Manage Repair Specialist - Sinclair Construction - Panama City, FL
(2021-01)
- Accept new Roofing / General Contracting claims from Governmental and/or Insurance companies, and Claim Management companies; Liberty Mutual, Tower Hill, State Farm, Alacrity, Homee, Core, Sedgwick, and Wilbur.
- Assist with Government Contract contacts with scope of work to insure precision with completion of contract.
- Manage the influx of claims through CAT events.
- Create New Lead in AccuLynx.
- Assign Inspectors to inspect Insured roof/home.
- Order satellite images of roof.
- Contact Customer – schedule inspections. Work closely with all parties from beginning to end of project.
- Assist Crew with creating photo reports, updates, documents, measurements to Claim Management company and Insureds.
- Provide all parties with outstanding customer service.
Program Specialist - Alacrity Services - Charlotte, NC
(2018-01 - 2021-12)
Property Claims Solutions - Interact daily with Fortune 500 Insurance Companies; State Farm, Allstate, Liberty Mutual, and Tower Hill. I work with property owners, insurance adjusters, and general contractors, mitigation technicians to clean up water, fire, mold, and storm damage to residences.
- Contribute to the influx of screenings through the CAT event with Tower Hill. Managing to screen the majority of claims received resulting minimal impact to the current team members and their workload.
- Contribute to the Contractor Services Team in reducing the amount of overdue assignments and gaining efficiencies to keep assignments updated as much as possible.
- Assigned to vacant territories and I managed and successfully built a strong rapport with contractors, resulting in decreasing back up workload for other team members.
- Recognized by senior management and supervisor for my ability to learn company processes and deliver their product in a short period of time with minimal supervision.
- Work with multiple insurance carriers in assisting policyholders' return their homes to pre-loss condition following a claim.
- Provide Contractors and policyholders' with outstanding customer service.
Corporate Accounting - Thornburg Investment Management - Santa Fe, NM
(2018-01 - 2018-12)
- Managed payments, journal entries, invoices, expense reports and purchase requests. Responsible for daily vendor invoices and employee expenses accurately and in a timely manner. Processed AP and AR transactions which included generating checks and direct deposits.
- Maintained electronic documents in a paperless department.
- Worked with DocLink and Aestiva software.
Electronic Medical Records Chart Examiner - Christus St. Vincent Hospital - Santa Fe, NM
(2016-01 - 2018-12)
- Maintained all patient electronic medical documents, discharge and outpatient records. Updated patient demographic and health information via ECW database.
- Processed medical record requests from insurance companies, attorneys, patients, and others as appropriate in compliance with standards.
- I have strict adherence to HIPAA and confidentiality rules. I have ability to maintain patient confidentiality and follow Occupational Medicine protocols for protecting personal health information.
- Worked with MS WORD, ECW, ESmartlog, and ESmartlink software.
- Experience in setting up and managing medical charts (both electronic and paper), filing requisite medical information in charts, maintaining the chain of custody and tracking/location of charts, and ensuring that the charts are handled in accordance with associated confidentiality and privacy requirements.
- Experience compiling, maintaining, analyzing, and reviewing electronic and/or paper patient medical records for completeness and accuracy.
- Scanned incoming patient documents into designated patient chart and appropriate heading.
- Excellent Customer Service.
Claims Assistant - Food Industry Self-Insurance Fund of NM - Albuquerque, NM
(2006-01 - 2015-12)
- Created new claims for multiple Workers Comp Claims Adjusters.
- Explained how Workers Comp works to claimant, healthcare providers, and/or employers with routine inquiries, with rules and regulations, and State Statutes. Conducted claims research and review with Claims Department in a timely manner.
- Provided customer service to claimants during incoming calls. Made initial contact by telephone with healthcare providers and/or employers and answer questions they may have regarding how W/C works, or needed information.
- Prepared documentation for claimant and/or healthcare provider, i.e.… doctor appointments, mileage reimbursement, prescriptions reimbursement etc. Communicated with healthcare providers on billing inquires for ICD-9 Coding, and Medical Terminology.
- Worked primarily in MS Word, Outlook, and Access software.
- Responsible for providing accurate transcription services to multiple doctors.
- Transcribed taped dictation to legal files.
- Created and maintained documents in MS Word.
