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Risk Management-Workers' Compensation

Location:
Buffalo, NY
Posted:
September 12, 2013

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Resume:

Lisa Lederhouse

** ****** **.

Akron, NY ****1

716-***-****

l ************@*****.***

Qualifications

Motivated, hardworking, individual offering a strong background of work experience with broad

management, human resources and administrative responsibilities.

Flexible and dedicated; adapts quickly to new responsibilities and handling multiple responsibilities.

Detail oriented with excellent organizational skills, communication, problem solving, time management,

and customer service skills.

Excellent interpersonal skills and the ability to effectively interact with people of diverse backgrounds at

all levels of responsibility.

Major strengths include:

Human Resources/Workers’ Compensation

Problem-solving and decision making

Recordkeeping and documentation

Handling confidential information

Customer service

Verbal and written communication

Computer efficiency: Excel/Word/Outlook

Experience

Commercial Insurance Consultants

Williamsville, NY 11/2011-7/2013

Assistant Consultant

Review existing insurance policies for accuracy.

Work with the client to obtain the necessary information to complete the insurance specifications to be

sent out for a quote.

Work with the insurance broker’s/agents to obtain further information if needed, to obtain quotes in a

timely fashion.

Review/compare proposals to current program.

Prepare presentations/recommendations to present to the client.

Review/compare policies to existing program and proposals, to check for accuracy.

Update all file information.

M&T Bank Inc.

Buffalo, NY

4/2003-8/2011

Risk Analyst/Workers’ Compensation Specialist

Review and analyze costs associated with all workers’ compensation, general liability and auto liability

claim; develop and implement strategies to improve risk performance and mitigate loss.

Report all workers’ compensation, general liability and auto liability claims to carriers.

Perform quarterly claim reviews with TPAs/carrier to review ongoing strategies and develop new

strategies to bring claims to a closure. Validate reserving practices of TPAs/insurers.

Review all legal documentation associated with claims.

Collaborate with managers/supervisors and human resources to return employees to work in a

full/modified duty position. Assist all parties involved in understanding light duty restrictions and any

necessary accommodations to the job/work station.

Work with human resources to develop a return to work program and ergonomics program.

Attend educations seminars to stay abreast of changes in the compensation insurance laws.

Maintain spreadsheet of claims history for the Director of Corporate Insurance & Risk.

Worked on Medical Stop Loss.

Verified monthly member information to determine if claim was close to reporting threshold.

Follow up with TPAs to ensure appropriate information is sent to Excess carrier.

Maintain close contact with individuals inside organization to facilitate a streamlined process of

reporting information.

Crawford & Company

Buffalo, NY

Claims Adjuster

2001-2003

Investigated, analyzed and determined the extend of liability concerning workers’ compensation claims

from date of injury to final resolution.

Maintained a file count of 175 open claims.

Issued biweekly checks and determined financial reserves for the life of the claim.

Set up surveillance and scheduled Independent Medical Examinations.

Worked closely with defense counsel.

Worked closely with employers to get individuals back to work as quickly as possible.

Gates McDonald & Company

Buffalo, NY

Claims Assistant

Managed medical only claims.

Typed correspondence, responded to phone inquiries for account managers.

Education

Bryant & Stratton College

B.S. Business Administration

National Honors Society



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