Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Shawn Hopkins

Shawn Hopkins

Louisville

Summary

Detail-oriented claims adjuster with expertise in processing workers' compensation claims. Strong communication skills ensure effective interaction with clients and medical professionals, enhancing case management and resolution.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Claims Adjuster

Sedgwick Claims Management
Blue Ash
08.2022 - Current

Handle medical-only claims and minor compensation claims under close supervision. Supports other claims representatives .Processes workers compensation claims determining compensability being able to authorize and approve any necessary treatments such as Physical Therapy MRI or Occupational Therapy . Communicate claim action/processing with claimant, client and appropriate medical contact. Being able to properly file and notate any and all medical documentation such as medical records medical restrictions and referrals. At times process any payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Maintains professional client relationships.

Onboarding Specialist

Mercy Health
Cincinnati
02.2022 - 08.2022
  • Coordinated onboarding scheduling for new hires' orientation and occupational health to ensure a smooth transition.
  • Ensuring that new hires paperwork is filed electronically in accordance within regulations
  • Ensured completion of new hires' preemployment requirements, including background checks, certifications, and education credentials, to facilitate timely hiring.
  • Update hires information by using Onbase, and Workday employee tracking systems.
  • Researched and verified new hires' licensures through various sites to confirm compliance with regulatory standards.

HR Central Specialist

Luxottica
Mason
12.2019 - 03.2022
  • Coordinated onboarding scheduling for new hires' orientation and occupational health, ensuring smooth integration into the organization.
  • Ensure completion of new hires' preemployment requirements such as background checks, certifications, and education credentials.
  • Verified new hires' licensures through various sites, ensuring regulatory compliance and readiness for position requirements.
  • Updated new hire information in Onbase and Workday employee tracking systems, maintaining accurate records for compliance and accessibility.
  • Ensuring that new hires paperwork is filed electronically in accordance within regulations

Education

Bachelor of Arts - Computer And Information Systems Security

Strayer University
Washington, DC

BBA - Business Administration

Indiana Wesleyan University
Marion, IN

Skills

  • Claims processing
  • Claims investigations
  • Workers' compensation claims
  • [State name] claims adjuster license
  • Claims file documentation
  • Best practices implementation
  • Attention to detail
  • Critical thinking
  • Problem-solving
  • Decision-making
  • Caseload management
  • Multitasking and organization
  • Team collaboration
  • Effective communication
  • Advanced oral and written communication skills
  • Active listening
  • Empathy and patience
  • Ethical judgment
  • Rules of evidence

Certification

Texas All Lines Adjusters License

Timeline

Claims Adjuster

Sedgwick Claims Management
08.2022 - Current

Onboarding Specialist

Mercy Health
02.2022 - 08.2022

HR Central Specialist

Luxottica
12.2019 - 03.2022

Bachelor of Arts - Computer And Information Systems Security

Strayer University

BBA - Business Administration

Indiana Wesleyan University
Shawn Hopkins