Chelsie Utley
Washington Court House,OH
Summary
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
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
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
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.
- Managed multiple insurance products, offering tailored solutions to meet individual client needs.
Education
High School Diploma -
Madison Plains High School
London05.2009
Skills
- Documentation abilities
- Settlement Negotiation
- Workers Compensation Management
- Workers' Compensation Laws
- Human resources policies
- Benefits Administration
- Labor law knowledge
- Leave Administration
- Problem-Solving
- Time Management
- Multitasking
- Attention to Detail
Timeline
Injury Recovery Specialist
R+L Carriers
08.2022 - Current
Benefits Coordinator
R+L Carriers
05.2020 - 08.2022
Multiline Representative
Andy Lewis State Farm
10.2016 - 05.2020
High School Diploma -
Madison Plains High School
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