Experienced Injury Recovery Specialist with a track record of reducing workers' compensation claims costs. Expert in workers' compensation management and settlement negotiation, along with exceptional problem-solving abilities. Achieved significant case resolutions through reviewing documentation and attention to detail, ensuring compliance and employee satisfaction.
Overview
8
8
years of professional experience
Work History
Injury Recovery Specialist
R+L Carriers
Wilmington, OH
08.2022 - Current
Sustained client confidentiality and adhered to HIPAA guidelines.
Maintained compliance with federal and state regulations governing workers compensation administration, avoiding costly fines or penalties for noncompliance.
Managed relationships with external vendors such as the third party administrator, legal counsel and private investigators involved in the resolution of complex workers compensation cases.
Reduced company costs associated with workers compensation claims by identifying potential fraud cases and conducting thorough investigations.
Oversaw a number of workers compensation claims while maintaining accurate records and documentation.
Managed a large caseload of complex workers compensation claims, resolving cases in a timely manner while maintaining high standards of accuracy and professionalism.
Demonstrated a deep understanding of workers compensation laws and regulations in multiple states, enabling accurate decision-making on all cases.
Evaluated claims, ensuring proper investigation and handling.
Supported injured employees throughout the claim process, providing guidance on their rights under workers compensation laws and ensuring proper care was received.
Worked closely with other human resources representatives to address employee concerns related to workers compensation policies, ensuring a productive work environment for all company employees.
Benefits Coordinator
R+L Carriers
Wilmington, OH
05.2020 - 08.2022
Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Served as primary point of contact for employee benefits inquiries.
Effectively managed and coordinated all aspects of FMLA leave requests.
Educated employees in of the requirements of FMLA eligibility criteria, ensuring they received appropriate support during their leave periods.
Maintained confidentiality and discretion when handling sensitive employee information.
Implemented an effective case management system that allowed for timely updates on individual leave statuses to management.
Ensured timely delivery of required paperwork to employees by keeping organized files and maintaining strict deadlines.
Communicated with managers to identify and address employee relations issues.
Multiline Representative
Andy Lewis State Farm
Washington Court House, OH
10.2016 - 05.2020
Enhanced client retention through thorough follow-ups, ensuring all concerns were addressed efficiently.
Guaranteed customer satisfaction by addressing and resolving customer inquiries promptly and professionally.
Collaborated with team members to achieve collective sales goals and enhance overall performance.
Conducted thorough client meetings to provide accurate quotes and ensure adequate coverage for clients needs.
Provided exceptional service to both new and existing clients, resulting in increased referrals from satisfied customers.
Developed strong relationships with clients, to gain trust and loyalty for repeat business.