workers' compensation supervisor or workers' compensation manage

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  • 8/3/2019 Workers' Compensation Supervisor or Workers' Compensation Manage

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    SAFETY-RISK MANAGEMENT PROFESSIONAL

    I am an experienced insurance-claims/risk management professional, with extensive and diverse claims management experience in multiple locations, with a focus on negotiating complicated situations to resolution. My professional career has developed some key skills including the following:

    Claim handling and investigationsRisk assessment and mitigationClaim reports and documentationPolicy interpretationDamage assessmentConfidential records managementEvaluation of liability exposureProject ManagementWorkers Compensation administrationData Analysis

    PROFESSIONAL EXPERIENCE

    Gallagher Bassett Services, Indianapolis, IN2004-2010

    Worker's Compensation Supervisor*Verified to clients and/or company that files met or exceeded product standards

    or performance guarantees.*Assisted Branch Manager with staff leadership, including four direct reports.*Assessed each claims coding to ensure data accuracy and prevent significant cost variances due to data errors.*Reviewed staff performance on an annual basis including coaching setting on performance needs and goals.*Lead regular one to one staff meetings to communicate expectations, training needs and performance issues.*Monitored open inventory (staff case load) to ensure proper open to close working ratio.*Reviewed requests to determine if claim investigation denials were appropriateor not*Conducted onsite and telephone claim reviews. Helped adjusters and clients wit

    h seeking courses of action related to how clients could save money on claims, and by suggesting settlement savings over the course of the claim, a time frame,etc.

    Galyan's Sporting Goods, Plainfield, IN2003-2004

    Risk Manager*Developed plans to protect employees, customers and company property.*Provided a link between the companies TPA and carriers and companies 45 retaillocations.*Identified, drafted, and distributed to all employees, Hazard Communication Memos.*Ensured company personnel compliance with all property and casualty insurance p

    rograms.*Monitored 45 retail locations compliance with company claims reporting procedures.*Developed, revised, and distributed general and specific safety programs to all45 retail locations.* Allocated insurance losses back to locations monthly to reduce costs and inefficiency.* Successfully transitioned insurance and risk management department to anothercompany when Galyan's was bought out and taken over.

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    H.H.Gregg, Indianapolis, IN 2002-2003Insurance-Risk Claims Manager*Implemented self-insured worker's compensation program for companies Ohio locations.*Administered company's corporate health and safety program for 37 locations inmultiple states.*Secured medical facilities for each location for post-accident employee drug testing and medical treatment.*Coordinated FMLA benefits with HR Department on all worker's compensation claims*Established Back School & Body Mechanics Training for delivery and warehouse staff aimed at reducing company's largest source of worker's compensation losses.

    *Reconciled worker's compensation; auto; and, liability losses monthly in orderto allocate expenses back on location budgets to curb inefficiency.*Received, screened and processed all claims for all lines of losses.*Acted as liaison between the company's insurance carrier and 37 retail locations.

    Conseco Risk Management, Carmel, IN2001-2002

    Assistant to Account Manager*Processed requests for certificates of insurance.*Researched flood zones prior to client beginning new construction projects.

    *Generated monthly spreadsheet tracking system to organize client's book of business by square footage and dollar value.*Reorganized a logging system that improved document retrieval.*Assisted Account Manager by gathering, organizing and formatting data for client presentations.*Verified insurance coverage types and levels upon client needs and for specialevents.*Communicated between Account Manager and administrative staff.

    Duke Realty, Indianapolis, IN 2001Claims Manager*Redesigned company worker's compensation management program, making reporting more streamlined and tracking more accurate.

    *Modified company Return to Work Program, which decreased the number of lost work days and in time lost dollars and downtime.*Communicated safety and insurance information throughout the company via safetynewsletter I created on Publisher monthly.*Distributed "Safety Talk" topics to safety managers to cover in required safetymeetings.*Set each location up with Safety Awareness Packets requiring each associate toacknowledge receipt of by signing or face disciplinary action for failing to comply.*Reported all associate injuries to Corporate Risk Manager and company worker'scompensation carrier; then, acted as carrier liaison till claim conclusion.*Coordinated locating new treatment facilities each time company would begin a new construction or building project.

    Liberty Mutual, Carmel, IN1997-2001

    Workers Compensation Adjuster & Sr. Workers Compensation Adjuster*Maintain professional, positive communication with claimants; clients and fellow employees.*Adhere to all required claims handling guidelines; performance guarantees; and,state statutes.*Required to maintain a ratio of one file closed for every one new file opened.*Supervised one other lost-time adjuster and a medical-only adjuster

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    *Ensure return of emails, voice mails within same business day but no later than24 hours of receipt.*Required to complete timely investigation of claims within company and multi state requirements.*Ensure proper coding on all files for reporting and tracking accuracy.

    Parisian Department Store, Indianapolis, IN1994 - 1997

    Loss Prevention Associate-Manager*Conduct operations audits on physical building; receiving area; cash office; and, all storage areas.*Increased associate profit loss communication by using monthly topic board in ahigh traffic area, the associate lunch room.*Organized associate Safety Weeks with each day focusing on one subject from CPRto parking garage safety to handling bomb threats.*Trained staff and store associates on accident prevention.*Trained staff and associates on theft deterrent techniques.*Attended court as required to represent location in civil cases.*Represented location in interaction with local law enforcement and other civilagencies.

    EDUCATION

    Purdue University, West Lafayette, INHistory, B.A., 3.22 GPA*Achieved award for maintaining above 3.0 GPA in major*Member of Delta Tau Delta Fraternity

    Wabash College, Crawfordsville, IN History Major*Member of Wabash College Football Team*Member of Delta Tau Delta Fraternity

    OTHER EDUCATION AND TRAINING

    *Associate in Management (began study 1/2011)

    *Property & Casualty Pre-Licensing Class 2010*Life, Accident & Health Pre-Licensing Class 2010*Kentucky Workers Compensation Apprentice Licensing 2007*Ohio Self Insured Orientation Training 2002*Ohio Self Insured Qualified Health Plan Training 2002*1500 Hours Loss Prevention-1996*Defense Without Damage-1995*Aerosol Protection Device-1995*Courtroom Testimony-1995*Proficient in Microsoft Word, Outlook, PowerPoint, Excel, Publisher, Access, and Lotus Notes

    COMMUNITY ACTIVITIESCoach, Grove Bantam Football LeagueCoach, Center Grove Soccer League

    GROUP ASSOCIATIONSTyler Genneken Memorial Football FoundationIndiana Workers Compensation InstituteHuman Resources Squaretable