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Skills

  • Legal compliance in injury mitigation
  • Claim discrepancy resolution
  • Budgets
  • Attention to detail in claims review
  • Communications
  • OSHA compliance
  • Collaborative team leadership
  • State-specific compliance knowledge
  • Multi-state workers’ compensation knowledge
  • Medical billing review for work-related injuries

Work Experiences

  • Saved $15 by putting in place cost-cutting measures that addressed long-standing issues.
  • Collaborated with occupational health physicians.
  • Collaborated with system to mitigate liability in workplace accident lawsuits, saving $3 in court settlements.
  • Authored training manuals on regulatory changes.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Analyzed historical claims data.
  • Achieved Innovation Award for the company.
  • Achieved a 27% reduction in claim submission time.
  • Analyzed historical claims data to identify trends and propose preventative measures, reducing annual incident rates by 63%.
  • Achieved a reduction of 15%.

Summaries

  • Complete in-depth assessments with streamlined, logical systems to support program requirements.
  • Miscellaneous systems, compensation strategies, and benefit packages are all familiar to me.
  • Analyzed historical claims data.
  • Strengths in stakeholder engagement and project management backed up by Miscellaneous training.
  • Achieved favorable outcomes in 68% of claims settled.
  • Capable of overseeing a broad caseload while maintaining meticulous attention to detail in the timely filing, auditing, and settlement of claims.
  • Collaborated with external vendors.
  • Clear understanding of cross-functional collaboration and stakeholder engagement as well as strategic planning training.
  • Advocated for policy changes.
  • Within Miscellaneous, senior Workers' Compensation Coordinator and outstanding performer in cross-functional collaboration and data analysis.

Accomplishments

  • Negotiated settlements for workers' compensation claims, reducing company liabilities by an average of $9 per claim.
  • Delivered comprehensive training on workers' compensation procedures to 7 employees, increasing adherence to regulations across departments.
  • Led implementation of a digital claims management system that reduced administrative processing time by 54% and improved records accuracy.
  • Secured certification as a Certified Occupational Safety Specialist (COSS), utilizing this expertise to enhance workplace safety and reduce injury rates.
  • Reduced workers' compensation premium rates by consistently reviewing insurance policies and negotiating cost-effective coverage terms.
  • Documented and resolved framework which led to metric.
  • Resolved product issue through consumer testing.
  • Successfully closed 5 workers' compensation claims over the span of 2021, achieving 50% resolution within the targeted timeline.
  • Worked closely with injured employees to create modified duty plans that allowed a 40% higher return-to-work success rate.
  • Developed a claims tracking dashboard using Asana, facilitating real-time reporting on open claims and analysis of closure timelines.

Affiliations

  • Member, National Institute for Safety Health and Excellence (NISHE)
  • Certification in Health & Safety Management from Brightline
  • American Medical Informatics Association
  • Associate Member, International Risk and Safety Management Society (IRSMS)
  • Volunteer Affiliate, OSHA (Occupational Safety and Health Administration) Outreach Training in Denver
  • Member, Complementary & Alternative Medicine in Workers’ Compensation (CAMWC) Program
  • Member, National Council on Compensation Insurance (NCCI)
  • Attendee, framework Workers' Compensation Conference
  • Certified Risk Manager (CRM) from standard
  • Association for Supply Chain Management (APICS)

Certifications

  • Risk Management for Workers' Compensation Administrators - metric
  • CEBS - Certified Employee Benefit Specialist
  • Workers’ Compensation Law & Practice Certificate (Workers' Compensation Law Section)
  • Certified Public Accountant (CPA)
  • Return to Work Specialist (RTWC)
  • OSHA 10/30-Hour Training Certification
  • Certified Return to Work Coordinator (CRTWC)
  • WCCA/WCCP Designation - Workers' Compensation Claims Administrators
  • Cisco Certified Internetwork Expert (CCIE)
  • ANSI Accredited Certificate Program, Workers' Compensation Risk Management

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