Denise Carter

Denise Carter Email and Phone Number

Managing Director of Medical Management Services at FCCI Insurance Group @
Denise Carter's Location
Sarasota, Florida, United States, United States
Denise Carter's Contact Details

Denise Carter personal email

n/a
About Denise Carter

Denise Carter is a Managing Director of Medical Management Services at FCCI Insurance Group at FCCI. She possess expertise in insurance, claims management, quality improvement, health insurance, claim and 23 more skills.

Denise Carter's Current Company Details
FCCI

Fcci

Managing Director of Medical Management Services at FCCI Insurance Group
Denise Carter Work Experience Details
  • Fcci
    Managing Director Of Medical Management Services At Fcci Insurance Group
    Fcci Apr 2007 - Present
    Sarasota, Florida, United States
  • Fcci Insurance Group
    Director Of Medical Management Services
    Fcci Insurance Group Oct 2016 - Apr 2023
    Sarasota, Florida Area
    My responsibilities include oversight of Claims payments/Medical cost savings, Telephonic case management, Medicare Set Asides, Medicare related Liens/Conditional Payments, Claims vendor contracts, Quality performance and improvement, Utilization Review, Pharmacy benefit provider, Network savings, and state regulatory compliance, In-house Utilization Review including associated state licensures.
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  • Fcci Insurance Group
    Corporate Claim Examiner
    Fcci Insurance Group Jan 2009 - Oct 2016
    Sarasota, Florida Area
    My responsibilities include:Assisting Claim management and clinical staff in all regions. Quality performance reviews of all regions regarding claim handling. Assisting Medical Case Managers in all regions/statesState expansion - Medical Case manager regulations/rulesOversight of Adj./Medical Case manager licensure & CEU's in states we do business inAnnual policy reviewAnnual record retention reviewParticipant on Improving Results TeamsOngoing assessment for cost control/expense management strategiesOversight, distribution, and follow up on state compliance issued bulletins/announcementsOversight to claim guide 'how to' to assure annual review/update of all thereinCoordinator of Medical lunch and learn programs for Claim staff Assist with the orientation of all newly hire claim staff
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  • Fcci Insurance Group
    Manager, Case Management
    Fcci Insurance Group Apr 2007 - Jan 2009
    Sarasota, Florida Area
    Oversight of 11 Work Comp telephonic case managers, some based locally and other based regionally, covering 13 states. Tracking of medical cost savings, network utilization trends, use of outside field case management, and creation of a licensure, business continuity plan, and a TCM multi state claim handling reference guide.
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  • Healthsouth Rehabilitation Hospital Of Sarasota
    Director Of Quality Management
    Healthsouth Rehabilitation Hospital Of Sarasota 1987 - 2007
    Healthsouth Rehabilitation Hospital Of Sarasota
    Oversight of Performance Improvement processes (All Depts. throughout the Hospital), Medical Staff Credentialing, Infection Control, Employee Health, Medical Records, All surveys/inspections (CARF, JCAHO, AHCA), Organized and prepared all information for the Quality Improvement Committee, Medical Executive Committee, and Governing Body Quarterly. Member of the Safety Committee. Experience with Traumatic Brain Injuries. Joint Replacements, Strokes, Spinal Cord Injuries.

Denise Carter Skills

Insurance Claims Management Quality Improvement Health Insurance Claim Legal Liability Healthcare Workers Compensation Hipaa Property And Casualty Insurance Commercial Insurance Liability Medicare Casualty Insurance Quality Management Jcaho Business Process Improvement Medical Records Infection Control General Insurance Medical Case Management In The Insurance Work Comp Industry Registered Nurse With 30+ Yrs Experience Certified Rehabilitiation Registered Nurse Certified Case Manager Employee Health Time Management Critical Thinking And Analysis Working On Aic M And Ains Certifications

Denise Carter Education Details

Frequently Asked Questions about Denise Carter

What company does Denise Carter work for?

Denise Carter works for Fcci

What is Denise Carter's role at the current company?

Denise Carter's current role is Managing Director of Medical Management Services at FCCI Insurance Group.

What is Denise Carter's email address?

Denise Carter's email address is dc****@****oup.com

What schools did Denise Carter attend?

Denise Carter attended Indiana University Bloomington.

What are some of Denise Carter's interests?

Denise Carter has interest in Interior Design, Broadway Plays/musicals, Nfl Football, Gardening, Do It Yourself Home Repairs/upgrades, Dance, Comedy And Action Movies.

What skills is Denise Carter known for?

Denise Carter has skills like Insurance, Claims Management, Quality Improvement, Health Insurance, Claim, Legal Liability, Healthcare, Workers Compensation, Hipaa, Property And Casualty Insurance, Commercial Insurance, Liability.

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