Kim Utter, Aic Email & Phone Number

Medicare Set Asides and Conditional Payments

United States

Intake of Workers Compensation claims to determination if they meet the CMS requirements for MSA (Medicare Set Aside)Triage referrals for the submission to CMS to protect Medicare’s interest under the Medicare Secondary Payer act (MSP)Clinical review of Conditional payment lien notices, Conditional Payment Demands, Medicare Advantage liens and Medicaid demands to provide recommendations of payments and/or appeals Investigate, dispute resolution and payment of Medicare Conditional Payment Redeterminations and Reconsiderations Investigate and address all notices related to the Department of Treasury and the various collection agencies contracted with the Department of TreasuryInvestigate all offsets that occur within Hartford Insurance and handle reimbursements accordinglyTrain peers on Section 111 reporting, Conditional Payments and MSA Triage Address Medicare related questions from the claims field Member of the Conditional Payments and Section 111 Committee with MSPRP

Sacramento, California Area

As an auto liability adjuster I handle a large case load from start to finish. I complete the liability investigation by obtaining statements, photos, scene photos, SIU investigations, police reports etc. I handle the property damage along with evaluating and settling the injury case with the pro se claimants or their attorney representative

Gold River, Ca

As a Senior workers compensation adjuster, I handle a case load up to 170 claims from cradle to grave. Majority of the case load are litigated files, therefore I work closely with counsel and business partners for fair and speedy resolution.

Rancho Cordova, California

As a Liability Adjuster I handled a large case load of auto and homeowners injury claims.

Rancho Cordova, California

Handled auto first party medical claims

Rancho Cordova, California

Handled auto property and theft/fire claims

Rancho Cordova, California

Filing, customer service, claim assistance etc

Business Administration And Management, General

Education record