Workers Compensation Claims Administrator Resume Example Company Name

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

Company Name- Workers Compensation Claims Administrator
City, State11/2018 - 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

Company Name- Benefits Specialist
City, State09/2018 - 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

Company Name- General Clerk III
City, State07/2015 - 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

Company Name- Office Manager
City, State08/2009 - 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

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

Workers Compensation Claims Administrator Resume Example

Resume Score: 80%

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