Beverley Hamilton Email & Phone Number

Beverley Hamilton is a Certified Claims Examiner at York Risk Services, and former Certified Examiner at Kaiser Permanente at Kaiser Permanente. They possess expertise in self insured certificate june 1998, medical terminology, workers' compensation claims.

Listed skills include Self Insured Certificate June 1998, Medical Terminology, and Workers' Compensation Claims.

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  Certified Claims Examiner

  Kaiser Permanente

  Jun 1981 - Present

  Identify AOE/COE, subrogation, fraud issues, comply with California Statute of Limitations, render workers' compensation benefits which include temporary total/partial disability, permanent disability and medical treatment. Timely communicate with injured workers or their legal counsel. Identify circumstances for investigation, obtaining all prior medical records and personnel records. Consistently update a plan of action, that shows the history of the claim from inception through resolution. Work with defense legal counsel, agreeing and incorporating the recommendations into the claim. Document claim activity by electronic notepad. Mail filed electronically. Discuss claim status with Nurse Case Mgr, Supervisor and/or HR Personnel, answering and addressing concerns/questions. Estimate reserves for probable outcome, authorizing settlement authority to approved level. Keep a 30-45 day diary, for timely addressing issues, payments, and setting appointments. Typing: 79 WPM Software: Riskmaster; Lotus Notes; Microsoft Office Word 2003/2010; Microsoft Office Excel 2003/2010; Adobe Acrobat PDFStrong organizational skills Good interpersonal skills