KRISTEN ANN HANCOCK
Beaumont,Texas
Summary
Skilled workers' compensation claims assistant with expertise in claim documentation, coverage verification, and medical record review. Proven track record of proactive communication with claimants, providers, and attorneys, ensuring compliance and timely resolution of claims. Demonstrated ability to enhance team productivity and operational efficiency through accurate support. Prepared to transition into an adjuster role, capable of independently managing claims and evaluating exposure for effective outcomes.
Overview
28
28
years of professional experience
3
3
Certifications
Work History
Workers Compensation Claims Assistant
Service Insurance Companies
Austin, Texas
04.2024 - Current
- Responded to incoming calls from claimants, employers, and healthcare providers, ensuring clarity on workers' compensation claims.
- Provided customer service to claimants, employers, insurance companies, and attorneys addressing inquiries and requests.
- Assisted in preparing claim forms and related documents for processing efficiency.
- Reviewed insurance-claim forms, ensuring completeness to expedite processing.
- Calculated benefits due based on applicable laws and policies.
- Contacted insurance companies to gather pertinent information regarding policies and patient payment benefits.
- Handled sensitive information per company policy and HIPAA regulations.
- Communicated effectively with supervisors on any issues arising during case file handling.
Senior Risk Analyst
Jefferson County Risk Management
Beaumont, TX
08.2016 - 02.2024
- Engaged with insurance carriers, brokers, adjusters, and personnel to implement effective risk management strategies.
- Demonstrated expertise in claims management, loss control, underwriting, and workers' compensation administration.
- Oversaw workers' compensation claims as liaison between county adjusters and department heads, analyzing and negotiating settlements.
- Conducted investigations into county fleet accidents, managing claims processing and communications with authorities.
- Managed monthly billing reconciliation for medical, dental, vision, and prescription claims across multiple districts.
- Facilitated annual enrollment meetings and training updates for streamlined employee enrollment processes.
- Provided knowledgeable support on risk management inquiries to employees and the public.
Office Manager, Administration & Benefits Coordinator
Jefferson County Community Supervision & Corrections
Beaumont, TX
01.1998 - 08.2016
- Coordinated procurement of departmental supplies, ensuring timely orders and efficient inventory management.
- Acted as primary liaison with vendors, negotiating pricing, quality, and managing delivery schedules.
- Managed Texas insurance program for community supervision employees, ensuring accurate record-keeping and timely updates.
- Maintained comprehensive personnel files while processing FMLA leave paperwork for departmental staff.
- Organized and conducted annual training updates and benefit seminars, including summer enrollment presentations.
- Managed monthly payroll deductions for ERS, calculating health premiums for precise reporting.
- Conducted reconciliation and balancing of monthly insurance premiums using Excel spreadsheets and required forms.
Skills
- Workers' Compensation
- Claims Management
- Claims processing
- Enrollment & Eligibility
- Benefits Administration
- Injury Claim Handling
- Claims documentation
- Regulatory compliance
- Claims Examiner
- Data-Driven Decision Making
- Investigations
- Risk Management
- Budget Management
- Insurance Premium Management
- Stop Loss
- Organization & Prioritization
- Team leadership
- Benefit calculation
- Document preparation
- Claims documentation
Accomplishments
- Leadership, Successfully assumed the role of acting Risk Manager for 5 months, providing seamless departmental leadership and continuity in the absence of a permanent Risk Manager.
- Scholarship Recipient, Awarded the prestigious 2022 Texas PRIMA scholarship as one of only twenty-two selected from over 200 applicants. Demonstrated exceptional potential in Risk Management, achieving significant cost savings for Jefferson County by eliminating the need for funded attendance.
- Transformation Advocate, Collaborated with the MIS Department to overhaul the departmental webpage, significantly enhancing user experience for employees seeking information on Benefits, Workers' Compensation, and Fleet Accidents.
- Process Improvement (Accounting), Redesigned billing invoices to improve financial accuracy and simplify the balancing process, directly contributing to the department's operational efficiency.
- Communication Strategist, Orchestrated the coordination of quarterly Risk Management updates for the county-wide HR newsletter, enhancing organizational awareness and engagement with risk management practices.
- Revolutionized the Annual Enrollment Guides, For both active employees and retirees, offering a visually appealing design coupled with comprehensive benefits information to facilitate informed decision-making.
Certification
Texas Adjuster - All Lines, 2018 - Present
Training
- HIPAA Compliance
- Texas Department of Insurance
- Texas Association of Counties
- Texas PRIMA
- KnowB4
- McGriff Risk Solution
- WebCE
Timeline
Workers Compensation Claims Assistant
Service Insurance Companies
04.2024 - Current
Senior Risk Analyst
Jefferson County Risk Management
08.2016 - 02.2024
Office Manager, Administration & Benefits Coordinator
Jefferson County Community Supervision & Corrections
01.1998 - 08.2016