Experience

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  Next Level Administrators

  • Bradenton, FL

  • Team Manager

    • Jun 2016 - Present
    • Bradenton, FL

    Next Level Administrators provides Third Party Workers' Compensation Claims and Program Administration Services, Data Analytics and Consulting Services to Insurers, Program Managers, Self-Insureds and Captive Programs nationally. It's proprietary Data Vault Product and Risk Management Accountability Model enables the integration of data from multiple platforms to provide the ability to benchmark historical results, set goals and objectives to lower total loss costs and track performance and accountability of all stakeholders.

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  North American Risk Services

  • Sarasota, Florida Area

  • Unit Manager

    • Jul 2015 - Jun 2016
    • Sarasota, Florida Area

    Managed diverse team of multi-state jurisdictional adjusters. Responsible for quality claims management. Implemented and developed strategies to improve quality and outcomes. Reinforced adherence to Best Claim Practices/Statutory Requirements.

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  OneBeacon Insurance

  • Canton, Massachusetts

  • Claim Manager

    • Jan 2013 - Dec 2014
    • Canton, Massachusetts

    Managed in-house claim operation in USA and claims managed by Gallagher Bassett TPA.Regulatory compliance - Implemented procedures to comply with SB 863. Filed MPN Application with the state of CA. Developed and facilitated training to CA staff. Drove claim results focusing on best claim practices and statutory requirements. Improved claim outcomes via internal audit process.

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  Lumbermen's Underwriting Alliance (LUA)

  • Boca Raton, FL

  • WC Claim Manager

    • 2010 - 2013
    • Boca Raton, FL

    Managed Boca Raton, Florida and Portland, Oregon claim departments. Facilitated the delivery of workers’ compensation claims service, and compliance with jurisdictional mandates in 21 states including California, Florida & New York. Maintain effective audits and controls to ensure technical accuracy, timely reporting, and effective outcomes to clients & policyholders. Coordinate resolution of coverage claims with legal department. Faciliated timely reporting of reinsurance claims

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  The Jacobson Group

  • Tampa, FL

  • Senior Claim Adjuster

    • 2008 - 2010
    • Tampa, FL

    Temporary Adjuster Assignment. Managed FL litigated caseload including claims for major USA Airline and temporary staffing agency. Rotated three desks, eliminated overdue diaries and significant backlog of mail.

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  Cambridge Integrated Services (AON)

  • Claim Manager

    • 2004 - 2008

  • Claim Auditor

    • 1999 - 2004

    Audited all product lines to assess compliance with Best Claim Practices, Client Service Requirements, and jurisdictional mandates. Facilitated Best Claim Practices Training and Outcome Awareness training. Conducted performance guarantee audits. Introduced the Quality Assurance Program (Quality One).

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  Martin Boyer Company - AON

  • Toledo, Ohio

  • Claim Manager

    • 1990 - 1999
    • Toledo, Ohio

    Managed multi-jurisdictional claim operation in the mid-western region. Self-insured, insured and monopolistic claims. Achieved companies highest external and internal audit scores. Developed training program for Ohio employers’ self-insured workers’ compensation program. Achieved lowest per claim workers’ compensation costs for major paper manufacturer in Ohio & Pennsylvania. Prepared contract renewals and revisions, and marketed additional product lines.

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  Self-Insurers Service (AON)

  • Senior Claim Adjuster / Branch Manager

    • 1977 - 1987

    Hearing Representative Industrial Commission of Ohio. Represented employers’ in hearings before the DHO level, SHO, and the full Commission. Managed litigation, prepared all appeals and motions, necessary for the claim adjudication process. Resolved Ohio Self-Insured Complaints and violation of specific safety requirements (VSSR). Processed all excess insurance claim reimbursements, perfected second injury fund claims and Ohio Handicap Fund applications.