rooms by stocking supplies and disposing of used materials properly.
  • Assisted physicians and nurses with patient exams, including taking vital signs, preparing exam rooms, and updating medical records.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Conducted diagnostic tests such as EKGs or hearing screenings in accordance with established protocols.
  • Administered injections under the direction of a physician or nurse practitioner.
  • Educated patients about medications, procedures and physician's instructions.
  • Scheduled appointments for patients via phone and in person.
  • Organized charts, documents and supplies to maintain team productivity.
  • Answered patient calls promptly and directed inquiries to the appropriate department when needed.
  • Collected urine samples from patients for drug screens or pregnancy tests when necessary.
  • Performed administrative duties such as scheduling appointments, answering phones, and filing paperwork.
  • Prepared specimens for laboratory testing and performed routine laboratory tests.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Assisted in minor surgical procedures such as suturing lacerations or removing stitches under the direction of a physician.
  • Maintained accurate records of patient visits including diagnosis information, treatment notes, prescriptions.
  • Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
  • Managed inventory of medical supplies ensuring adequate stock levels were maintained at all times.
  • Interviewed patients to verify information, record medical history and confirm purpose of visit.
  • Assessed, documented and monitored vital signs for patients within outpatient setting.
  • Ensured that all equipment was functioning correctly prior to use during patient examinations or treatments.
  • Secured patient information and maintained patient confidence by completing and safeguarding medical records.
  • Provided support to physicians during consultations by recording patient histories accurately and documenting treatment plans accordingly.
  • Provided support to patients by helping them fill out forms and answering their questions about health care services.
  • Monitored lab results for accuracy and alerted physicians immediately if any abnormalities were detected.
  • Administered rapid tests for COVID and strep to help clinical staff assess conditions.
  • Contributed to office operations by triaging patients by severity of medical complaint.
  • Obtained insurance authorizations for prescribed medications or treatments for patients in need of financial assistance programs.
  • Completed basic physical assessments of clinic patients to provide optimal care.
  • Performed preliminary physical tests to accurately record results in patient history summary.
  • Educated patients on preventive care topics such as diet and exercise habits or medication compliance.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Ordered medical supplies from approved vendors based on predetermined budget parameters.
  • Performed clerical tasks such as transcribing dictation from physicians or coding patient information into electronic databases.
  • Processed payments from patients accurately using cash registers or computerized systems.
  • Measured vital signs and took medical histories to prepare patients for examination.
  • Responded to patient callbacks and phone-in prescription refill requests.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Cleaned and maintained medical equipment following procedures and standards.
  • Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
  • Documented notes during patient visits.
  • Incorporated outside records into charts and EHR.
  • Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
  • Followed principles of asepsis and infection control to meet patient safety guidelines.
  • Labeled and completed lab requisitions using ICD and CPT coding.
  • Collaborated with local pharmacies to resolve and clarify issues with patient medication.
  • Conducted insurance verification and pre-certification and pre-authorization functions.
  • Prepared treatment rooms for patient examinations.
  • Conducted patient interviews to gather health history, vital signs and information about current medical issues.
  • Kept facility stocked with necessary supplies, equipment and instruments.
  • Collected, labeled and stored laboratory specimens properly prior to testing.
  • Explained treatment procedures and physicians' instructions.
  • Communicated with pharmacies for prescription refills on behalf of supervising physician.
  • Answered phones, scheduled appointments, greeted patients and ordered supplies.
  • Administered medications under physician's supervision.
  • Changed dressings on wounds to prevent infection and check for healing.
  • Positioned patients properly during examination or treatment for comfort and safety.
  • Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
  • Verified appointment times with patients, preparing charts, pre-admission and consent forms.

Education

Associate of Applied Science -

Illinois School of Health Careers - Chicago
Chicago, IL
08-2008

High School Diploma -

Westinghouse Career Academy
Chicago, IL
06-2006

Some College (No Degree) -

Harold Washingto College
Chicago

Skills

  • Legal Compliance
  • Investigative skills
  • Workers' compensation knowledge
  • Medical terminology proficiency
  • Program Administration
  • Relationship Building
  • Claims Management
  • Benefits Administration
  • Task Prioritization
  • Reliability
  • Labor negotiations
  • Organizational Skills
  • Analytical Skills
  • Vendor Management
  • Strategic Planning
  • Attention to Detail
  • Goal Setting
  • Data Analysis
  • Team building
  • Interpersonal Communication
  • Team Collaboration
  • Effective Communication
  • Program Management
  • Performance Management
  • Vendor Relationship Management
  • Active Listening
  • Employee Relations
  • Training proficiency
  • Time management abilities
  • Performance Appraisal
  • Excellent Communication
  • Written Communication
  • Self Motivation
  • Adaptability
  • Decision-Making
  • Continuous Improvement
  • Problem-Solving
  • Multitasking
  • Adaptability and Flexibility
  • Compensation Structuring
  • Vision planning
  • Teamwork and Collaboration
  • Problem-solving aptitude
  • Time Management
  • Professionalism
  • Problem-solving abilities

Timeline

Workers' Compensation Claims Manager

UI Health
02.2015 - Current

Certified Medical Assistant

UI Health
01.2009 - 02.2015

Associate of Applied Science -

Illinois School of Health Careers - Chicago

High School Diploma -

Westinghouse Career Academy

Some College (No Degree) -

Harold Washingto College

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Kareda Carmichael