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Pamela M. Cartner
944 So. Roberts Street, Apt. 4
Anaheim, CA 92802
(714) 457-3028; pamcartner@yahoo.com
Career Objective: Seeking a position as an Administrative Assistantwith a companywith room for growth.
Strengths
 Team player
 Work independently
 Self-motivated
 Quick learner
 Detail oriented
 Excellent communication skills
 Dependable
Computer Skills
 Microsoft Programs:Word,Excel, PowerPoint,Outlook, SharePoint
 Operating Systems:Windows (all versions)
Employment History
5/2016-8/2016 Genex Services – West Referral Support Team – Anaheim, CA
5/2/2016 Genex consolidated all the Administrative Staff to one Team vs. supporting the Branches.The West
Referral SupportTeam was responsible for various duties once a case was assigned bythe Case Registration
Department.
 Setting up tasks within a case to:
̄ Specific activities for Field Case Manager to achieve for specific customers (i.e.,contact to
Adjuster, Claimant,Doctor,requestjob description,etc.)
̄ For certain Customers,itwas required to have the Field Case Manager contact the Claims
Examiner,Claimantand Doctor within 24-hours ofGenex receiving the referral vs. from
assignment. A Task was created to remind the Field Case Manager of this, and to documentas
appropriate.
̄ Ensure the introduction letter is sentto West Referral Supportby the Field Case Manager
̄ Supervisory Reviews:The Supervisors were responsible for doing case reviews to ensure the Case
Manager was managing the case based on ODG (Official DisabilityGuidelines) and Customer
guidelines. The initial Task was setup by the Administrative Staff and managed thereafter by the
Supervisor.
 ReportDue Dates:With the exception of a Med Task referral, each new case is required to have an initi al
report done by the Field Case Manager. The reportwould provide a summaryof the Claimant’s injury,
outcome of Doctor appointments,treatmentplan,etc.Due dates varied by Customer,butmostare due
within 10-days of assignment.A report was generated dailyto obtain the listof new cases,then I or my
counterparts would go into each case and adjustthe report dated based on the Customer’s guidelines.Med
Task referrals had the report date setbased on the appointmentthe Case Manager was to attend.
 Generate and review activity reports to ensure the processes are on track.
 Attaching specific customer guidelines.
05/2013-05/2016 Genex Services Field Case Management Team – Torrance, CA
Integral member ofthe Los Angeles-Gardena Branch Administrative Team consisting of5 members who support40
Case Managers in So. California and 5 in Hawaii.
 Adeptly handle administrative matters for Field Case,Office Manager and Branch Manager.
 Research specific referral websites and internal Roster for various customers to determine proper placementof
Med Task or Full Case Management.
 Interact professionallywith all levels of the Doctors offices’ staffand customers while maintaining the highest
level of confidentialitywith tact and diplomacy.
 Compose critical information required bythe Case Registration Department.
 Input billing in a timelymanner to meetpivotal deadlines.
Resume – Pamela Cartner
Page 2
 Create invoices based on specific pricing for each customers and deliver them utilizing modem requested by the
customers.
 Coordinate required medical documents to all the Field cases.
 Generating reports from the Genex CMS system as needed for responsibilities for various customers.
Intracorp/Cigna – Purchased by Genex Services – Announcement was made in October 2011.
09/2011-5/2013 Intracorp/Genex Services WesternTelephonic Case Management Team
 Monitor EDI Rosters for potential cases.
 Set up new cases to the Telephonic Case Managers.
 Assisting Case Manager byobtaining medicals from Doctors’ offices.
 Distribute certification/non-certification letters pertaining to Utilization Review results.
 Medical reports,hospital reports,etc.were faxed daily to a specified Electronic Fax for the Telephonic CM
Department.Each documentwas viewed to determine the case destination.Documents were then attached
to each case via email,with a copy to the Telephonic Case Manager.
10/2001-05/2011 Intracorp/Cigna – WesternField Case Team – Anaheim, CA
Integral member ofthe Western Field Case ManagementTeam consisting of3 members who support50 Case
Managers throughoutSo. California and 5 in Hawaii.
 Adeptly handle administrative matters for Field Case,Office Manager and Branch Manager.
 Assisted with assignments for various customers to determine proper placementofMed Task or Full Case
Management.
 Interact professionallywith all levels of the Doctors offices’ staffand customers while maintaining the highest
level of confidentialitywith tact and diplomacy.
 Compose critical information required bythe Case Registration Department.
 Input billing in a timelymanner to meetpivotal deadlines.
 Coordinate required medical documents to all the Field cases.
