A Workers Compensation Coordinator ensures timely processing of workers’ compensation claims, evaluates accident reports and makes certain the city complies with applicable laws and regulations. Common job duties listed on the Workers Compensation Coordinator Resume are – organizing and supervising workers compensation program and processing legal documents, developing and ensuring compliance to compensation policies and procedures; managing employee injury cases and overseeing investigation claims, assisting in budget preparation and monitoring expenses, participating in worker compensation hearing and managing third-party reimbursement, and preparing staff reports and associated correspondence.
Summary of skills that can highlight a resume is – experience in supervising litigation and managing workers’ compensation programs; knowledge of federal, state, and local laws and codes, outstanding knowledge of workers’ compensation appeal board, the ability to analyze workers’ compensation plans, and skillful working with various compensation cases for civil laws. To qualify a degree preferably in the Human Resources field is considered mandatory.
Objective : Dedicated Workers Compensation Coordinator with two years of experience in managing claims and facilitating effective return-to-work programs. Proven ability to analyze complex cases, collaborate with stakeholders, and enhance compliance with safety regulations. Committed to minimizing workplace risks and ensuring a smooth claims process while maintaining a focus on employee well-being.
Opened, monitored, coordinated, and followed up on Workers' Compensation claims until resolution.
Assessed claim validity within 24 hours by investigating and collaborating with the operations team and Injury Coordinators.
Entered and managed claims in the Workers' Compensation System.
Manage and oversee all aspects of workers' compensation claims processing.
Approved reserves and authorized increases within established limits.
Maintained organized files for both open and closed claims.
Developed and managed comprehensive action plans with TPA adjusters, insurance carriers, attorneys, and field teams to effectively manage claims and costs.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Admin.
Junior Workers Compensation Coordinator Resume
Objective : Enthusiastic Junior Workers Compensation Coordinator with two years of experience in claims management and facilitating return-to-work initiatives. Adept at collaborating with stakeholders to streamline processes and enhance compliance. Passionate about promoting workplace safety and ensuring a supportive claims environment that prioritizes employee health and recovery.
Skills : Data Analysis And Reporting, Confidentiality, Team Collaboration, Record Keeping, Insurance Knowledge
Description :
Administered self-insured workers' compensation for the hospital system, ensuring compliance with state regulations.
Maintained accurate records of transitional light duty payroll hours for injured employees.
Designed and executed a Return to Work/Modified Duty Program to support employee rehabilitation.
Managed employee accounts in Lawson, Simplex, and Kronos systems, ensuring data integrity.
Utilized Prognos database for comprehensive record-keeping and analysis of employee injuries.
Prepared OSHA logs and annual reports, meeting all regulatory requirements.
Represented the organization in BWC and IC proceedings, advocating for employee rights and company interests.
Experience
0-2 Years
Level
Junior
Education
B.S. in HA
Workers Compensation Coordinator Resume
Objective : Accomplished Workers Compensation Coordinator with five years of expertise in managing claims and optimizing return-to-work strategies. Skilled in analyzing complex cases, liaising with stakeholders, and enhancing compliance with regulations. Focused on reducing workplace injuries and streamlining claims processes to support employee health and recovery.
Managed and verified coverage and treatment for new patient referrals, ensuring compliance with workers' compensation regulations.
Scheduled initial appointments and coordinated care with medical providers to facilitate timely treatment.
Maintained communication with insurance adjusters and case managers throughout the treatment process to ensure smooth claims handling.
Monitored regulatory changes in the Division of Workers' Compensation to ensure compliance.
Collaborated with the business office to resolve reimbursement issues and optimize financial outcomes.
Maintained accurate electronic medical records (EMR) for all workers' compensation cases, ensuring data integrity.
Resolved complex issues related to workers' compensation claims, advocating for employee rights and benefits.
Experience
2-5 Years
Level
Executive
Education
BSHA
Senior Workers Compensation Coordinator Resume
Headline : Accomplished Senior Workers Compensation Coordinator with 7 years of expertise in managing and optimizing claims processes. Proficient in analyzing complex cases, ensuring regulatory compliance, and collaborating with stakeholders to enhance employee recovery. Focused on implementing effective return-to-work strategies and minimizing workplace risks while fostering a supportive environment for employees.
Managed scheduling and coordination of patient appointments for work-related injuries, ensuring timely treatment and follow-up.
Maintained accurate billing records and monitored claim status to ensure proper reimbursement.
Coordinated authorization requests for diagnostic tests and treatments, ensuring compliance with insurance requirements.
Facilitated communication among physicians, attorneys, and claims adjusters through organized meetings and depositions.
Handled legal correspondence, verifying accuracy and completeness for efficient case management.
Leveraged previous experience in medical records to enhance overall claims processing efficiency.
Managed documentation and communication flow, ensuring all parties received necessary patient information promptly.
Experience
5-7 Years
Level
Senior
Education
B.S. in BA
Workers Compensation Coordinator Resume
Summary : Accomplished Workers Compensation Coordinator with 10 years of extensive experience in managing complex claims and developing effective return-to-work strategies. Expertise in collaborating with multidisciplinary teams to ensure compliance with regulations while enhancing employee recovery and workplace safety. Dedicated to optimizing claims processes and minimizing workplace injuries for improved organizational outcomes.
Skills : Effective Communication, Technical Proficiency, Database Management, Client Advocacy, Research Skills, Process Improvement
Description :
Managed the entire workers' compensation claims process, ensuring accurate verification of compensation and timely scheduling of appointments.
Processed daily billing entries utilizing ICD-10 and CPT codes to ensure proper reimbursements from insurance carriers.
