
Accomplished Claims Assistant with a proven track record at Great American Insurance Group, adept in claims processing and Microsoft Office. Excelled in managing complex tasks efficiently, demonstrated by surpassing job expectations and receiving an "On Spot Award" for significant cost savings. Skilled in data entry and maintaining high standards of accuracy and productivity.
Schedule appointments for Evaluation/Treatments and Independent Medical Exams
• Fax, email or mail medical reports to providers, as needed.
• Prepare Defense Packets and email to our Defense Counsel.
• Prepare Opposing Counsel Packets and send by certified mail to claimant attorneys.
• Prepare MSA Packets and forward to claim adjusters for review
• Request prepayments for Independent Medical Exams.
• Order Trace Reports for medical records and send letters to obtain medical records using the WC-207 form.
• Order reports for ISO claims searches and send appropriate letters to other insurance carriers.
• Calculated wage statements prior to and after an injury to determine increase or decrease of wages.
• Set diaries to obtain medical records, work statuses and follow up appointments as needed.
• Able to keep task queue within time service standards.
• Schedule dates and times to have merchandise delivered to the customers.
• Change dates and times as requested from the customers.
• Made two day reminders calls.
• Kept track of deliveries from the other Pella Warehouses.
Set up initial claims for customer when they call in to start the claim process.
• Transferred claimants calls to the correct claim adjusters.
• Responsible for ordering police reports, tag searches, VIN searches, and carrier discoveries.
• Responsible for ordering supplies for my department and helping to control costs.
• Responsible for preparing certificate of coverages for team manager review for attorneys. • Responsible for burning contents of files to discs for attorneys.
As a claims service assistant I always exceeded the number of calls and tasks required to meet my job expectations as set forth by the company. I received the company " On Spot Award" for saving the company a significant amount of money on police reports.