District Insurance/Risk Manager Resume

SUMMARY

Broad 20+ year background with insurance claims, underwriting, auditing as well as risk management and safety for public/private entities.
Results oriented and knowledgeable with strong analytical, problem solving and decision making skills.
Adept at starting departments from ground up, including hiring and training staff, implementing policies/procedures and defining roles and goals.

PROFESSIONAL EXPERIENCE

Confidential

District Insurance/Risk Manager

Responsibilities:

Directs all technical insurance related functions to the Districts insurance and risk management programs.
Secures and reviews insurance policies. Oversees Districts auto, general liability and workers compensation programs. Manages claims, safety/loss prevention, Federal/State FMLA and ADA accommodations operations along with EAP and nurses programs. Conducts regular audits with TPA’s to ensure proper claim handling.
Retains $500K claims authority. Drafts departments RFPs for vendors. Handles hiring, training, supervision, termination for 14 person staff. Conducts/creates safety peer review meetings as well as District Safety seminars/webinars for all employees. Performs monthly inspections of 40+ buildings and schools. Written reports to School Board.
Created safety committee comprised of all departmental head and pioneered first claim and safety manuals for standardized claims handling and safety issues;
Created a Modified Return to Work employee program;
Provided School Board with monthly reports with recommendations to minimize risk/catastrophic large losses; commended for championing District Safety Awareness;
Slashed WC payout from $6.8M to $1.2M in district with 4000+ employees and 40 schools.

Confidential

Branch Manager

Responsibilities:

Administered New York and New Jersey workers compensation claims from “womb to tomb”.
Directed claims investigation, case management and medical management. Performed claim audits for national clients.
Communicated statistical claim developments, self - insurance/insurance possibilities and claim frequency/severity to regional manager.
Settled and resolved claims up to $500K SIR. Trained and led staff of 8 to complete all duties within budget.
Developed a client WC claims manual to assure positive ratings from regional office;
Cultivated relationships with 18 new clients for branch office.