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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Cayuga Ave NEPalm Bay, FL Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective As I am semi-retired, I am looking to work part time in customer service or retail positions. I have worked for three years as part time cashier at Aldi and Dollar Tree in Pittsburgh before relocating to Florida.Qualifications East Coast Risk Management June 2019 to November 2019Risk Manager/ConsultantOversight of WC Claims for our clients, including reporting of claims, gathering information and facilitating carrier communications.Develop and implement Physicians Panels, return to work programs to ensure appropriate medical care and train insured in Best Practices for sameIdentify and assist insured in documenting subrogation potential and facilitate pursuit of same in tandem with carriersTrain clients on workers comp protocolsMonitor medical management and appropriateness of careJurisdictions include PA, NJ, NY, VA, MT, WI, and KYSedgwick Risk Management, June 2018 to June 2019Senior Claims ExaminerManage lost time claims for Macys and BloomingdalesProcess medical bills and review for proper coding, etcFor NJ and PALiaison with Excess carrierGallagher Bassett Services March 2015 to June 2018Team LeadManage lost time claims for First Student America, Greyhound, Manpower, Dish Network for PA and NJDevelop and implement claims procedures and physicians panelsLitigation managementTraining of new hiresBackup to supervisor with new claims assignmentsRecipient of several service awards from dedicated accountMotorists Insurance Group Jan 2012 to February 2015 Monroeville, PAWorkers Comp Claims SupervisorSupervised nine adjusters located in PA and OHImplemented Best Practices and numerous cost containment programsLiaison between agents, insureds and adjusterVendor ManagementConducted numerous in-house training seminarsDirected TPA in handling of legacy filesJurisdictions include: PA, IN, KY, WV, NY, CT, MN, IL, MI, NH, NJ, FL, TX, DE, WI, OREast Coast Risk Management June 2010 to January 2012 Pittsburgh, PAWC Claims ManagerConsultant for workers compensation claims for Keystone Insurance Group brokers and their customers.Develop and implement claims procedures, physicians panels and claims manuals for new clients.Monitor client loss runs for proper reserves, closings and subrogation recoveries.Act as liaison between employers, claimants and adjusters.Facilitate compensability investigations.Jurisdictions include: PA, NY, VA, WV, OH, MD, WI, OK, TX, NC, TNSRS Selective Risk Services January 2008 to June 2010 Pittsburgh, PAClaims Specialist IIIAdjust workers comp claim for dedicated self-insured clients including: Alcoa, Reynolds, Armstrong Floors, Crate & Barrel, Mens Warehouse, Brunswick, & Williams Sonoma.Jurisdictions include: PA, VA, NJProvided technical support for legal bill review system for Eastern Region.Sedgwick CMS March 2007 to December 2007 Pittsburgh, PAClaims Specialist IIIManage workers compensation claims for dedicated self-insured clients including: USAir, Bed Bath & Beyond.Jurisdictions include: PA, MD, DE, NJAIG July 2000-March 2007 Pittsburgh, PAClaims Representative IIIManage PA and NJ workers compensation filesLiaison for medical management providerExpert user/trainer for operating system, iClaims, Legal billingRecipient of Meritorious Service Award 2005.Jurisdictions include: PA, NJKlein Insurance 1999-2000 White Oak, PAProperty-Casualty Insurance AgentFamily insurance agencyPrimary carrier was Erie Insurance GroupConcurrently worked Second Injury Fund subrogation files for TFG in FloridaTransportation Financial Group 1994 1999 Ft Lauderdale, Florida Workers Compensation Claims ManagerManaged department that handled claims on a premium base that started at 3 million and grew to 22 millionDeveloped and implemented a managed care program for affiliated carrier, Transportation Casualty Insurance Company, and other carriers for whom we were MGA: Reliance Reinsurance Corp. and Front Royal Insurance Co. (affiliate to Rockwood Ins. Co.)Identified, developed and secured reimbursement from the State Second Injury Fund with pending recoveries totaling approximately one million dollars. (Had the highest percentage rate of return than any carrier or TPA in the State.)Served as underwriting product manager for our largest workers compensation producer1990 to 1994 Alexis Risk Management Miami, FLAssistant Branch ManagerSupervised staff of 34Serviced self-insured employers such as Dade County School District,US Air, United Airlines, Dominos Pizza, several municipalities.Education -Certified Workers Compensation Advisor (CWCA)-12 CEUs each year for 22 years as licensed Workers Compensation Adjuster in Florida- University of Hartford, Texas Lutheran College, and University of PittsburghInterests Pittsburgh Clams Association; IWCR; Workers Compensation Claims Professionals-Florida; PIPAC; Varsity Soccer Booster President; Walked in two half marathons; Participated in Leukemia and Lymphoma Society charitable events; Annual Komen Race for the Cure, Pittsburgh Heart Walk for American Heart Association, United Way, Sing in church choir and Elizabeth Forward Area community chorusReferences Available upon request |