 Generating reports from the CMS system as needed for responsibilities for various customers.
References available upon request

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Resume 2016 A

  • 1. Pamela M. Cartner 944 So. Roberts Street, Apt. 4 Anaheim, CA 92802 (714) 457-3028; pamcartner@yahoo.com Career Objective: Seeking a position as an Administrative Assistantwith a companywith room for growth. Strengths  Team player  Work independently  Self-motivated  Quick learner  Detail oriented  Excellent communication skills  Dependable Computer Skills  Microsoft Programs:Word,Excel, PowerPoint,Outlook, SharePoint  Operating Systems:Windows (all versions) Employment History 5/2016-8/2016 Genex Services – West Referral Support Team – Anaheim, CA 5/2/2016 Genex consolidated all the Administrative Staff to one Team vs. supporting the Branches.The West Referral SupportTeam was responsible for various duties once a case was assigned bythe Case Registration Department.  Setting up tasks within a case to: ̄ Specific activities for Field Case Manager to achieve for specific customers (i.e.,contact to Adjuster, Claimant,Doctor,requestjob description,etc.) ̄ For certain Customers,itwas required to have the Field Case Manager contact the Claims Examiner,Claimantand Doctor within 24-hours ofGenex receiving the referral vs. from assignment. A Task was created to remind the Field Case Manager of this, and to documentas appropriate. ̄ Ensure the introduction letter is sentto West Referral Supportby the Field Case Manager ̄ Supervisory Reviews:The Supervisors were responsible for doing case reviews to ensure the Case Manager was managing the case based on ODG (Official DisabilityGuidelines) and Customer guidelines. The initial Task was setup by the Administrative Staff and managed thereafter by the Supervisor.  ReportDue Dates:With the exception of a Med Task referral, each new case is required to have an initi al report done by the Field Case Manager. The reportwould provide a summaryof the Claimant’s injury, outcome of Doctor appointments,treatmentplan,etc.Due dates varied by Customer,butmostare due within 10-days of assignment.A report was generated dailyto obtain the listof new cases,then I or my counterparts would go into each case and adjustthe report dated based on the Customer’s guidelines.Med Task referrals had the report date setbased on the appointmentthe Case Manager was to attend.  Generate and review activity reports to ensure the processes are on track.  Attaching specific customer guidelines. 05/2013-05/2016 Genex Services Field Case Management Team – Torrance, CA Integral member ofthe Los Angeles-Gardena Branch Administrative Team consisting of5 members who support40 Case Managers in So. California and 5 in Hawaii.  Adeptly handle administrative matters for Field Case,Office Manager and Branch Manager.  Research specific referral websites and internal Roster for various customers to determine proper placementof Med Task or Full Case Management.  Interact professionallywith all levels of the Doctors offices’ staffand customers while maintaining the highest level of confidentialitywith tact and diplomacy.  Compose critical information required bythe Case Registration Department.  Input billing in a timelymanner to meetpivotal deadlines.
  • 2. Resume – Pamela Cartner Page 2  Create invoices based on specific pricing for each customers and deliver them utilizing modem requested by the customers.  Coordinate required medical documents to all the Field cases.  Generating reports from the Genex CMS system as needed for responsibilities for various customers. Intracorp/Cigna – Purchased by Genex Services – Announcement was made in October 2011. 09/2011-5/2013 Intracorp/Genex Services WesternTelephonic Case Management Team  Monitor EDI Rosters for potential cases.  Set up new cases to the Telephonic Case Managers.  Assisting Case Manager byobtaining medicals from Doctors’ offices.  Distribute certification/non-certification letters pertaining to Utilization Review results.  Medical reports,hospital reports,etc.were faxed daily to a specified Electronic Fax for the Telephonic CM Department.Each documentwas viewed to determine the case destination.Documents were then attached to each case via email,with a copy to the Telephonic Case Manager. 10/2001-05/2011 Intracorp/Cigna – WesternField Case Team – Anaheim, CA Integral member ofthe Western Field Case ManagementTeam consisting of3 members who support50 Case Managers throughoutSo. California and 5 in Hawaii.  Adeptly handle administrative matters for Field Case,Office Manager and Branch Manager.  Assisted with assignments for various customers to determine proper placementofMed Task or Full Case Management.  Interact professionallywith all levels of the Doctors offices’ staffand customers while maintaining the highest level of confidentialitywith tact and diplomacy.  Compose critical information required bythe Case Registration Department.  Input billing in a timelymanner to meetpivotal deadlines.  Coordinate required medical documents to all the Field cases.  Generating reports from the CMS system as needed for responsibilities for various customers. References available upon request