Arketa Fell

Master Claims Representative • Analyze and process complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manage claims through well-developed action plans to an appropriate and timely resolution. Assess liability and resolve claims within evaluation. Negotiate settlement of claims up to designated authority level. Manage claim recoveries, including but not limited to subrogation. Communicate claim activity and processing with the ill or injured party and the client; maintains professional client relationships. Ensure claim files are properly documented and claims coding are correct. No-Fault Supervisor • Performed supervisory responsibilities, including but not limited to, managing employees’ performance, coaching employees, communicating with employees, empowering employees, responding to employee concerns, and created a positive work environment. Supervised internal and external associates from training. On-going training with procedures, explaining coverage, claims handling and daily telephone monitoring and training. Monitored payments and IME results for continued wages. Supervised telephone clerks whose daily tasks included top quality customer service with policyholders and medical providers. Resolved all clerical issues within the department on a daily basis. Determined clerical procedures, document processes and requirements. Medical Secretary/ Administrative Assistant • Administrative support to include: manages multiple calendars with expertise; planned and coordinated a variety of meetings and events, such as staff meetings (including recording of action items) and a variety of recurring events, data entry and transcription. Organized and maintained files; coordinated and managed travel arrangements and prepared expense reports; field large volume incoming telephone calls and replies to routine inquiries; provided project management assistance when necessary Specialties: No-Fault, Auto Liability, Management, Administrative, Negotiation,Planning,Multitasking, Networking, Team building