Summary
Overview
Work History
Education
Skills
Timeline
Generic

Leilawatti SEELALL

Queens

Summary

Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.

Overview

37
37
years of professional experience

Work History

Home Healthcare Aide

Addus HCS Direct Home Care
Queens
01.2022 - Current
  • Assist elderly patient with daily living including bathing, dressing, grooming, grocery shopping, banking, and billing
  • Administer prescribed medications and monitor continuously for noticeable side effects

Conciliator II, NYSI

American Arbitration Association
New York
06.2001 - 11.2021
  • Reviewed and analyzed case filings to identify opportunities to find a mutual resolution amongst parties
  • Examined cases for medical provider of services, AR1/document accuracy, billing, proof of payment, proof of mailing, assignment of benefits, etc.
  • Ensured case filing is hearing ready by reviewing documentation received from the insurance carrier (No-Fault Forms, Peer Review, Independent Medical Examination, Examination Under Oath, Declaratory Judgement filing, Court Orders, etc.)
  • Applied knowledge of New York's No-Fault Insurance laws and NYS Workers Compensation Fee Schedule, while using Regulation 68 to manage case loads

No Fault Examiner

MVAIC
New York City
05.1999 - 06.2000
  • Analyzed and processed medical bill submissions, ensuring compliance with Regulation 68 for accurate payments and claim resolution.
  • Conducted thorough investigations of claims files to identify potential loss transfer opportunities, mitigating financial exposure for the company.

No-Fault Claims Examiner

Allcity Insurance Company
New York
01.1996 - 04.1999
  • Analyzed and processed medical bill submissions, ensuring compliance with Regulation 68 for accurate payments and claim resolution.
  • Conducted thorough investigations of claims files to identify potential loss transfer opportunities, mitigating financial exposure for the company.

Subrogation Claims Examiner

Empire Insurance Group
New York
01.1995 - 01.1996
  • Reviewed, processed, and investigated subrogation collision files
  • Negotiated settlement, filed suit, arbitration on first party and no-fault claims
  • Responsible for recovering approximately $100,000 per month

No-Fault Claims Examiner

Empire Insurance Group
New York
01.1994 - 01.1995
  • Reviewed and paid medical bills in accordance with Regulation 68
  • Investigated files for possible loss transfer

Secretary/Clerk

Empire Insurance Group
New York
01.1990 - 01.1994
  • Handled arbitrations, researched license plates, processed checks, and filed reports

Receptionist

Skyliner, Inc.
Brooklyn
01.1989 - 01.1990
  • Answered and screened calls, maintained and organized files including forms, letters, and invoices

Education

Medical Billing - Coding (ICD-9 & CPT)

Empire Careers
New York, NY
01.1997

Computer Studies

SCS Business School
Jamaica, NY
01.1990

Skills

  • Microsoft Office Suite
  • Customer service
  • Strong attention to detail
  • Excellent verbal and written communication
  • Highly organized
  • Maintain patient confidentiality
  • Time management
  • Problem solving
  • Team collaboration
  • Verbal communication
  • Multitasking
  • Written communication

Timeline

Home Healthcare Aide

Addus HCS Direct Home Care
01.2022 - Current

Conciliator II, NYSI

American Arbitration Association
06.2001 - 11.2021

No Fault Examiner

MVAIC
05.1999 - 06.2000

No-Fault Claims Examiner

Allcity Insurance Company
01.1996 - 04.1999

Subrogation Claims Examiner

Empire Insurance Group
01.1995 - 01.1996

No-Fault Claims Examiner

Empire Insurance Group
01.1994 - 01.1995

Secretary/Clerk

Empire Insurance Group
01.1990 - 01.1994

Receptionist

Skyliner, Inc.
01.1989 - 01.1990

Medical Billing - Coding (ICD-9 & CPT)

Empire Careers

Computer Studies

SCS Business School

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