Experience

Schaerer Ltd

• Switzerland
• Food and Beverage Services
• 100 - 200 Employee

• Service Accounting Representative

  • May 2019 - Present



MH EXPRESS PHARMACY

• Greater Los Angeles Area

• LITIGATED CLAIMS SPECIALIST

  • Oct 2006 - Apr 2018

  Handles cases on hearing calendar while monitoring and investigating the progress of disputed claims, outline trends, payments, and resolutions. Assesses the overall potential of recovery disputed matters and potential exposure to the company by establishing relations with legal partners to determine the claim status, settlements, and exit strategies. Assists departments regarding injured workers dealing with the state-specified Workers’ Compensation Negotiated settlements with insurance carriers within their granted settlement authority level. Verifies updated claim information. Processes claims online and posts payments. Works compensation issues. • Surpassed quarterly collections of $120,000 by 25%. • Surpassed quality goal of $20,000 by 20%, receiving a promotion within the first six months. • Trained more than ten new hires, ensuring they had tools and support to be successful. • Cross-trained in six different departments to support the flexibility and adaptability of the organization. • Exceeded number of cases worked by 33% and calls by 60%. • Received Company Award for Ten Years of Service, 2016. • Created NCPDP billing. Show less



First Medical Managment

• Hospitals and Health Care
• 1 - 100 Employee

• Workers Compensation Collector

  • Jun 2004 - Sep 2006

  Mentored and investigated the proper claim payments and resolved complex workers’ compensation issues and workers’ claims on hearing calendar and investigated settlements with insurance carriers with settlement authority. • Filed and resolved liens. • Filed Declaration of Readiness. • Processed HICFA 1520 billing. Mentored and investigated the proper claim payments and resolved complex workers’ compensation issues and workers’ claims on hearing calendar and investigated settlements with insurance carriers with settlement authority. • Filed and resolved liens. • Filed Declaration of Readiness. • Processed HICFA 1520 billing.