RODNA GUGULJANOVA
31 Ivan Kozarov
Skopje, Macedonia, 1000
-
-
Summary
An organized, hardworking A-level medical student with an excellent educational record, dedicated and motivated
to maintain customer satisfaction and contribute to company success. Proven ability to establish rapport with
clients and exceed productivity goals. Reliable and driven, with strong time management and prioritizing abilities.
Education
St. Cyril and Methodious Medical University
Doctor of Medicine, Graduating October 2021
Yahya Kemal College, Strumica, Municipality of Strumitsa
High School Diploma, Graduated June 2015
- Department of Science
Employment History
JAG International Inc.
Case manager, July 2019 - Present
- Review the incoming claims and process considering the jurisdiction of the claim and the scope of the
assignment.
- Provide Medical Case Management:
Liaise with Medical Providers: Treatment Monitoring, Diagnosis & Prognosis, Medical Records Addressing
Carrier Requirements, Optimize Return to Work Schedules, Maximum Medical Improvement date(s), Facilitate
Payments for Treatment, Acquire, Verify and Reimburse Claimant’s Out of Pocket Expenses, Arrange Claimant
Transportation to/from Appointments, Permanent Impairment Ratings in accordance with AMA Guidelines, Peer
Reviews, Functional Capacity Evaluations (FCE), Monthly Treatment Updates
- IME Services:
● Data Compilation and Review: Medical History/Peer Review
● Pre-authorize and arrange Applicable Diagnostic Testing
● Scheduling and Logistics Coordination
● Payments to IME Providers
● Summary Report of Findings
Abercrombie Insurance Inc, Fountain Inn, South Carolina
Case manager, January 2018 - July 2019
Upwork, San Francisco, California
Freelance writer, July 2015 - Present
- Writing Medical/Health and Technical blogs and Web content that are SEO optimized
- B2B and B2C content
- Worked for many companies, clinics, and websites
Hobbies & Interests
- Writing (blogging)
- Volunteering at a non-profit organization
- Exploring other cultures
- Networking events
- Cooking
- Exercising
Professional Skills
Community Relations
Microsoft Office
Documentation
Team Management
Client Communication
Time Management
Digital Marketing
Copywriter
Detail Oriented
SEO
B2C Sales
B2B Sales
Cold Calling
Multitasking
Customer Support
Customer Service
Medical Claims
Medical Management
Health Benefits
Medical Insurance Billing
Problem Solving
Languages
Macedonian
English
Turkish
Serbo-Croatian
Native
Fluent
Fluent
Fluent
