Detail-Oriented Claims Technician with claims examiner experience handling and managing workers compensation claims in compliance with California Labor Code and municipal Policies. Skilled in evaluating claim compensability, authorizing medical treatment and calculating and issuing benefit payments. Strong communicator experienced in advising employees on benefits and legal rights, coordinating medical evaluations and return to work efforts and supporting litigated and subrogation cases.
Work History
Claims Technician
2 Years 4 Months
City of compton | 04.2024 - Current
Streamlined departmental organization by implementing an effective filing system for claim documents, enhancing retrieval efficiency.
Demonstrated strong attention to detail and organizational skills in managing complex workers compensation and liability claims and using the IVOS system, ensuring accurate data entry, timely follow ups and thorough documentation
Proficient in navigating IVOS Systems to track claim status and documentation, m well organized claims while ensuring compliance with departmental procedures and regulations
Demonstrated strong attention to detail and organizational skills in managing complex workers compensation and liability claims and using the IVOS system, ensuring accurate data entry, timely follow ups and thorough documentation
Proficient in navigating IVOS Systems to track claim status and documentation, m well organized claims while ensuring compliance with departmental procedures and regulations
Substitute Teacher
1 Year 9 Months
Compton Unified School District | 11.2024 - Current
Supervised lunchroom and recess activities, ensuring student safety and engagement.
Implemented classroom plans provided by class teacher to maintain educational continuity and reinforce core concepts.
Supported special education students in inclusive classrooms by developing tailored accommodations and modifications to enhance learning outcomes.
Claims Examiner
7 Months
City Of Compton | 06.2025 - 01.2026
Authorize medical treatment and physician changes under California Workers’ Compensation regulations.
Calculate and issue medical, temporary disability, and permanent disability payments per Labor Code.
Conducted interviews with claimants and witnesses to gather factual information for claims assessment.
Authorized medical treatment and physician changes in compliance with California Workers’ Compensation regulations to ensure appropriate care.
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
Advise and educate employees and dependents on Workers’ Compensation benefits, rights, and City policies.
Analyzed claim data to support informed, defensible decisions in claim outcomes.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Safeguard confidential records and enforce information security standards.
Reviewed new claims and established appropriate initial reserves
Consulted police and hospital records when needed.
Education
BA - Communications
California State University, Northridge | Northridge, Ca | 05-2018
Member of EOP
Skills
Patient contact
Legal contact
Medical contact
Written Communication
Data Entry
Clerical Support
Teamwork and Collaboration
Proficient in excel
Excellent Communication
Critical Thinking
Certification
Claims Practitioner in Workers' Compensation Medical Only - 07/2025
Claims Practitioner in Workers' Compensation Indemnity - 05/2026