Summary
Overview
Work History
Education
Skills
Timeline
Generic
Chelsea Fontenet

Chelsea Fontenet

Humble,TX

Summary

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.

Overview

19
19
years of professional experience

Work History

Medical Claims Analyst

Memorial Herman Hospital
Katy, TX
01.2018 - Current

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.

  • Communicated case status details to involved parties, resulting in improved collaboration and timely resolution of claims.
  • Identified and reported emerging trends in workers' compensation claims, ensuring proactive action to minimize risks.
  • Maintained accurate records and documentation of claims, facilitating easy access to information for all stakeholders.

Claims Coordinator

Select Speciality Hospital
Katy, TX
05.2005 - 12.2017

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.

  • Verified premium billings and processed invoices accurately, ensuring timely payments and reducing financial discrepancies.
  • Collaborated with cross-functional teams to allocate claims costs, enabling accurate analysis and strategic decision-making.
  • Maintained open lines of communication between operations, claims adjusters, and carriers, facilitating efficient claims resolution.

Education

Associate of Applied Science -

Houston Community College
Houston, TX
05.2007

Skills

  • Workers' Compensation Regulations
  • Claims Management
  • Litigated Claims
  • Data Analysis
  • Risk Assessment
  • Insurance Administration
  • Communication
  • Negotiation
  • Team Collaboration
  • Microsoft Word
  • Microsoft Excel
  • Claims Reporting

Timeline

Medical Claims Analyst

Memorial Herman Hospital
01.2018 - Current

Claims Coordinator

Select Speciality Hospital
05.2005 - 12.2017

Associate of Applied Science -

Houston Community College
Chelsea Fontenet