Summary
Work History
Education
Skills
Generic

Pamela B. Cohen

Farmington Hills,MI

Summary

Claims administration and management. Medical claims professional with history of meeting goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges.

Work History

Special Claims Representative

Farmers Insurance Exchange
Farmington Hills, MI
02.2002 - Current
  • Manage over 100 active catastrophic injury claims, establishing reserves, monitoring medical treatment, and participating in aspects of litigation including depositions, court appearances and facilitations
  • Analyze and document all aspects of the claim for reimbursement from the Michigan Catastrophic Claims Association
  • Trained new claims representative and participated in special projects.
  • Assess documentation from healthcare providers.
  • Identify insurance coverage through examinations of claims documentation and related records.

Freelance Writer

01.1983 - 01.2002
  • Worked with Heritage Media publishing company compiling a Detroit historical hard cover, coffee table style book
  • Created copy for magazine ads, brochures and weekly circulars
  • Work has appeared in IBM’s employee magazine and several Arizona publications
  • Worked in catalog copywriting, layout and design, and copy and book editing.

Education

B.A. - Journalism

University of Arizona
06.1982

Skills

  • Coverage determination
  • Medical claims specialist
  • Healthcare Common Procedures Coding System (HCPCS)
  • Claims
  • Insurance policy coverage knowledge
  • Negotiation and mediation skills
  • Microsoft Word
  • Benefits review
  • Legal proceedings knowledge
Pamela B. Cohen