Risk Management Analyst

David Chatelain

Smyrna, GA ***** *****.**********@*****.*** 561-***-****)

Customer Focused Professional with Interest in Risk Management

Driven, hardworking, dynamic, and committed Professional with several years of transferable customer service, analysis, and administrative experience across different industries. Progressive hands-on experience has enabled the development of expert organizational and written, verbal and interpersonal communication skills help to ensure successful integration with varied personalities and a client centered approach; focusing on each client’s unique needs and recommended solutions. Able to work well both in a team environment and without supervision, develop productive relationships with representatives and all levels of management, prioritize multiple tasks and work resourcefully under stress and time constraints. Recognized for the ability to be flexible, adjusting easily to changing / stressful situations and evolving frameworks and learning new skills quickly.

Qualifying Contributions

Time management

Experience in Finance / Compensation

Research-minded

Risk mitigation

Conflict Resolution

Ability to Learn New Applications

Behavior / Differences / Motivations

Customer Service Oriented

Fluent in Spanish

Understanding of Insurance policies

Adaptable to Changing Environments / Schedules

Relationship Development

High Standards / Ethics

Quantitative / Analytical / Critical Thinking Skills

Experience Summary

INSPIRE BRANDS JULY 2018 – PRESENT

Workers’ Compensation Claim Analyst – Risk Department

Provide direction and support to insurance carrier’s claim adjuster and defense attorney to resolve claims tendered to the insurance company for handling.

Assist the Claims manager in identifying claim trends and developing safety recommendations to mitigate the company’s overall cost of risk while contributing to the 1 million dollar saving initiative for the year.

Report, investigate, supervise and resolve workers’ compensation claims for assigned states.

Authorize/review utilization of Third-Party Administrators (TPA), rehabilitation services surveillance services, defense attorneys, etc.

Implemented a new system on how cases would be divided up by each corporate brand and state and distributed amongst the workers’ compensation team.

LAW OFFICES OF JOHN MORRISON, Norcross, GA, OCTOBER 2017 – JULY 2018

Workers’ Compensation Case Manager

Manage the processing and completion of complex workers’ compensation claims for staff who experience minor to severe injuries on the job. Listen closely to each complaint / case, take steps to gather required information, and collaborate and work closely with attorneys to successfully reach a compensation agreement that is satisfactory to all parties involved and meets individual unique requirements and close each case.

Utilized in-depth understanding of rules and regulations to develop legal documents including motions, brief inserts, discovery documents, correspondence, and legal memoranda. Ensure that all documentation is complete, accurate, and in compliance with required standards.

Developed and managed up 100 cases.

Helped settle 20+ claims by translating information between the lawyer and client contributing to their settlement ratio.

CHUBB INSURANCE, Atlanta, GA, JANUARY 2014 – JULY 2017

Workers’ Compensation Lost Time Adjuster

Actively involved in the workers’ compensation claims process; analyzed claims by examining collected information to determine the exposure on the claim, calculated and paid benefits due (reviewed and approved all claim payments), and managed the claim litigation process; participated and engaged in negotiations with attorneys for settlements of claims within designated authority.

Reviewed / researched each claim in detail to identify potential areas of cost savings; used appropriate cost containment techniques, including strategic vendor partnerships, to reduce overall cost of claims.

Managed monetary aspects of assigned claims by establishing appropriate reserves and authorizing payment within the Workers’ Compensation Adjuster approval level or facilitating denial of the claim.

Worked diligently to Identify fraudulent submissions and took steps to mitigate any risks; saving company from inappropriate claim expense.

Education

Bachelor of Science in Business Administration, Florida A&M University, School of Business and Industry, Tallahassee, FL, 2013

Technical Skills

Microsoft Office (Word, Excel, PowerPoint)

Salesforce

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