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Monica M

Claims Examiner - 10 Years of Experience - Near 91353

Occupation:

Claims Examiner

Location:

Los Angeles, CA

Education Level:

Certification

Will Relocate:

YES

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Experienced with Indemnity Benefits Administration, including all state and legally mandated correspondence Experienced with various medical treatments, protocols, and terminology Experienced with bill coding and payment processing, and maintaining sensitive client information integrity * High volume caseloads of 200 - 300 claims (Medical Only) * Adhered to various departmental criteria to include: data claim integrity, procedural timeframes, housekeeping files, monthly closure goals, Company Best Practices Office Ad mi n istrati ve Assi stan t * Processed various legal documents relating to enforcement of wage garnishing Experienced with Writ of Executions and all aspects therein * Answered multiple-lined phones, transferred calls to appropriate individuals and took detailed messages * Worked with single attorney with all appropriate paperwork in numerous cases at a time * Took payments via telephone using credit cards, and processed mailed check payments * Answered all client questions with regard to payments received and updated systems when notified of client information changes * Set appointments for the president and vice president of the company * Dispatched service instructions to field employees Dep artmen t Lead & Cu stomer S ervi ce R etu rn s Cash i er * Processing weekly department inventory orders * Organized and conducted departmental product placement relocation cycles as scheduled * Performed daily customer service via in-person & telephone: special orders, product information and inventory inquiries * Routinely responsible for opening and closing department procedures * Delegated various tasks to department assistant (s) * Handled individual cash till and processed customer returns and purchases Emp l oymen t Hi story Fu tu re M ed ical Exam i n er, M ed ical On l y Exam i n er Cl ai ms Exam i n er I I I- York, Pasadena CA (Temporary) 10/19/15 - 01/19/16 Claims Accounting/Reconcile Claim Payments - CIGA, Glendale CA (Temporary) 03/30/15 - 07/02/15 Department Lead & Cashier - Hobby Lobby, Burbank CA (Seasonal/Temporary) 2014 Assignment (Future Med/Med Only Examiner) - AIMS, Santa Clarita CA (Temporary) 2013 Claims Examiner II - Sedgwick Claims Management Services, Encino CA. 2007 - 2010 Office Assistant - Law Offices of Bleier & Cox, Encino CA. 2006 - 2006 Claims Assistant - Keenan & Associates, Torrance CA. 2005 - 2006 Medical Only Examiner - Cambridge Integrated Services Group, Inc. Pasadena CA. 2001 - 2005 Ed u cati on Self-Insurance Administrator's Examination, California Department of Industrial Relations 2007 Workers' Compensation Claims Professional Certificate/Professional Designation (IEA) 2005 Workers' Compensation Claims Administration Certificate (IEA) 2002 Multi-Clerical Training Program, Glendale Community College 1995

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