Crystal Hernandez
Minneapolis,MN
Summary
Highly organized Professional with expertise in developing and maintaining administrative and procedural processes to enhance accuracy and efficiency. Proficient in data entry, time management, and delivering exceptional customer service. Adept at managing multiple projects concurrently while providing high quality administrtive support to clients.
Overview
12
12
years of professional experience
Work History
Workers’ Compensation Specialist
Employer Solutions Group
Edina, MN
01.2017 - 07.2023
- Reviewed Incoming Workers’ Compensation Claims and ensured the injured worker completed all corresponding paperwork, received the medical care needed, and walked them through the claims process
- Filed Workers’ Compensation Claims with the insurance carrier and provided all details and documentation needed in order to make a determination on the claim
- Worked closely with Qualified Rehabilitation Consultants, Nurse Case Managers, Surveillance Investigators, Claims Managers, and Defense Attorneys to develop strategic plans in order to mitigate medical and litigation expenses by decreasing exposure and bringing cases to a favorable resolution
- Analyzed information gathered by the investigation and reported findings to Safety and Risk Management to eliminate safety issues and future injuries in the workplace
- Reviewed police reports, investigative reports, medical reports, work status reports, and all legal documentation throughout the life of the claim until closure
- Identified suspicious losses and contacted claims managers for investigative assistance for claim determination
- Conducted day-to-day administrative tasks to maintain claim files, process paperwork, and complete claim tasks
- Managed a large case load of 100+ evolving claims
Lead Preschool Teacher
YMCA
New Hope, MN
01.2012 - 10.2016
- Assisted and supervised up to 21 children in a classroom setting
- Conducted regular parent-teacher conferences to discuss student progress establishing strong relationships with parents and fostering increased parental involvement while encouraging a collaborative approach to education
- Incorporated play-based learning opportunities into daily routines, allowing students to explore new concepts while developing critical thinking skills through hands-on experience
- Utilized Positive reinforcement techniques when addressing behavioral issues, maintaining a respectful and orderly classroom environment conducive to learning
- Submitted weekly lesson plans in alignment with academic and social-emotional markers that needed to be met with each child before entering kindergarten
Education
Business Administration -
North Central University
Minneapolis, MN12.2011
Skills
- Claims Management and Resolution
- Investigation Techniques
- Policy Interpretation
- Regulatory Knowledge
- Legal Compliance
- Return-to-Work Programs
- Problem-Solving
- Insurance Policy Knowledge
- Scheduling
- Critical Thinking
- Team Collaboration
- Adaptability
- Computer Skills/Software Systems – Microsoft 360, Avionte, Zoom, iCalendar, Google Calendar
Timeline
Workers’ Compensation Specialist
Employer Solutions Group
01.2017 - 07.2023
Lead Preschool Teacher
YMCA
01.2012 - 10.2016
Business Administration -
North Central University
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