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Skills

  • Handling long-term disability cases
  • Advanced knowledge of workers' compensation laws
  • Compliance with OSHA standards
  • Discrepancy resolution in claims processing
  • Change management in compliance procedures
  • Relationship development
  • Risk assessment and mitigation
  • Collaborative teamwork with HR/Safety departments
  • Inventory management
  • Legal compliance and regulatory adherence

Work Experiences

  • Achieved cost savings of $2.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.
  • Classified job positions by status, salary, and other factors to make useful categorical assessments.
  • Provided subject matter expertise on employment regulations, compensation policies, and personnel management procedures to optimize internal structures.
  • Achieved a 37% reduction in employee injuries.
  • Created detailed organizational, flow chart, and career path reports to ensure smooth operations and employee progression.
  • Management recognized me for providing outstanding customer service.
  • Achieved a 48% reduction in processing time.
  • Saved money by developing functional solutions to system problems.
  • Achieved a $5 reduction in annual premium expenses.

Summaries

  • Results-oriented Miscellaneous professional with process improvement, risk assessment, and client relations strengths.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Knowledge of SAP in depth, as well as workflow optimization and stakeholder engagement abilities.
  • Achieved a 62% drop in on-site employee injuries.
  • Student pursuing a Miscellaneous degree who is eager to contribute developed knowledge in the role of Lead Workers' Compensation Specialist.
  • Achieved 49% adherence.
  • Ability to recognize method issues and integrate procedure solutions to achieve method.
  • Excellent prioritization and decision-making abilities.
  • Proven track record of motivating automated to achieve team, individual, and management goals.
  • Process improvement in metric settings and client relations in strategic planning settings.

Accomplishments

  • Generated comprehensive dashboards and analytical reports for senior management, allowing for data-driven decisions and achieving a 84% reduction in pending claims.
  • Collaborated with leadership to overhaul claim auditing procedures, reducing audit errors by 24% and improving compliance with federal guidelines.
  • Acted as a lead point-of-contact for external legal counsel and successfully resolved 8 high-priority workers' compensation claims, resulting in a 15% reduction of litigation costs.
  • Implemented a targeted safety training program aligned with regulatory updates, decreasing OSHA citations by 13 and fostering a culture of safety.
  • Provided expert consultation on state regulation changes for workers’ compensation and implemented proactive compliance changes, ensuring 47% adherence with no penalties.
  • Collaborated cross-functionally with internal stakeholders to align injury prevention strategies, resulting in a 52% decrease in claims originating from high-risk departments.
  • Negotiated settlements for 6 complex workers' compensation cases, ultimately saving the organization procedure in litigation and attorney fees.
  • Collaborated with HR and site supervisors to implement ergonomic assessments, reducing on-the-job repetitive strain injuries by 46%, as measured over 2016.
  • Led negotiations with insurance carriers, successfully reducing premium costs by 38% while safeguarding comprehensive coverage for all employees.
  • Served as the primary liaison for external vendors and medical providers, ensuring swift and accurate resolution of injury cases, resulting in 55% faster claim closures.

Affiliations

  • Earned the Workers’ Compensation Claims Professional (WCCP) designation from the procedure in 2015.
  • Board member of the Workers' Compensation Research Institute (WCRI) facilitating research on compensation outcomes.
  • Participated in American Association of State Compensation Insurance Funds (AASCIF) conferences for learning state-specific regulatory trends.
  • Volunteer legal advisor for non-profit organizations subjected to state-level workers' compensation law changes.
  • Member of National Workers’ Compensation and Disability Conference organization, contributing to annual discussions on industry innovations.
  • Engaged in Workers' Compensation leadership forums organized by the International Risk Management Institute (IRMI).
  • Affiliation with Self-Insurance Institute of America (SIIA) with a focus on lowering risk exposure in self-insured compensation frameworks.
  • Received Professional in Human Resources (PHR) certification specializing in workers' compensation advisory.
  • Endorsed Workers' Compensation Safety Training Course instructor certified by system since 2015.
  • Contributed as panel expert at the Insurance Educational Association's (IEA) Workers’ Compensation Roundtable Event.

Certifications

  • Workers’ Compensation Medicare Set-Aside (WCMSA) Certification
  • SHRM Certified Professional (SHRM-CP)
  • Risk Management for Workers' Compensation (RMWC) Certification
  • Certified Professional in Disability Management (CPDM)
  • Certified Claims Professional (CCP) - Ironclad Systems
  • General Insurance (INS) Professional Designation
  • Certified Risk Manager (CRM)
  • Risk and Insurance Management Society Fellow (RIMS Fellow) Certification
  • CompTIA A+ Technician
  • Chartered Property Casualty Underwriter (CPCU) Certification

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