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Joyce Lomasney

Workers' Compesation Appeals Manager at The Outsource Group, a Parallon company
Intro Book
Joyce Lomasney is a seasoned Workers' Compensation Appeals Manager with 19 years of experience, skilled in Microsoft Office, teaching, and public speaking, holding a Business Administration and Management degree from Revere High School.
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Location
Peabody, Massachusetts, United States, US
Skills
  • Workers Compensation Claims
  • Microsoft Excel
  • Microsoft Word
  • Customer Service
  • English
  • Show all
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Bio

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Joyce Lomasney is a seasoned executive with 19 years of experience in workers' compensation, leading teams and driving strategic planning at The Outsource Group, a Parallon company. Her expertise spans jurisdictional updates, training, and fee schedule repricing, with a proven track record of resolving complex payment disputes and collaborating with high-level management personnel. Prior to her current role, Lomasney held leadership positions at Intrcorp/Cigna and West Lynn Creamery, honing her skills in customer service, management, and operational efficiency. She holds a degree in Business Administration and Management from Revere High School and has developed a strong proficiency in Microsoft Office, including Excel, Word, and Outlook. As a skilled public speaker and educator, Lomasney has a unique ability to communicate complex information to diverse audiences, making her an effective trainer and team leader. Her expertise in strategic planning, research, and customer service has earned her a reputation as a trusted and results-driven professional.

Experience

  • The Outsource Group, a Parallon company
    • Wakefield, MA
    • Workers' Compesation Appeals Manager
      • Aug 2004 - Present
      • Wakefield, MA

      •Recruited, train and supervise staff of 5 consisting of Nurse Auditor, Legal Analyst, Senior Reimbursement Specialists, and Certified Coder (Dept. of Labor Claims).•Responsible for jurisdictional updates and training for Wakefield and off shore sites.•Interpret workers' compensation and motor vehicle laws, regulations, and programs for administrative personnel and other employees•Deals directly with payers/bill review companies on negotiated claims; reprices and tracks all accounts to ensure accurate and timely reimbursement.•Handles difficult payment disputes with carriers by working with high level management personnel.*Interacts with State Insurance Departments/Workers’ Compensation Commissions via telephone or email regarding questions on fee schedule reimbursement, guidelines, billing procedures and application of the state law and regulations.•Assists with interpretation of contractual agreements, client renewals, RFP’s and Master Service Agreements.•Attend management meetings to review Quality Assurance, Productivity, System Issues and new client implementation.• Responsible for development, implementation and revisions to workers’ compensation and motor vehicle fee schedule repricing model.

  • Intrcorp/Cigna
    • MCR Supervisor II
      • Aug 1992 - Jan 2004

  • West Lynn Creamery
    • Customer Service Manager
      • Jun 1978 - Jun 1992

Education

  • Revere High School, Revere, MA
    Business Administration and Management, General

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Industry Focus. “Human Resources and Staffing”

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