
Monique Nunez
Administration Manager / Claims Adjuster
monique.nunez@condonclaims.com
Career Summary
Monique began her career in 1984 with a major offshore company assisting the Risk Manager with the overall claims handling and processing of personal injury claims under the Jones Act, State Compensation Act and U.S.L & H Act as applicable. She joined CCM in November 2005.
Monique’s duties include verbal and written communications with claimants, insureds, brokers, underwriters, defense and plaintiff counsels. She also coordinates medical treatment corresponding with physicians and employers regarding claimant’s work status.
Monique also arranges surveillance and performs background searches on claimants; corresponds with the insured regarding claim payments and deductible status: tracks AADs on policies where applicable, authorizes and approves claim payments on underwriters’ behalf; monitors minor loss time accidents and documents files accordingly.
Monique has extensive knowledge of medical terminology, verbiage and medical bill coding. She is responsible for reviewing medical records for completeness and accuracy and performs medical audits for cost savings. She also pre-negotiates medical charges with hospitals, surgical centres and physician practice offices for all complex surgery claims.