Insurance Nurse Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

To secure an Insurance Nurse position with an expanding medical center in which my knowledge will be put to use in the best way possible.

Summary of Qualifications:

  • Thorough knowledge of workers’ compensation in varied organizations
  • Sound knowledge of Case Management
  • Ability to be comfortable in a professional business environment
  • Strong written and verbal communication skills
  • Proficient in basic computer skills and Microsoft Office applications

Work Experience:

Insurance Nurse, August 2005 – Present

Travelers Insurance, Atlanta, GA

  • Prioritized and managed assigned compensation claims.
  • Conducted telephonic case management studies.
  • Obtained necessary information to make sound medical assessments.
  • Managed to negotiate treatment plans in compliance with Labor Code statutes.
  • Responded to written and telephonic inquiries in a timely fashion.
  • Ensured to utilize the resources appropriately, including external field case managers, vendors, UR/peer review, and medical director.

Insurance Nurse, May 2000 – July 2005

Visiting Nurse Service, Inc, Atlanta, GA

  • Administered assigned cases within company and regulatory guidelines.
  • Obtained related information necessary to make sound medical decisions.
  • Responded aptly with inquiries in a professional demeanor.
  • Educated claims staff, employers and other staff on medical guidelines.
  • Ensured to complete initial case evaluation by assessing severity.

Education

Bachelor’s Degree in Nursing, Fort Lewis College, Durango, CO