Claims Analyst
State of Wyoming-Workforce Services
Cheyenne, WY
- Reviewed and assessed workers' compensation claims, including analyzing medical records, wage loss calculations, and evidence for accuracy. Prepared detailed reports on claim findings, processed benefit payments, and maintained accurate records of all claim activities.
- Engaged stakeholders in risk identification and assessment, maintained risk programs, and communicated risk and compliance concepts effectively, while participating in senior management meetings and attending training to enhance hazard identification and risk assessment skills.
- Provided customer service by addressing inquiries, resolving complaints, and educating claimants and employers on workers' compensation processes and rights. Collaborated with legal counsel on litigation-related documents and negotiated settlements between claimants and employers or insurers.
- Monitored industry developments and legal changes affecting workers' compensation, participated in hearings, and counseled clients on compliance with state laws. Coordinated with medical professionals, performed risk assessments, and recommended policy changes to enhance the effectiveness of claim processing procedures