Insurance and Claims Support

MARIA ELIZABETH HERNANDEZ

813-***-**** ******.**@*****.*** Tampa, FL www.linkedin.com/in/liz-hernandez-77152b120/

Seasoned Worker’ Compensation Specialist experienced in providing insurance claims and business services in complex corporate environments. A champion of change and a leader of transformation.

Strategic and influential leader with 20+ years of experience in corporate office environments and temporary staffing business sectors specializing in accounts payable, accounts receivable, property accounting, and corporate buying purchases. Over 5 years’ experience working in Professional Employer Organizations (PEO) and insurance industry handling Workers’ Compensation (WC) Claims, issuance of Certificate of Insurance, policy renewals, drug testing program renewals, and WC claim reporting to third party administrators. Partners with brokers, clients, and stakeholders, providing leadership and analytical insights to navigate complex situations, mitigate risk, and create fiscally beneficial solutions. Devises and implements practical strategies to enhance organizational development. Recognized for identifying business opportunities and initiating critical transformations. A collaborative leader able to motivate and drive excellence in people and teams.

Collaborated with IT Department to develop streamlined one source electronic based injury reporting system; eliminated prior three sources for reporting.

Created electronic format for wage statements which resulted in report submissions to insurance company in timely manner.

Reduced legal firm payment period timeframe to 60-days or less by implementing billing program; minimized errors and increased business relationship.

Increased production by 50% by developing simplified “Loss Claim Only” report and reduced redundancy.

Expertise

Accounting Principles, Practices & Procedures Document Loss Information Bilingual Follow-up Skills Vendor Relationships Insurance Services Client Relations Negotiation Expert Highly Organized Document Control & Data Entry Risk Management Administrative Expert Drug Testing Program Renewals Leadership Research & Problem Analysis Issuance of Certificate of Insurance Policy Renewals Process Improvement

Executive Progression

FrankCrum, Clearwater, FL: 2016-2018

Workers’ Compensation Claims Assistant

Oversaw daily correspondence, reviewed cases, and responded accordingly. Provided high-quality service and customer satisfaction. Qualified and ethical WC Claims Assistant offering extensive experience in leading key support to teams in all aspects of claims and client solutions.

Reported weekly client activity to outside third-party administrators (TPA).

Prepared in-state and out-of-state wage statements, legal letters to defense and co-employers for litigated WC claims, and submitted case files for review.

Mailed WC posters and created panels for new clients; supplied federal and state posters as requested by clients and other departments.

Maintained Legal eXchange for invoice payments to law firms handling claims; added law firms, entered new claims, prepared weekly invoice reporting, and distributed to appropriate TPA and adjuster.

Managed activity logs to include PEO and Open Market Policy (OMP) legal claims.

OMS Insurance Group, Lakeland, FL: 2016-2016

Workers’ Compensation Specialist

Highly dedicated and conscientious Workers’ Compensation Specialist with proven record of high client satisfaction. Investigated and processed claims reports and supporting documentation; identified and removed obstacles to ensure highest quality claims outcomes.

Handled renewals for Drug Free and Workplace Safety applications; delivered completed documents to insurance carrier.

Processed appropriate documentation to include WC endorsements, waiver of subrogation (WOS), cancellations, and reinstatements with insurance carrier; issued WC Certificate of Insurance to customers.

Monitored WC claims for insured until case closed.

Initiated and developed OMS PEO WC claims handling procedures for new customer base.

Trained in WC audits and Mod Experience Reporting.

A1HR Contract Staffing, Tampa, FL: 2013-2016

Workers’ Compensation Senior Coordinator

Instrumental in streamlining injury report process. Maintained administration of record keeping of all claims in company data base (ACCESS). Reported claims to Insurance carrier reporting systems and Safety and Management.

Received WC claims and processed claims from various co-employers within United States.

Facilitated Medical Only Claims from point of injury to completion and Lost Time Claims from point of injury to back to work.

Provided claim updates to worksite general manager and supervisors as well as Insurance Claims Adjusters.

Fulfilled requests for WC Injury Kits for new client presentations.

Evaluated WC insurance carrier loss runs and balanced total incurred to company data base (ACCESS).

Quality Assurance HR Service, Inc., Cicero, IL: 1997-2012

Vice President of Operations 2001-2012

Long-term executive career with processing worker compensation claims for federal and state employees. Established working relationships with clinics, doctors, and nurses for injured employee. Developed policies and procedures for Human Resource Department and provided employment verifications.

Streamlined and developed processes for accounts payable, accounts receivable, Human Resource and Workers Compensation Department.

Collaborated with vendors and clients to ensure smooth and efficient processing.

Processed unemployment claims.

Worked with injured employee; documented injury information and submitted to insurance for claim processing.

Education & Certification

Associates Degree in Accounting: Olive Harvey College, Chicago, IL cum laude

Certificate in Purchasing Management Certificate of Successful Completion: Employment Law Compliance: Disciplining or Terminating a Workers’ Compensation Claimant Certificate of Training Excellence: The Buyer’s Guide to Better Bid Management Certified Purchasing Manager Program Achievement Award: Effective Strategies in Supplier Diversity Certificate of Completion: Strategies in Negotiations and Rational Thinking in Negotiation

Florida Department of Financial Services: Certified Claims Adjuster – All Lines

License Number W291959

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