Fervent Adjudicator diligently ensuring compliance with workers’ compensation eligibility and addressing hiring discrimination claims. Adept at evaluating claims and delivering a timely decision. Committed to applying knowledge of current laws and regulations to ensure fair, efficient results.
Â• Substantial understanding of medical and workers’ compensation claims processes Â• Familiar with current state and federal discrimination and disability regulations Â• Strong familiarity with medical billling codes Â• Solid knowledge of medical and basic legal terminology Â• Proficient in the use of MS Word, Access and PowerPoint Â• Very good internal and external communications abilities Â• Ability to work flexible shifts and overtime as necessary Â• Strong time management and organisational skills
June 2010 to January 2013 Manchester Medical Center Â— Manchester, UK Adjudicator Â• Contacted claimants when additional information was required for applications. Â• Established solid internal and external communications. Â• Processed and verified all applications for adjudication. Â• Confirmed that applications were correctly filled out. Â• Handled paperwork for medical claims. Â• Trained and supervised support staff. Â• Verified patient insurance coverage. January 2013 to Present Oceanside Claims Processing Center Â— Manchester, UK Adjudicator Â• Prepared quarterly reports on all adjudicated matters as requested by Registrar. Â• Thoroughly checked all reports and facts and reported any inconsistencies. Â• Reviewed applicants’ cases and requested additional information as necessary. Â• Prepared analysis reports with recommendations for specific courses of action. Â• Stayed current on relevant laws, regulations, policies and precedent decisions.
2010 University of Cambridge, Cambridge, England, UK Bachelor of Science, Public Administration2013 University of Cambridge, Cambridge, England, UK Bachelor of Science, Political Science