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Workers' Compensation & Safety Manager

Location:
United States
Posted:
September 03, 2015

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Resume:

George M. Loaiza Jr.

**** *********** ******, ********, ** 90606

562-***-****

acri9c@r.postjobfree.com

Objective

Seeking employment where my experience in Workers’ Compensation Administration, Investigations, and Safety would be a valued asset to an organization, and that will provide an environment that encourages all around growth.

Experience

Workers’ Compensation, LOA, & Safety Manager, American Golf Corporation

12/2014 – Present

●Responsible for the Workers’ Compensation, LOA, and Safety programs for 96 properties which consists of 7000+ employees in over 85 courses nationwide.

●Assist General Managers in ensuring the appropriate process is undertaken for all aforementioned programs.

●Manage Workers’ Compensation claims nationally in conjunction with property/state personnel liaising with worker, insurance company and doctors.

●Investigate Workers’ Compensation and General Liability injuries for root cause, subrogation, and identify any possibilities of fraud.

●Develop and implement the return to work program, educating the workforce, keeping injury and return to work statistics, and developing policies to improve systems.

●Assist in the development, design and facilitation of training programs, which enhance commercial literacy, in the risk, quality, continuous improvement, and employee management arena.

Workers’ Compensation & Safety Manager, Super King Markets

07/2014 – 12/2014

●Responsible for the identification, evaluation of risk, and selection of methods to handle all risk exposures which would result in human, physical, or financial loss

●Work closely with the Super King's consultants, insurance representatives, and staff in implementing new programs, upgrading existing programs, and in formulating recommendations to management on rules and procedures.

●Plan, organize, coordinate and directs all auto, general liability, worker's compensation, and safety programs for the Company.

●Assist in all accident investigations and facility safety inspections; assures that an effective accident prevention program is maintained and that appropriate measures are taken to comply with OSHA and State and related safety regulation policies and directives.

●Pro-actively manage and implement all Company safety policies & procedures and assure compliance endeavors that insure a safe work environment; Research new regulations and developments in the field of Health and Safety and recommends changes in the company's program.

●Aggressively manage claims with TPA for accuracy, compliance, and timelines from beginning of claim to end

Risk Control Specialist (Senior Administrative Analyst), UCLA

05/2013 – 07/2014

●Conduct Workers’ Compensation, General Liability, Auto, and Safety investigations throughout campus in response to reported incidents.

●Collaborate with all levels of management within campus departments, Environmental, Health & Safety, and Human Resources personnel to create and implement policies and procedures to provide employees a safer work environment, and determine root cause analysis and preventability with action plans.

●Write reports of information gathered from a perspective of the workers’ compensation claim as well as from a Safety perspective.

●Analyze injury trends and provide feedback and possible solutions to the proper EH&S personnel.

Workers’ Compensation Claims Administrator (Employer Side), CAPS Universal Payroll

04/2012 – 5/2013

●Responsible for claims monitoring and administration, report generation, and communication with employees, managers, third-party administrator, medical facilities, and attorneys on a national level.

●Manage the claims process until closure, track reserve amounts, and ensure our TPA (Third Party Administrator) is proactive in their action plans.

●Direct employees to medical facilities, obtain status reports, and ensure treatment stays on track.

●Assist VP of Claims in reviewing payments to insurance carrier, send out new client packets and certificates of insurance.

Safety Coordinator/Assistant to Claims’ Administrator, Vance & Hines Motor Sports

10/2010–04/2012

●Conduct safety orientations, walk-through of manufacturing facility, and department safety training as necessary in accordance with OSHA regulations.

●Document and record all facets of the Vance & Hines safety program to include: Training, new-hire orientation, safety meetings, Safety Committee minutes, inspections, injuries, work orders related to safety, and hazardous material pick-up.

●Administer and coordinate the following: Safety Committee, forklift training, respirator training, audiometric testing, and the safety incentive program.

●File workers compensation claims, attend claim reviews, and follow up with adjusters as necessary. Conduct accident investigations prior to submitting claims to carrier.

Worker’s Compensation Field Investigator, Ibarra Private Investigations

02/2008– 10/2010

●Conduct worker’s compensation investigations to determine fraud in claims through accident scene investigation, interviews, and surveillance techniques.

●Document all findings of investigations in reports and media files for review by adjustors and defense attorneys.

●Perform asset searches, online and conventional court searches, and Department of Motor Vehicle searches.

Investigator / Manager, Beau Dietl & Associates Private Investigations & Security

07/2004– 01/2008

●Claims Investigator – Same aforementioned duties listed.

●Manager – Provide administrative and supervisory support for the investigative team, Human Resources Manager, and Director of Investigations to include the following: report editing, researching case information, training, new-hire orientation, creating letters, and client communication.

●Train new employees, prepare and organize quarterly training, and conduct performance evaluations of investigative team members.

Field Investigator, First Advantage Investigative Services

08/2003– 07/2004

●Conduct worker’s compensation investigations to determine fraud in claims through accident scene investigation, interviews, and surveillance techniques.

Skills

●Fluent in Spanish

●Type 50+ words per minute

●Proficient in MS Word, Excel, Outlook, and basic skills in all other MS Office applications

References

Available upon request.



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