Experience

State Compensation Insurance Fund

• United States
• Insurance
• 700 & Above Employee

• Assistant Claims Manager

  • Apr 2019 - Present

• Senior Claims Specialist

  • Oct 2015 - Mar 2019

• Claims Specialist

  • Feb 2013 - Sep 2015

  Accurately set up and process claims in a timely manner. Establish and maintain effective work relationships with the employers, injured employees, attorneys, medical providers and co-workers. Pay compensation, awards and bills accurately and timely to avoid penalties and interests. Manage and control cases based on workers compensation laws and procedures. Provide quality customer service at all times. Provide claims adjusting support to… Show more Accurately set up and process claims in a timely manner. Establish and maintain effective work relationships with the employers, injured employees, attorneys, medical providers and co-workers. Pay compensation, awards and bills accurately and timely to avoid penalties and interests. Manage and control cases based on workers compensation laws and procedures. Provide quality customer service at all times. Provide claims adjusting support to co-workers. Provide coverage to co-workers to achieve timely processing of claims so deadlines are met. Defend State Compensation Insurance Fund against fraudulent activities.

• Claims Representative

  • Jun 2006 - Feb 2013

  Accurately set up and process claims in a timely manner. Establish and maintain effective work relationships with the employers, injured employees, medical providers and co-workers. Pay compensation and bills accurately and timely to avoid penalties and interests. Manage and control cases based on workers compensation laws and procedures. Provide quality customer service at all times. Provide claims adjusting support to claims adjusters. Provide… Show more Accurately set up and process claims in a timely manner. Establish and maintain effective work relationships with the employers, injured employees, medical providers and co-workers. Pay compensation and bills accurately and timely to avoid penalties and interests. Manage and control cases based on workers compensation laws and procedures. Provide quality customer service at all times. Provide claims adjusting support to claims adjusters. Provide coverage to co-workers to achieve timely processing of claims so deadlines are met. Defend State Compensation Insurance Fund against fraudulent activities.

• Supervising Program Technician

  • Oct 2003 - May 2006

  Provided leadership, direction, employee development and empowerment to create safe and productive environment. Planned and coordinated accurate timely processing of mail involved in the scanning work process. Effectively managed workflow within scan/index unit of the Claims Processing Center. Provided quality customer service in a timely manner. Established and maintained effective working relationships for all the employees. Maintained a safe working… Show more Provided leadership, direction, employee development and empowerment to create safe and productive environment. Planned and coordinated accurate timely processing of mail involved in the scanning work process. Effectively managed workflow within scan/index unit of the Claims Processing Center. Provided quality customer service in a timely manner. Established and maintained effective working relationships for all the employees. Maintained a safe working environment. Followed the principles of Equal Opportunity Guidelines. Created training materials on Scanning and Indexing claims documents. Trained new employees and current employees on accurate scanning and indexing of claims documents applying established indexing rules and standards. Facilitated meetings on updates and to address work issues to achieve team effectiveness.

• Program Technician

  • Jan 2002 - Sep 2003

  Scanned and Indexed documents to the on-line claim file, applying the established indexing rules and standards. Accurately sorted and prepared claims documents to be scanned, sorting by document type. Provided assistance as required so work is current and deadlines are met. Quality checked indexed documents.