Coordinated pre-certification and authorization processes for medical treatments, ensuring compliance with patient needs and insurance requirements.
Prepared and submitted necessary medical forms for physician signatures, including Family Medical Leave and Disability paperwork.
Maintained open lines of communication with patients, physicians, and staff to facilitate seamless information flow.
Collaborated with medical professionals to assess and address patient service requirements effectively.
Proactively addressed urgent medical care needs to ensure prompt referrals for injured employees.
Experience
7-10 Years
Level
Management
Education
B.S. Health Admin.
Freelance Workers Compensation Coordinator Resume
Objective : Results-oriented Workers Compensation Coordinator with five years of experience in managing claims and implementing effective return-to-work programs. Expertise in analyzing complex cases, collaborating with medical providers, and ensuring compliance with regulations. Dedicated to enhancing employee recovery and minimizing workplace risks through streamlined processes and proactive communication.
Skills : Communication Skills, Problem Solving, Case Management, Attention To Detail
Description :
Registered patients with work injuries and ensured all necessary documentation was accurately completed.
Coordinated with adjusters and employers to secure authorization for medical treatment.
Typed and processed Doctor's First Reports to initiate claims promptly.
Facilitated referrals to physical therapy and other medical providers as needed.
Communicated return-to-work statuses to adjusters and employers to support timely employee reintegration.
Verified employment insurance details and maintained accurate contact information.
Conducted follow-ups with injured employees to monitor recovery progress and address concerns.
Experience
2-5 Years
Level
Freelancer
Education
BSHA
Workers Compensation Coordinator Resume
Summary : Experienced Workers Compensation Coordinator with a decade of expertise in managing intricate claims and implementing effective return-to-work initiatives. Proficient in fostering collaboration among stakeholders, enhancing regulatory compliance, and driving workplace safety. Passionate about optimizing claims processes to support employee recovery and minimize organizational risks.
Skills : Microsoft Office Suite Proficiency, Claims Management Expertise, Client Relations, Project Management, Adaptability, Organizational Skills
Description :
Handled inbound Workers Compensation inquiries, providing accurate claim information to injured workers and stakeholders.
Processed Workers Compensation claims by gathering detailed information to ensure compliance and accuracy.
Managed an average of 80 daily calls, emphasizing quality interactions to enhance service delivery.
Identified customer needs and provided effective solutions, earning recognition from management for outstanding performance.
Maintained strong relationships with callers and colleagues, fostering a collaborative work environment.
Received awards for exceptional customer service and perfect attendance, reflecting dedication and reliability.
Documented injury statuses on disability forms, ensuring accurate tracking and compliance with regulations.
Headline : Highly skilled Workers Compensation Coordinator with 7 years of experience in managing claims and enhancing return-to-work initiatives. Expertise in analyzing intricate cases, collaborating with diverse stakeholders, and ensuring compliance with regulatory standards. Passionate about fostering a safe work environment and streamlining claims processes to support employee recovery and organizational efficiency.
Skills : Risk Assessment, Workers Compensation Legislation, Workplace Investigations, Health And Safety, Compensation Analysis, Time Management
Description :
Managed the complete claims process for workers' compensation cases, ensuring compliance with legal and company standards.
Analyzed case details and collaborated with medical professionals to facilitate effective treatment plans.
Streamlined communication between stakeholders, including employees, attorneys, and insurance adjusters, to enhance claims resolution.
Developed and implemented return-to-work strategies that prioritize employee health and minimize lost workdays.
Maintained accurate documentation and records for all claims, improving audit readiness and compliance.
Conducted regular reviews of claims to identify trends and recommend process improvements.
Trained staff on workers' compensation policies and procedures, fostering a culture of safety and compliance.
Experience
5-7 Years
Level
Consultant
Education
B.S. in BA
Workers Compensation Coordinator Resume
Objective : Results-focused Workers Compensation Coordinator with two years of experience in handling claims processing and implementing return-to-work strategies. Skilled in case analysis, stakeholder collaboration, and ensuring compliance with safety standards. Dedicated to fostering a safe work environment and enhancing employee recovery through effective claims management and proactive risk mitigation.
Supervised a team of 14 personnel, providing leadership and guidance in workers' compensation processes.
Managed employment database for recruitment and termination, ensuring compliance with company policies.
Oversaw the facility budget and reconciled financial reports to maintain fiscal responsibility.
Collaborated with case management to authorize and process Workers Compensation claims efficiently.
Conducted audits on claimant accounts to ensure accurate billing and timely closeouts.
Facilitated training and education programs on state regulations and compliance standards.
Reduced bad debt claims by implementing targeted training on claims processing and best practices.
Experience
0-2 Years
Level
Entry Level
Education
B.S. in BA
Workers Compensation Coordinator Resume
Objective : Results-driven Workers Compensation Coordinator with two years of experience in managing claims and facilitating the return-to-work process. Expertise in collaborating with healthcare providers and ensuring regulatory compliance while prioritizing employee welfare. Dedicated to optimizing claims management and enhancing workplace safety to support employees' recovery and organizational efficiency.
Skills : Customer Service, Report Writing, Conflict Resolution, Policy Interpretation, Training And Development
Description :
Facilitated appointments for injured workers, ensuring timely access to care.
Verified workers' compensation insurance to ensure compliance with regulations.
Communicated effectively with adjusters, employers, and nurse case managers to ensure proper documentation for claims.
Collaborated with medical staff to maintain accurate records and understanding of claims.
Coordinated with the Tennessee Department of Labor for required documentation on claims.
Managed typing of office visits and operative reports using medical terminology accurately.
Educated injured workers about available treatment options and processes.
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