Experience

Chandler Unified School District No 80

• United States
• Primary and Secondary Education
• 1 - 100 Employee

• Driver

  • Jan 2019 - Present



The Phia Group, LLC

• United States
• Insurance
• 100 - 200 Employee

• Senior Claims Recovery Specialist IV-

  • Sep 2017 - Jul 2019

  Telecommuted from WA for company in MA. Over 30 years of experience in the healthcare industry (claims, refunds, subrogation and workers' compensation and vendor management. Excellent communication skills. Self-motivated and able to meet deadlines under pressure. Negotiated with attorneys and adjusters. Filed Motion to Intervene Applications/ WCAB Claims online. Drafted correspondence on files accordingly. Interacted with providers, vendors, clients and other internal departments. Managed large case load. Have Strong decision making abilities to determine recovery potential and proper reimbursement. Familiar with different case laws and state requirements. High level of proficiency using MS Word, Excel, MS Outlook and other internal claim and imaging systems. Work great as a team player or individual to meet or exceed recovery goals.Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)



Premera Blue Cross

• United States
• Insurance
• 700 & Above Employee

• Subrogation/Workers'​ Compensation Technical Lead/Consultant

  • 1995 - Aug 2016

  Monitored and tracked team’s weekly, monthly and annual production and recovery goals. Monitored and tracked incoming calls volumes, ASA and abandoned calls in our In team Customer Service Queue. Trained, audited, monitored and tracked associates performance on a monthly basis. Created new procedures and/or revised existing ones to reflect new processes. Created and monitored group (Individual and Self Funded ERISA plans) reports. Researched and resolved any questions or concerns addressed. Participated in all implementations relating to subrogation (ie: new systems, upgrades, new processes and procedures for the team. Negotiated and/or approved high dollar settlements. Worked with Legal, Contract Services and external vendors on an annual basis to improve the group’s subrogation language to improve groups overall savings and recoveries. Worked with legal, vendors and individual group representatives through the subrogation litigation process. Maintained excellent working relationships with Legal, Contract Services, Account Managers, Vendors, Managers, co-workers and other associates throughout the company. Negotiated vendor’s fees and costs for contract and monitored their performance on a monthly and annual basis.