Hi, I’m
Shima Mohamed
Glendale,AZ
Summary
Results-driven professional skilled in researching legal case information and preparing necessary correspondence with strong understanding of legal terminology and processes. Over six years of experience in handling plaintiff and commercial insurance claims including but not limited to first- party and third-party Auto Insurance, Homeowners, and Medical Malpractice claims.Adept in maintaining confidential records and client information. Medicare and Medicaid insurance subrogation claims and HIPAA/PHI compliant.
Overview
10
years of professional experience
Work History
Goldberg And Osborne
Personal Injury Paralegal / Client Care Advocate
08.2022 - Current
Job overview
- Drafting insurance demands to first and third party carriers.
- Edited and proofread legal documents to verify accuracy.
- Maintained and updated organized client contact information to keep in touch with clients and provide updates on cases.
- Client intake
- Patient care advocate/coordination
- HIPAA compliance training
- Auto insurance property damage claims
- Auto insurance bodily injury claims
- Uninsured/ Underinsured claims
- Dog bite claims
- Health insurance/ lien subrogation
- Wrongful death
- Compiling Medical records and Billing
The Legal Bestie, LLC
Owner
01.2022 - Current
Job overview
- Built professional referral relationships with service providers.
- Consulted with client to assess needs and propose optimal solutions to support individual business needs
- Put together realistic budgets based upon costs and fees for successfully operating business.
- Developed and implemented marketing strategies to generate new customers and increase sales and profit margins.
- Organized and attended trade shows and special events to showcase products, network with other businesses and attract new customers.
- Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
- Certified LDP
- Social Media management
Salt Entertainment Group
Social Media Marketing Manager
09.2022 - 09.2023
Job overview
- Content creation for various facilities under Salt Entertainment Group.
- Videography and Photography content creation.
- Created and managed social media campaigns to increase brand engagement.
- Conducted market research to identify new opportunities and target markets.
- Oversaw preparation of marketing copy, images, videos, emails, and other collateral.
Lerner and Rowe
Lien Negotiator
01.2021 - 08.2022
Job overview
- Evaluated and negotiated personal injury and subrogation liens to procure favorable settlement terms.
- Gathered financial information, prepared documents, and closed books.
- Managed time efficiently in order to complete all tasks within deadlines.
- Originated, reviewed, processed, closed, and administered client settlement proposals.
AmWINS Group, Inc
Claims analyst
04.2018 - 01.2021
Job overview
- Produced quality reports for stop loss claims for various insurance carriers formatted in compliance with data quality standards.
- Improved existing reporting by researching data sources, compiling data and designing output.
- Reviewed and analyzed systems functions and reporting processes for accuracy.
- Researched accounts to reconcile inaccuracies and correct business processes.
- Supported efficiency and data integrity by monitoring control documentation of reporting procedures.
Palo Verde Cancer Specialists
Patient Financial Services Supervisor
11.2016 - 05.2018
Job overview
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
- Administered billing functions to maintain profitability and meet compliance, quality and productivity standards.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Phillips Law Group
Paralegal
01.2017 - 04.2018
Job overview
- Conducted legal research to support a personal injury claim.
- Creating rapport to satisfy client and firm expectations.
- Managed exhibits, evidence and data related to personal injury legal proceedings.
- Contacted clients to schedule appointments and discuss progress of cases.
- Collaborated with attorneys to develop strategies for each case.
- Edited and proofread legal documents to verify accuracy.
Pima Awards & Promotional Products
Marketing Assistant
05.2015 - 09.2017
Job overview
- Contributed to weekly team meetings, brainstorming sessions and staff appraisals.
- Utilized Adobe Photoshop and Illustrator to design and create informational flyers and advertisements.
- Compiled product, market, and customer data to generate informed sales and profit projections.
- Collected, analyzed and summarized data and trends to provide marketing tracking and research.
- Worked closely with product development teams to create and maintain marketing materials for sales presentations and client meetings.
- Identified appropriate marketing channels and target customers for campaigns.
Cognosante, LLC
CMS Case Analyst II
07.2013 - 05.2015
Job overview
- Analyzing incoming Health Communications Data and Health IT
- Conducting research and data accuracy on claims in compliance with Centers for Medicare and Medicaid services (CMS)
- Maintained high level of client confidentiality, following strict guidelines, and recommendations.
- Produced monthly reports using advanced Excel spreadsheet functions.
- Extracted and interpreted data patterns to translate findings into actionable outcomes.
- Analyzed data to identify root causes of problems and recommend corrective actions.
Education
Arizona State UniversityPhoenix, AZ
Bachelor's from Justice Studies
2021
Glendale Community CollegeGlendale, AZ
Associates from Arts
2017
Cactus High SchoolGlendale, AZ
High School Diploma
2013
Skills
- Legal Research
- Legal Drafting
- Account Management
- HIPAA
- Medical Billing
- Insurance Verification and prior authorization
- Office Management
- ICD-10
- Negotiation
- Management
- Accounting
- Microsoft 365
- Analysis skills
- Social media marketing
- Case Management
- Adobe Acrobat
- Social Media Management
- Content Creation
- Search Engine Optimization (SEO)
- Legal Compliance
- Customer Care
- Quality Assurance
- Verbal and Written Communication
- Medicare compliance
- Caseload Management
- Policy Research
- Insurance Understanding
- Referral Processing
- Database Coordination
- Medical History Documentation
- Risk Management Assessments
- Referral coordinator
- Legal Liability Research
Languages
Arabic
Native or Bilingual
Timeline
Social Media Marketing Manager
Salt Entertainment Group
09.2022 - 09.2023
Personal Injury Paralegal / Client Care Advocate
Goldberg And Osborne
08.2022 - Current
Owner
The Legal Bestie, LLC
01.2022 - Current
Lien Negotiator
Lerner and Rowe
01.2021 - 08.2022
Claims analyst
AmWINS Group, Inc
04.2018 - 01.2021
Paralegal
Phillips Law Group
01.2017 - 04.2018
Patient Financial Services Supervisor
Palo Verde Cancer Specialists
11.2016 - 05.2018
Marketing Assistant
Pima Awards & Promotional Products
05.2015 - 09.2017
CMS Case Analyst II
Cognosante, LLC
07.2013 - 05.2015
Arizona State University
Bachelor's from Justice Studies
Glendale Community College
Associates from Arts
Cactus High School
High School Diploma
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