Jenipher H. Email & Phone Number

United States

United States

- Investigate, analyze and adjust Indemnity (Litigated & Non-Litigated) workers’ compensation claims for Public Entity; desk capacity at 142 files - Maintain dynamic client relationships - Price files for settlement and or future medical buyout ensuring Medicare’s interests are taken into account, as well as preparing files for Medicare Set Aside where.

United States

Handle Indemnity caseload for TPA. Calculate and issue benefits timely. Resolve claims and provide excellent customer service. Work claims to settlement by way of Stipulations or Compromise and Release. Take ownership in claims handling and maintain a healthy client relationship.

Roseville, CA

York Risk Services Group, Roseville, California  02/2018 - PRESENTEXAMINER CLAIMS WORKERS COMPENSATION I (02/06/2018 – PRESENT)- Adjust future medical and medical-only workers’ compensation claims for a public entity- Price files for future medical buyout ensuring Medicare’s interests are taken into account- Prepare files for Medicare Set Aside where.

Roseville

• Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
• Process delay, denial and acceptance letters.
• Support other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Process workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
• Communicate claim action/processing with claimant… Show more
• Communicate claim action/processing with claimant, client and appropriate medical contact.

Roseville, CA

• Communicated with adjusters in order to ensure smooth claims support
• Manage general office tasks including; maintaining supplies for staff, looking through incoming mail, preparing outgoing correspondence and answer customer phone calls. Prioritize and use time management effectively.
• Process specific diaries in Juris system
• Assist examiners and management of allocated caseload by performing secretarial functions.
• Cross-Train with Medical Only

-Pay in-house bills in paperless system-Process/distribute mail in paperless system-Coordinate Iron Mountain distribution and file management-Prioritize and use time management effectively-Cross-trained CA work: Employee Closure Letters, Bill Objections, Acceptance Letters, Contact Letters, File & Serves, and Copy Work

-Provided excellent customer service-Telephonic Customer Service -Cashier-Stocked and maintained merchandise-Improved sales of merchandise and credit cards and insurance policies

Wcca, Workers Compensation

High School Diploma, Deaf Studies And Psychology

Graduated 2006 Visions in Education Home Schooling