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.
Headline : Developing, implementing, and sustaining safety and health, risk policies and plans for the company as a whole, and also Identifying accident root causes and safety and health risks; providing direction and guidance to minimize risks and causes.
Skills : MS Office, Training Skills, Coordinating Skills.
Description :
Openned, monitored, coordinated, and follow up on Workers' Compensation claims until the case is closed.
Setup and determining validity and compensability of claim within 24 hours by investigating, gathering information, and collaborating with the operations team/Injury Coordinators.
Entered claims into Worker Compensation System.
Coordinated wage statements, subpoenas, hearings, and investigations.
Approved reserves and authorize increases within reserving authority limits.
Set-up new claim files, maintain open and closed claim files.
Developed and managed well-documented action plan with TPA adjuster, insurance carrier, attorneys, and the field to effectively manage claims and costs and return to work program.
Experience
5-7 Years
Level
Executive
Education
MS
Workers Compensation Coordinator Resume
Objective : Hardworking, organized, Workers Compensation Coordinator professional with a proven background delivering sensible business technology solutions on time and under budget while working as a team member or team leader.
Skills : Microsoft Office, Calculations, Planning Skills.
Description :
Administered self-insured workers' compensation for the hospital system.
Maintained and documented transitional light duty payroll hours.
Created and implemented Return to Work/Modified Duty Program.
Prepared and maintained employee accounts in Lawson, Simplex, and Kronos systems.
Utilized Prognos database for record-keeping, analyzing, and tracking of employee injuries.
Prepared and maintained OSHA logs, annual reports, and surveys as required.
Attended, assisted, and represented the company in BWC and IC proceedings.
Experience
2-5 Years
Level
Executive
Education
MS
Workers Compensation Coordinator Resume
Headline : To secure a Workers Compensation Coordinator position with a well-established organization with a stable environment that will lead to a lasting relationship in the field of HealthCare. To obtain a position that will enable the use of my strong organizational skills and ability to work well with people.
Skills : Electronic Medical Records - EPIC, Meditech, Intellicure, Clinical Desktop, Basic Computer, Customer Service, Claims Processing, Medical Records, Receptionist.
Description :
Verified coverage and treatment on referrals from outside sources for new patients.
Scheduled the initial appointment.
Reviewed and provided the status of treatment to insurance adjusters and case managers when requested and remain in close contact with them during the entire course of patient treatment.
Monitored changes in the rules of the Division of Worker's Compensation.
Coordinated with the business office to evaluate and resolve reimbursement issues.
Maintained patient files in the EMR system, ensure accuracy of all information related to Worker's Compensation cases.
Solved difficult problems involving workers' compensation patients relating to work status or claim issues.
Experience
5-7 Years
Level
Executive
Education
MS
Workers Compensation Coordinator Resume
Objective : Organizing and managing OSHA reporting and other OSHA related matters, and also conducting OSHA training plans with employees and managers, Collaborating with managers to monitor compliance and identify safety issues.
Skills : Microsoft Word, Excel, Typing, Office, Administrative, Authorizations.
Description :
Scheduled patients for workers comp and motor vehicle injuries, Screen chart notes and treatment and present them to the physicians for approval and scheduling.
Collected and maintained claim status for accurate billing.
Requested for authorizations for diagnostic imaging, injections, and any other requested treatments.
Scheduled phone conferences, in-office conferences, and depositions between the doctors, attorneys, and claims adjusters.
Sent/Received all legal correspondence and verify completion and accuracy.
Assisted medical records which I worked full-time for 2 years before taking on my current position.
Dispersed faxes, transfer scanned documents into patient charts.
Experience
2-5 Years
Level
Executive
Education
CMA In Medical Assisting
Workers Compensation Coordinator Resume
Headline : Leading, creating, and implementing site emergency action plans and liaison with local first responders when needed, Directing accident investigation procedures, and also Enforcing all safety and health policies and procedures including the company's accident reporting processes.
Skills : Customer Service, Scheduling, Communication Skills.
Description :
Verified compensation, assigned adjusters, Nurse Case Managers, as well as any information obtaining to the claim before scheduling appointments - Schedule New patient referrals, follow up appointments, and missed appointments verified by the adjuster and/or nurse case manager assigned to the case.
Daily charged entry/billing serviced with specific skills such as ICD-9 diagnosis codes, & CPT procedure codes to ensure proper payment from the worker's compensation carrier of the fees marked by the physician.
Requested pre-certification or authorization on any requested study, physical therapy, surgery, durable medical equipment, or any other medical treatment, from the adjuster, to maintain proper care based on the patient needs related to the claim.
Properly filled out medical forms for the physician to sign to include: Family Medical Leave, Disability, and Short term disability, etc.
