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Skills

  • Strategic planning
  • Claims Settlement Analysis
  • Team building
  • Training proficiency
  • Cross-departmental collaboration
  • Claim Processing Automation Implementation
  • High-Value Claim Resolution
  • Data-driven decision making
  • HubSpot expertise
  • Legal Documentation Review Collaboration

Work Experiences

  • Achieved PMP compliance award.
  • Analyzed service level agreements.
  • Oversaw the delivery of program project by framework team, which resulted in process.
  • Achieved a 39% decrease in injury-related time away from work through partnerships with physician networks and proactive healthcare coordination.
  • Solved program issues, improved operations, and provided excellent customer service.
  • Transported SAP to the past year customer locations.
  • Collaborated with finance to set annual reserves targets.
  • Collaborated with finance to set annual reserves targets based on in-depth claims forecasting, reducing over-reserving by $15.
  • Achieved a 11% decrease in repetitive workplace injuries.
  • Achieved a 73% decrease in injury-related time away from work.

Summaries

  • Workers' Compensation Claims Manager is a multi-talented Workers' Compensation Claims Manager who is consistently rewarded for planning and operational improvements.
  • Within Miscellaneous, senior Workers' Compensation Claims Manager and outstanding performer in vendor management and risk assessment.
  • Consistently resolves escalated claims.
  • Client-focused professional who consistently resolves escalated claims at a 71% resolution rate within the past year, ensuring high client satisfaction.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Building and deploying well-planned benefits and compensation plans has been proven to be successful.
  • Clear understanding of budget management and quality assurance as well as client relations training.
  • Adept at developing training initiatives for claims adjusters.
  • Collaborative and strategic manager.
  • Achieved a 38% improvement in first-time claim resolutions.

Accomplishments

  • Coordinated multi-departmental initiatives to create tailored return-to-work programs, leading to 5% fewer long-term disability claims.
  • Championed the integration of QuickBooks systems, streamlining claims documentation and improving processing speed by 60%.
  • Maintained compliance with regional and national workers’ compensation regulations, minimizing audit findings to zero over three years.
  • Collaborated directly with HR and occupational health teams to ensure injured employees returned to work safely, reducing disability-related costs by $146,000.
  • Led continuous improvement initiatives that reduced workers’ compensation processing time by 8 days, enhancing operational efficiency.
  • Developed and delivered training sessions to improve team understanding of key legal and regulatory requirements, reducing compliance errors by 83%.
  • Utilized data-driven analytics to identify patterns in claims and influence early intervention, decreasing claim costs by 82%.
  • Established a comprehensive claims database that increased transparency for stakeholders, reducing claim processing gaps by 51%.
  • Documented and resolved program which led to initiative.
  • Reduced average claim closure time by 85% through strategic mediation and focused claims management techniques.

Affiliations

  • Member, International Association of Industrial Accident Boards and Commissions (IAIABC)
  • Chair of the Workers' Compensation Innovation Committee
  • Founding Member, Collaborative Workers' Compensation Reform Act Committee
  • American Medical Informatics Association
  • Society of Human Resource Management
  • Chair, Safety and Workers’ Compensation Committee
  • National Association of Subrogation Professionals (NASP) Member
  • Association of Information Technology Professionals
  • Member, Public Agency Risk Management Association (PARMA)
  • Member, American College of Occupational and Environmental Medicine (ACOEM)

Certifications

  • Certified Public Accountant (CPA)
  • ServSafe
  • Cisco Certified Internetwork Expert (CCIE)
  • Power BI & Data Analytics Certification for Claims Processing
  • CPR and First Aid Certification from Lakeside Partners
  • Chartered Property Casualty Underwriter (CPCU) - Workers' Compensation Track
  • Workers' Compensation Claims Law Specialist (WCLS)
  • Advanced Workers' Compensation Strategy Certification from ReedGroup
  • OSHA 30-Hour Certification for Construction and General Industry
  • CompTIA A+ Technician

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