Erin Louise Grage

- Investigate workers compensation claims in MN, SD, and IA to determine compensability.

- Educate claimants on the workers’ compensation process, oversee medical treatment, and address treatment requests from medical providers.

- Calculate lost time benefits for injured workers off work due to their injury.

- Partner with defense counsel on litigated files to move claims toward resolution.

- Review claims for settlement upon injured workers reaching maximum medical improvement; calculate and issue settlement payments.

- Review and authorize medical bills and process denials for unrelated treatment.

- Collaborate with nurse case managers and vendors to assist claimants with return-to-work efforts.

- Handled workers compensation claims for a third-party administrator across MO, IA, IL, and KS jurisdictions.

- Determined claim compensability and educated claimants on the workers’ compensation process.

- Oversaw medical treatment and addressed treatment requests from medical providers.

- Calculated lost time benefits for injured workers and identified settlement opportunities to bring files to resolution.

- Managed medical and indemnity claims with lifetime benefits for MN, TN, KY, CO, and AZ.
- Maintained strong relationships with insured clients and injured workers.
- Reviewed treatment requests for appropriateness and collaborated with nurse case managers as needed.
- Researched discrepancies and potential fraud, partnering with Travelers’ investigative unit for resolution.
- Paid medical bills and denied unrelated treatment, evaluating files for potential settlement opportunities.

- Processed medical-only workers’ compensation claims for MN, WI, SD, CA, MI, MO, and KS.

- Stayed current with state workers compensation laws and educated injured workers on the process.

- Collaborated with insured HR representatives to ensure compliance with state guidelines regarding medical treatment.

- Communicated with medical providers to update billing information as necessary.

- Partnered with underwriters to obtain and retain commercial insurance accounts for technology clients.

- Followed up with insurance agents on questions and requests for coverage changes, upselling lines of business when possible.

- Assisted in training new employees, completed audits, and resolved account issues effectively.

- Managed customer accounts by addressing billing inquiries and correcting inaccuracies.

- Built strong relationships with customers through prompt responses and follow-ups on open issues until resolved.