Susan Purcell

Provided consumer advocacy and resolution for Nevadans with health care issues.

Specific duties included:

Daily contact with consumers for case initiation and updates.

Assisted consumers with the understanding of health insurance benefits, claims processing, denials, appeals and resources.

Daily contact with hospitals, health care providers and insurance carriers for assistance with consumer resolution.

Worked and maintained assigned external review cases within timeframes per Nevada Revised Statutes.

Was main contact person in OCHA for external reviews.

Worked and maintained assigned OCHA cases at 40 and higher.

Worked and maintained assigned arbitration cases within timeframes per Nevada Revised Statutes.

Assigned daily OCHA cases from intake status to Ombudsman.