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Sue Smyth

Medical Case Manager at Sena Financial Services

Based in Whitewell Bottom, United Kingdom

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Seniority

Manager

Department

Healthcare & Human Services

Location

Whitewell Bottom

Industry

Financial Services

Company size

15

Contact information

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Email

1 credit

s•••••••@senafs.co.za

Phone

5 credits

+44 ••• •••• ••••

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Background

About Sue Smyth

Experienced Medical Specialist with 20 years experience of working in the COIDA space. Medical holistic management of claims for injured and disease related claims within the insurance industry. Skilled in cost management of IOD claimants, managed healthcare to provide optimal care, rehabilitation, reskilling and medical invoice adjudications, Negotiation, Budgeting, Requirements Analysis, Microsoft Word, Excel, PowerPoint and computer skills. Strong information technology professional graduated from Lyndon High school for girls UK. Professional nurse qualification from UK working in both the hospital environment and primary healthcare environments both UK/SA specializing in anesthetics, primary healthcare. Exposure to medical IT projects with analysis on design, development and enhancing medical systems, IT testing. Knowledge of ICD10/CPT codes, tariff codes with crosswalks, Nappi code experience, medical invoice adjudication based on clinical rule /SOP with authorisations of requested treatment, prosthetics /components with home visits and prosthetic clinics within SA and across their border for the holistic management care of injured and disabled within the Mining and Metal industry. Team player, willing to share knowledge and obtain knowledge able to work independently. Project change management, being part of a project team for initiated projects and enhancements impacting business and transformation. I may be over 60 but still have plenty to offer within the scope of my knowledge and willing to learn

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