Experience

Missouri Employers Mutual

• United States
• Insurance
• 100 - 200 Employee

• Senior Claims Service Representative

  • Feb 2012 - Present

  • Receiving and appropriately responding to calls from injured workers, policyholders, providers, agents, attorneys and claims adjusters.• Enter new losses and investigate for any inconsistencies.• Process correspondence, bill pay, new claims, file maintenance and DWC request workflows.• Import incoming data files from internal and external customers and route to the appropriate adjuster. • Process voids and stop-payments requested by internal and external customers.• Identify initial compensability and possible drug/safety/alcohol violations upon new claim entry.• Indentifies any subrogation potential and mark claims appropriately for review by the subrogation department.• Complete assigned tasks in a timely manner.

• Data Reporting Analyst

  • Nov 2009 - Feb 2012

  • Report detailed policy and claim and policy data to NCCI (National Council of Compensation Insurance) for the state of Missouri and corrected any errors that may arise.• Test earned premium for system accuracy. • Processed reinsurance billings.• Processed earned payroll reports.• Processed claims analysis reports.

• Senior Accounting Technician

  • Nov 2008 - Nov 2009

  • Coded and processed all invoices for account payables.• Audited expense reports.• Processed daily deposits.• Processed and distributed budget reports for all departments.

• Senior Billing & Collection Analyst

  • Oct 2004 - Nov 2008

  • Worked with collection attorneys and agencies on a daily basis to collect past due premiums.• Assisted in training our collection attorney’s on how to read our billing, audit worksheets and PC adjustment reports in order to prepare the cases for trial.• Attended all court hearings as a key witness to represent Missouri Employers Mutual.• Kept track of court dates, negotiated settlements and set up payment plans on accounts that were in collections.• Kept track of the legal status on all collection accounts along with working on disputes that came in on all collections accounts. • Created a write-off list of accounts I felt were no longer collectible due to the criteria of that particular account.• Processed bankruptcy endorsements.

• Customer Service Representative

  • Jun 2002 - Oct 2004

  • Assisted both internal and external customers with any service that they inquired about. • Processed premium payments, payroll reports, worked in the mailroom when needed, entered new claims, entered new business applications for underwriting and answered phones.• Strived to make sure that each and every customer I came into contact with was provided efficient and quality service.