Elisa Tomas Email & Phone Number

California, United States

Irvine, Ca

Santa Ana, Ca

● Review, examine, investigate, and analyze indemnity workers’ compensation claims● Interact with injured employees to ensure awareness and understanding of the workers’ compensation process, requirements, and entitlements● Prepare and issue notices in accordance with mandated requirements and regularly review and stay abreast of applicable laws that may impact how claims are processed● Establish claim reserve levels by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary● Coordinate medical treatment for injured employees and provide information to treating physicians regarding employee’s medical history, health issues, and job requirements● Identify subrogation potential and pursue the process of reimbursement● Communicate with defense attorneys regarding litigated cases; make recommendations regarding proposed strategies for claim resolution● Analyze, compute, and process indemnity payments● In March 2015, designated Brand Ambassador due to strong customer service and communication skills● In November 2015, designated ClaimsVision Trainer and liason due to advanced knowledge of computers and strong problem solving skills

South Coast Metro, Ca

● Review, evaluate, and process medical only workers' compensation claims● Initiate contact with injured employees, confer with employers, doctors, and other parties● Obtain and review medical records and claim related correspondence, and determine appropriate action for each case● Calculate medical and treatment costs, establish initial and on-going reserves for medical costs, and authorize or deny payments● Provide information to claimants, doctors, attorneys, and others regarding policies, requirements, and status of claims, and interpret and explain rules, regulations, and procedures

Orange County, California Area

● Develop new business and maintain current relationships with local business partners● Maximize daily sales to increase branch profitability● Deliver superior customer service● Mentor, train, and develop new staff● Co-manage branches with a staff of 5 or more

Orange County, California Area

● Solicit accounts for home health care services within a defined geography● Maintain existing accounts and develop relationships with health careprofessionals involved with home health care services● Provide in-services to hospitals, nursing homes, and doctors’ offices topromote Apex’s services