Experience

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  Xtreme Expressions gifts and designs

  • Baltimore, md

  • Business Owner

    • Oct 2015 - Present
    • Baltimore, md

    Jewelry and gift sales

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  RCM&D

  • Towson, MD

  • (Contract Assignment) Claims Adjudicator

    • Apr 2014 - 2015
    • Towson, MD

    Investigate compensability/eligibility issues, including recorded statements• Determine compensability/eligibility• File appropriate jurisdictional/compliance forms• Calculate and issue indemnity payments• Approve medical payments on assigned claims• Monitor medical treatment on claims assigned• ...

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  Gallagher Bassett

  • Columbia,MD

  • Claims Adjuster

    • Jul 2013 - Aug 2013
    • Columbia,MD

    • Investigating claims from inception to close• Manage complex litigation file• Authorize and approve settlement and setting adequate reserves.

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  Zurich North America

  • Owings Mills, MD

  • Claims Shared Assistant

    • Jan 2013 - Feb 2013
    • Owings Mills, MD

    • Manage claims assignments and set up including indexing claimants and managing acknowledgment letters, manage the administrative queue and assignment queue, provide database entry and general information tracking, serve as receptionist or answer incoming calls• Photocopying/scanning/filing/fax...

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  IWIF

  • Claims Adjuster

    • Oct 2012 - Dec 2012

    Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.Ensures claim files are properly documented and claims coding is correctManages the litigation process; ensures timely and cost effective claims resolut...

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  CorVel

  • Workers' Compensation Claims Specialist

    • Nov 2011 - Feb 2012

    Triage litigation files and prepare files to be sent over to the Office of Law for the Baltimore County Account.Responsible for handle cases from initial contact through conclusion of claim.Provide authorization for medical treatment, monitor claimant’s treatment for appropriate medical care, arr...

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  Aerotek

  • Hanover, MD

  • Workers Compensation Claims Specialist II

    • Oct 2004 - Oct 2011
    • Hanover, MD

    Investigate, evaluate and settle Worker’s Compensation claims for multiple jurisdictions including MD and DC.Conduct recorded statements to develop evidence necessary for a thorough evaluation of claims pursuant to client and statuary guidelines. Utilize aggressive negotiation skills to ensure pr...

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  NCAS

  • Medical Claims Examiner II

    • Jan 1999 - Jan 2004

    Effectively analyze medical claims for processing including Medicare and Medicaid claims for payment based on diagnosis.Alertly identify ICD-9 codes, CPT codes based on diagnosis, and procedure codes; updating coordination of benefits, auditing of claims, and calculations of deductibles and maxim...