Description
SUMMARY A Workers Compensation Claims Professional who managed medical only claims by analyzing multi-jurisdictional lower-level worker's compensation claims to determine benefits due. Ensured ongoing adjudication of claims within company standards and industry best practices. Have experience in higher level claims with contacts, investigation, determining compensability and settlement negotiations. Competent knowledge in medical terminology and medical bills. Customer focused. Good at decision making and problem solving. Team player with strong partnership and team approach, but also work independently well. Willing to expand my career opportunities outside of worker's compensation claims. Have an interest in redirecting career into Human Resources and took the aPHR certification test recently and have passed.
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