Looking for a career orientated position and expand my learnings, knowledge and skills.
Overview
11
11
years of professional experience
Work History
Claims Representative
Sedgwick Claims Management Services
Pasadena, California
07.2017 - Current
Handle up to 300 workers comp cases at one time
Obtain work restrictions from doctors office and relay them to the school site
Set up doctors appointments for claimants
Take phone calls from claimants
Schedule claimants bi-weekly payments for 6 month periods
Provide authorizations claimants for medication, physical therapy etc.
Submit bills for bill review
Document medical reports
Communicate with defense attorneys
Cover colleagues work load when away
Claims Examiner
Intercare Holdings Insurance
Glendale, CA
07.2022 - 06.2023
Handle up to 180 workers compensation cases at one time
Obtain reports and document files
Respond to phone calls from claimants, county, and defense attorneys
Handle 80 claims with excess carriers.
Schedule claimants bi weekly payments for periods at a time
Provide authorization for treatment requests
Submit billing through bill review
Settle indemnity and future medical files
Cover colleagues work load when away
Line Cook
DoubleTree by Hilton Hotel Monrovia - Pasadena Area
Monrovia, CA
10.2015 - 07.2017
Prepared food items consistently and in compliance with recipes, portioning, cooking and waste control guidelines.
Cooked and served food and meals in accordance with planned menus, diet plans, recipes, portions, temperature control procedures and facility policies.
Worked AM and PM shifts
Line Check/Saute/Grill Station
Maintained cleanliness of restaurant
Banquets/Prep/Inventory
Knowledgeable and up to date with California Serv Safe Standards
Care President for Doubletree starting Oct. 2016-Strong affinity to volunteer in community services
(Ex. Taste of Monrovia, Monrovia Reads, Career Day, Cancer Walk, Etc.)
Proficient analytical skills as Care President to build rapport with local community
Very reliable and punctual
Education
Certificate in Claims Progression Program - Workers Compensation
Sedgwick University (Online Program)
Memphis, TN
02.2019
Culinary Arts Certificate - Culinary Arts
Baldwin Park Adult And Community Education
2015
High School Diploma -
Damien High School
2011
Administration of Justice
Citrus College
Skills
Highly dependable
Highly reliable
Fast learner
Efficient
Works well with others
Team Player
Pays attention to detail
Punctual
Self Motiviated
Responsible
Proficient in Microsoft Word and Excel
Able to type 45 WPM
Timeline
Claims Examiner
Intercare Holdings Insurance
07.2022 - 06.2023
Claims Representative
Sedgwick Claims Management Services
07.2017 - Current
Line Cook
DoubleTree by Hilton Hotel Monrovia - Pasadena Area
10.2015 - 07.2017
Certificate in Claims Progression Program - Workers Compensation