Results-driven Medical Claims Analyst with 10+ years of experience in efficiently managing workers' compensation claims complying with regulations. Proactively identify trends, facilitate communication between stakeholders, and maintain up-to-date knowledge of industry regulations. Proven track record of successful claims resolution, including litigated claims. Expertise in claims management, workers' compensation regulations, and data analysis. Strong problem-solving and communication skills. Recognized for outstanding claims management and successful program implementation resulting in cost savings and improved workplace safety. Enthusiastic about contributing to your organization's success and delivering exceptional service to clients.
Managed the process for recording, communicating, and reporting workers' compensation claims, complying with internal procedures and regulations. Monitored all claims, liaised with various parties, and communicated case status details effectively. Conducted periodic reviews of cases to identify trends. Maintained up-to-date knowledge of workers' compensation regulations and laws resulting in efficient claims management.
Supported claims administration for workers' compensation and assisted with claims reporting and management. Verified premium billings, processed invoices, and allocated claims costs across business divisions. Maintained effective communication among operations, claims adjusters, and carriers, ensuring smooth claim resolution.