Carol Sim Email & Phone Number

California, United States

Long Beach, California, US

• Handle in-house workers’ compensation claims as member of internal corporate team.
• Review and analyze neglected claims to resolve outstanding employee complaints and improve existing processes
• Represent company to third party vendors to facilitate handling of claims and information exchange
• Prepare reports and update company loss run for upper management, Safety and Risk teams, and HR
• Designed and recommended return-to-work program to improve employee loyalty and branch accountability

Aliso Viejo, CA., US

• Managed complex claims payments and denials using creative and detailed analysis for prompt and effective processing.
• Improved a 75% delay in payments to 25% of caseload on 120-150 total claims
• Monitored aging A/R report to manage deliverables, resolved gaps in data, and created reporting with predictive value
• Analyzed weekly and monthly data trends and targets to leverage company tools and improve claims processing
• Developed a dynamic shared spreadsheet to improve transparency and data accuracy between departments

Anaheim, CA, US

• Hired through temp agency to prepare statistical data for the City’s Safety Manager.
• Conducted benchmarking and financial impact analysis, participated in strategic planning projects, streamlined calculation and reporting processes, and prepared data for upcoming safety reporting periods
• Handled all executive communications and converted statistical information into executive reports

Woodland Hills, CA, US

• Hired to analyze mid-tier corporate benefits for long term care with a focus on reducing fraud and increasing profitability.
• Leveraged workers’ compensation experience to identify fraud and improve fraud detection across team
• Established new recommendations and processes to staff and legal team for discovering and addressing fraud
• Quickly processed all claims with 99% accuracy on 180 cases daily, exceeding speed and accuracy standards

Bloomington, Illinois, US

• Hired as outside consultant to assess, analyze and recommend necessary changes to transform workers’ compensation division into a profitable line of business and align it with the culture of State Farm.
• Deeply analyzed and streamlined processes and procedures, overhauled workflows, made recommendations for improvements to customer service phone etiquette, and significantly added to bottom line growth
• Collaborated with defense attorneys and outside vendors, built strong rapport with peers and upper management, and worked across teams and in active discussions to resolve inter-departmental workstreams and build.

Sacramento, US

• Responsible for collecting taxes from the most complicated cases of businesses who have failed to pay obligations.
• Performed extensive research to find businesses who were evading taxes, failing to pay, or hiding from authorities
• Analyzed and estimated outstanding sales and use by analyzing confidential information from EDD, DMV and other government databases to understand complete payment history and amounts due
• Exceeded team average of 10% in collections by receiving more than 50% of taxes due from 30% of the 200 businesses and averaging +$1M in sales tax per account

Master Of Science - Ms, Accounting

Bachelor'S Degree, Policy And Power