Edison Andrade
Senior Workers Compensation Analyst @Los Angeles Metro
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WORK HISTORY
Senior Workers Compensation Analyst @Los Angeles Metro
US
Conduct senior analyst-level investigations upon receipt of new claims.Assists employees who have been injured on the job and processes benefits due to injured employees.Handle issues and problems regarding injured workers who have filed claims.Process medical bills and liens accumulated during an injured employee claim process.Review and respond daily to all incoming legal and medical mail in a timely manner in accordance with California Labor Code regulations.Handle claim files efficiently to ensure all benefits have been paid timely and appropriately.Provide quality customer service to injured employees, division personnel, and providers.Maintains claim files on an effective diary system to aggressively handle claims and ensure timely responses.Works closely with legal to strategize on plans of action for appropriate resolution of claims.Mentor and train lower-level employees.Provide a high quantity and quality of work in accordance with departmental policies and procedures and in accordance with the California Labor Code Regulations and Requirements.Prepare files for presentation to division personnel as required/needed.Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out.Perform other job duties as assigned.
EDUCATION
DeVry University
Bachelor of Science, Technical Management
IEA Training
Workers’ Compensation
ABOUT EDISON ANDRADE
Bilingual Experienced Senior Claims Examiner with a demonstrated history of working in the workers compensation industry. Skilled in Negotiation, Analytical Skills, Microsoft Word, Customer Relationship Management (CRM), and Quality Assurance. Strong finance professional with a Bachelor of Science focused in Technical Management from DeVry University.
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