Distributed said forms via mail, fax, scanning / e-mailing - High volume of voice mails, e-mails, and open lines of communication between patients, physicians, and staff personnel.
Communicated with other medical staff and physicians to determine the need for patient services.
Responded to priority issues to insure the prompt referral of urgently needed medical care.
Experience
5-7 Years
Level
Executive
Education
Bachelor's In Managementment
Workers Compensation Coordinator Resume
Headline : Assisting with the site emergency action plans and liaison with local first responders when needed, and also Understanding and demonstrating safe work practices at all times to ensure a safe work environment.
Skills : Microsoft Office Word Excel PowerPoint Outlook SharePoint Mac OS Mainframe Terminals OSHA Recordkeeping Contracts.
Description :
Registered patients with work injuries.
Completed all proper forms for workers' compensation.
Contacted adjusters and employers for authorization to be seen by providers.
Typed doctor's First Reports.
Referred patients to physical therapy or other providers.
Sent PR-2 with RTW status to adjusters and employers.
Verified employment insurance and contacts.
Experience
5-7 Years
Level
Executive
Education
Bachelor's In Management
Workers Compensation Coordinator Resume
Headline : Overseeing all Environmental, Health, and Safety Programs- OSHA regulations, Site OSHA VPP-Star requirements, Air, Water, and Waste regulatory compliance, and also Working with operations to achieve objectives in alignment with site business goals and values.
Skills : Microsoft Office Efficient, Customer Service, Coordinating Skills.
Description :
Answered inbound Worker Compensation calls and provided information about the claim to the injured worker, provider, attorney, etc.
Filed Workers Compensation claims for Insured/Agents by asking detailed questions.
Managed an average of 80 calls a day, with the focus being on quality customer interactions.
Determined customer needs and provided solutions Accomplishments Received recognition from Managers/Supervisors.
Maintained a great relationship with callers and colleagues.
Recognized for Excellent Customer Service Received awards for Perfect Attendance Skills Used Advanced multi-tasking ability (navigated through 7+ computer applications, automated phone system, instant chat, and other online resources).
Documented on disability forms status on injuries.
Experience
5-7 Years
Level
Executive
Education
Associates In Business
Workers Compensation Coordinator Resume
Objective : Experienced in reporting and developing policies, Complying with all company policies and procedures, and also Completing special projects and other duties as assigned by supervisor.
Skills : Customer Service, Ticket Distribution Within BMC Remedy Action Request System Medical Transcription, Microsoft Office, Medical Billing And ICD-9 Coding, Telephone Etiquette.
Description :
Scheduled and supervised treatment for workers' compensation and personal injury patients.
Reviewed all physician notes.
Marketed services to referring providers.
Insured accurate record-keeping and document communication between patients, attorneys, adjuster, and case managers.
Scheduled depositions and provide records to physicians for review.
Communicated with billing personnel to ensure payment for services.
Documented and maintained accurate billing information for all workers' compensation personal injury cases.
Experience
2-5 Years
Level
Executive
Education
Associate In Nursing
Workers Compensation Coordinator Resume
Headline : Visiting campuses, makes rounds, assessing for safety issues and works to mitigate workplace injuries through various training and education, and also Focusing on the reduction of Lost Days by returning the employee to modified duty as soon as possible following an industrial injury.
Skills : Electronic Medical Records, Charge Data Master.
Description :
Managed 14 office personnel and provided effective leadership Handled Human Resource functions and benefits compensation.
Managed employment database for recruiting and termination of employees.
Reconciled facility budget and burst reports.
Assisted Case Management in authorizing Workers Compensation claims.
Preformed a 5 point audit on claimant accounts for billing and closeout.
Provided training and continuing education relating to state laws and regulations.
Decreased bad debt claims by implementing effective training relating to claim processing.
Experience
5-7 Years
Level
Junior
Education
Bachelor's In Health Administration
Workers Compensation Coordinator Resume
Objective : To obtain a Workers Compensation Coordinator position where I can utilize and maximize my office experience, quality assurance, and multitasking skills.
Skills : Medical Terminology, Bookkeeping, Medical Insurance.
Description :
Responsible for making appointments for injured workers.
Responsible for verifying workers' compensation insurance.
Communicated with adjusters, employers, and nurse case managers so that they receive proper documentation on workers' compensation claims.
Communicated with doctors and nursing staff to maintain an understanding of workers' compensation claims.
Communicated with the Tennessee Department of Labor on behalf of the doctors and patients if documentation needed for a workers compensation claim.
Responsible for typing office visits, operative reports, and letters using medical terminology and proper grammar.
Informed injured workers of all treatment options.
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