Seeta Khemraj

Experience

• 

  David Yurman

  Jun 2007 - Jul 2011

  Assistant to Purchasing/Stone Department

  Arranged all stone sets for assembly and organized stone presentations for evaluation.Created and reviewed purchase orders.Performed daily tasks of data entry, filing, and faxing.Ran the business objects report and released work orders accordingly.

• 

  Law Offices of Emmanuel R. Gold

  Jan 2011 - May 2011

  Intern

  Assisted in preparing attorneys for their court cases.Arranged exhibits for court. Gathered information on clients and maintained individual files.

• 

  Special Funds Conservation Committee

  Jul 2011 - Dec 2013

  • Managed a team of examiners that were responsible for over 4,000 active claims• Supported employees with problematic claims, high cost bills and escalated calls• Consulted regularly with staff attorneys regarding hearings and case decisions• Completed weekly audits and productivity reports to identify errors in handling of files • Analyzed Workers’ Compensation claims using hearing reports and databases • Audited and authorized medical bills and treatment for over 900 assigned cases.• Updated, maintained and summarized all claims throughout the year.• Maintained outstanding phone and chat rapport with claimants and providers while gathering concise information about each issue.

  • Supervisor

    Mar 2013 - Dec 2013

  • Claims Examiner

    Jul 2011 - Mar 2013
• 

  RMPG, Inc.

  Dec 2013 - Mar 2015

  Medical Only Claims Examiner

  • Conducted phone interviews with claimants, employers and providers in order to confirm compensability and file the First Report of Injury for over 200 claims• Summarized claims every ninety days to ensure reserves were accurate and monitor medical treatment• Utilized knowledge of the Medical Treatment Guidelines by accurately reviewing medical treatment, durable medical equipment, prescription and high cost surgery requests• Scheduled Independent Medical Exams on claims with excessive or questionable treatment Show less

• 

  York Risk

  Mar 2015 - Sept 2016

  Lost Time Claims Examiner

  • Investigate and maintain an average of 200 lost time claims by handling all matters timely and accurately from inception to closure• Compose hearing preparations to provide outside counsel with the pertinent information on claims to aid in their success in court • Negotiate and settle claims with Schedule Loss of Use Awards and Section 32 Agreements• Execute monthly reports updating both the legal and medical status for complex claims ahead of the client’s deadline• Analyze treatment patterns in order to set appropriate reserves for the lifetime of the claim • Manage all finances on claims including payment of awards, bills and invoices Show less

• 

  BDSential

  Sept 2016 - Mar 2017

  Product Specialist

  • Conducted product testing and issue tracking of the newly created Audit/Compliance Software with the development team• Composed reports to summarize outstanding bugs and fixes for senior management • Collected and organized content in order to integrate into the software• Assisted in project tracking on the Product Tutorial, Website Design, and Whitepaper • Created a list of anticipated questions to assist in the development of a help desk

• 

  York Risk

  Mar 2017 - Jun 2018

  Lost Time Claims Examiner

  • Investigate and maintain an average of 200 lost time claims by handling all matters timely and accurately from inception to closure• Compose hearing preparations to provide outside counsel with the pertinent information on claims to aid in their success in court • Negotiate and settle claims with Schedule Loss of Use Awards and Section 32 Agreements• Execute monthly reports updating both the legal and medical status for complex claims ahead of the client’s deadline• Analyze treatment patterns in order to set appropriate reserves for the lifetime of the claim • Manage all finances on claims including payment of awards, bills and invoices Show less

• 

  The Black Car Fund

  Jun 2018 - now

  • Conduct investigations with member bases, medical providers, claimants and attorneys to determine the compensability of newly assigned claims.• Collaborate with attorneys to provide a comprehensive testimony on denied ride share cases including Uber and Lyft.• Examine claims noting diagnostic testing, surgeries and treatment plans to create an action plan.• Manage death claims and determine benefits to widows and dependents. • Train new hires on essential daily responsibilities including claim investigations, determining compensability, plans of actions and testimonies.• Negotiate settlements by reviewing medicals, calculating third party credit and determining Medicare allocations to close claims. Show less

  • Senior Claims Adjuster

    Feb 2021 - now

  • Claims Adjuster

    Jun 2018 - Feb 2021