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Workers Compensation Claims Administrator Resume Example

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WORKERS COMPENSATION CLAIMS ADMINISTRATOR
Professional Summary

I am business degree graduate with experience in human resources, and administrative duties including ten years of office experience. Pursuing law degree in order to contribute developed knowledge in medical law role. Skilled in workers compensation and litigation in ag industry settings. Adaptable and driven with strong work ethic.

Work History
Docgo Inc.- Workers Compensation Claims Administrator
Bangor , ME11/2018 - Current
  • Develop and implement complete workers' compensation policies and procedures
  • Reporting of Workers' Compensation cases to Insurance
  • Manage and review open claim files for compliance with claims handling guidelines to include initial claim handling, investigation, medical management and overall file management
  • Work with service providers on fee structure to achieve best value for service
  • Communicate with adjuster, injured employees, physicians and attorneys
  • Participation in Settlement Negotiations, recommend and negotiate claim settlements
  • Analyzes claims and loss control data to identify risk tendencies and prevention
  • Participate with Senior Management in analyzing insurance renewal proposal
  • Develop and maintain effective back to work program by working with in house personal and company clients
  • Ensuring compliance to applicable laws and regulations while maintaining high level of customer service
  • Maintain Occupational Safety Health Administration injury/illness records (300A, 300, 301)
  • Collects and provides injury and illness date in response to Injury and Illness mandatory collections processes
  • Conducts classroom training at different company job sites for foreman and supervisors regarding risk management
  • Participation in insurance carrier sponsored lost control meetings and committees
  • Works with HR managers and Field personnel to develop job descriptions
  • Translates personnel related documents and information as directed from English to Spanish
  • Assist department in carrying out various human resources programs and procedures for all company employees
Abbvie, Inc- Benefits Specialist
Baton Rouge , LA09/2018 - 11/2018
  • Directed and controlled various benefit programs, including 401K, medical, dental and vision packages
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options
  • Checked employees' benefits enrollment for accuracy and inputted all data into Navision
  • Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties
Chenega Corporation- General Clerk III
Anchorage , AK07/2015 - 09/2018
  • Pay invoices for freight branch at Defense Language Institute in Syncada Power Track, also enter and match all invoices, as well as file and organize by month
  • Create and log freight shipments coming in and out through freight system names CMOS, and FedEx
  • Answering all incoming calls within no more than three rings and assist in person
  • Ensure all deadlines are met
  • Proficient in all office programs in order to create PowerPoint based briefings, log accounts, track and log payments and record other office numbers
  • Answer office and personal work emails in timely manner
  • Collecting time sheets, and ensuring all hours are inputted correctly bi-weekly in online system UNANET
  • Outbound overseas counselor, to brief all service members on Country restrictions of goods, weight restrictions, and consumable goods
  • Create and process all applications of household goods for shipments or long term/short term storage
  • Book and arrange pick up of goods with moving company and military member
  • Keep all regulations from Joint Travel Regulations guide are updated and enforced
  • Managed 120 plus workers compensation cases daily
  • Closed cases within 30 days for first aid and medical only
Mistras Group- Office Manager
Baton Rouge , LA08/2009 - 09/2015
  • Answer all incoming calls within no more than three rings
  • Enter in Middleware collections system, input credits in customer accounts
  • Daily deposits to be delivered and inputted into Middleware
  • Paying and reporting branch expenses
  • Must complete 120 collection calls daily to ensure keeping collections at minimum
  • Responsible for creating excel reports and spreadsheets to track and project branch performance
  • Enter and create customer contracts
  • Collecting time sheets, and ensuring all hours are inputted correctly daily in Middleware
  • Ensure all employees have full day of inspections and services. Sales representatives two reinspection's daily, and service up to 10 services daily
  • Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance
  • Coordinated travel arrangements, including booking hotel rooms, car rentals and airfare for staff traveling to domestic and international locations
Skills
  • Managing compensation claims
  • Workers' compensation law
  • Claims investigation and research
  • Improving compensation plans with insurance company
  • Preparing workers compensation reports
  • Computer systems knowledge
  • Human resources background
  • Federal license submittal for H2A Visa
  • Multi-tasking ability
  • Employment law understanding
  • Understanding of medical laws
  • WCCA Credits and certification
  • CPR Certified
Education
University of PhoenixCity, State06/2017Bachelor of Science: Business
University of PhoenixCity, State02/2015Associate of Arts: Business
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How this resume score could be improved?

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Resume Overview

School Attended

  • University of Phoenix

Job Titles Held:

  • Workers Compensation Claims Administrator
  • Benefits Specialist
  • General Clerk III
  • Office Manager

Degrees

  • Bachelor of Science : Business
    Associate of Arts : Business

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