Dedicated Human Resources/Workers Compensation Professional with 10 years of experience. Eager to apply comprehensive knowledge of workers' compensation regulations and procedures to lead a team effectively. Committed to optimizing claims processes, ensuring compliance with regulatory requirements, and delivering superior service to clients. Seeking a challenging role where I can leverage my managerial skills to drive efficiency and excellence in claims adjudication and resolution. Highly organized, efficient and communicative Liaison Officer with strong background coordinating business operations with internal and external stakeholders. Effective in serving as middle person in streamlining processes, resolving issues and improving communications.
Overview
11
11
years of professional experience
1
1
Certificate
Work History
Workers Compensation Liaison
Southeast Georgia Health System
4 2019 - 2023.12
Proficient with Office of Workers Compensation programs (OWCP)
Proficient with eComp Portal
Familiarity with AMA Workers Compensation 6th edition guidelines for setting PPD ratings
Certified Workers Compensation Professional
Acted as a liaison between the practice, departments, employers, insurance carriers, and workers compensation patients, ensuring timely and appropriate services and needs assessments
Collaborated with physicians and interdisciplinary staff to prepare clinical records for workers compensation patients
Provided education on Georgia Workers Compensation laws, statutes, liabilities, and reimbursement to internal and external stakeholders
Participated in employer efforts to enhance return-to-work programs for their workforce
Coordinated referrals and treatment consents, preparing necessary forms for physicians
Managed the medical record system, filing reports, and ensuring appropriate distribution of patient information
Consulted employers to verify individual requirements and expectations
Completed and submitted requisite disability documents, monitored claims' statuses, and addressed coding issues and denials
Monitored and responded to employers, patients, carriers, and workers compensation case managers promptly
Maintained current knowledge of Georgia Workers’ Compensation laws, statutes, and liabilities
Analyzed and reported statistical workers compensation trends within the practice, contributing to strategic contract initiatives
Successfully completed all other assigned duties.
Banker
Suntrust Bank
2011.01 - 2019.01
Account Management: Opened and closed checking and savings accounts, ensuring accuracy and compliance with banking regulations
Financial Advisory Services: Advised customers on a range of financial services including lines of credit, mortgages, and other banking products
Sales and Customer Acquisition: Successfully cross-sold various banking products and services to existing customers and approached new clients to expand the customer base
Collaboration and Customer Service: Collaborated with colleagues and other professionals to ensure the delivery of high-quality customer service and satisfaction
Administrative Tasks: Handled various clerical duties such as filing, maintaining records, and ensuring documentation accuracy
Problem Resolution: Effectively managed customer complaints and solved problems in a timely and professional manner, ensuring customer retention and satisfaction.
Human Resources Generalist II
Glynn County Board of Commissioners
2007.11 - 2011.03
Workers' Compensation Program Manager
Co-created New Employee Orientation Program
Safety Coordinator for County Employees
Risk Manager - Administering Insurance and Liability Programs
Chair, Safety Management Committee
Serve as the primary point of contact for all workers' compensation-related inquiries, providing guidance and support to employees and management
Manage the entire workers' compensation process, including claim intake, investigation, documentation, and resolution
Ensure compliance with all federal, state, and local workers' compensation laws and regulations
Coordinate with insurance carriers, medical providers, and legal counsel to facilitate timely and efficient claims management
Conduct thorough investigations of workplace incidents and injuries, including gathering evidence, interviewing witnesses, and documenting findings
Develop and implement return-to-work programs for employees on workers' compensation leave, in collaboration with supervisors and healthcare providers
Monitor the progress of workers' compensation cases and communicate regularly with injured employees, supervisors, and HR management
Identify and address any barriers to recovery and return to work, including medical, vocational, or workplace-related issues
Ensure that all workers' compensation-related documentation is accurate, complete, and maintained in accordance with company policies and legal requirements
Provide timely and accurate information to employees regarding their rights and benefits under the workers' compensation program
Assist employees with the completion of workers' compensation paperwork, including claim forms, medical releases, and return-to-work agreements
Serve as a liaison between injured employees, supervisors, medical providers, and insurance carriers to facilitate open communication and resolution of issues
Develop and deliver training programs for employees and supervisors on workers' compensation policies, procedures, and best practices
Conduct regular audits of workers' compensation files and records to ensure compliance with company policies and regulatory requirements
Stay informed of changes in workers' compensation laws, regulations, and industry trends, and communicate updates to relevant stakeholders as needed.
Education
Bachelor of Science - Political Science
Troy University
12.2020
Skills
Technical knowledge
Certification
Workers compensation professional
Timeline
Workers compensation professional
2024-03
Banker
Suntrust Bank
2011.01 - 2019.01
Human Resources Generalist II
Glynn County Board of Commissioners
2007.11 - 2011.03
Workers Compensation Liaison
Southeast Georgia Health System
4 2019 - 2023.12
Bachelor of Science - Political Science
Troy University
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