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Project Manager Quality Assurance

Location:
Memphis, TN
Posted:
July 25, 2013

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Resume:

Christine C Liero, SCLA

**** * ********* *****

West Chester, PA 19380

610-***-**** (H)

484-***-**** (C)

ab9mef@r.postjobfree.com (Home email address)

Summary: A well experienced insurance professional with over twenty years of

increasing responsibility in managing property and casualty claims, quality assurance,

training, process improvement and implementation project management. Specific areas

of expertise include management of workers compensation and general liability claims

along with account management financial processes and migration project management

skills. Assigned and participated in numerous projects which required skill sets in

organization, prioritization, analysis, communication and leadership.

Professional Experience:

Sedgwick CMS/SRS Legacy 2011 to present

Implementation Project Manager (2012 to present)

Responsible for implementation of client’s data to Sedgwick’s data warehouse. Work

with the assigned client and interdepartmental resources to ensure projects remain on task

and budget to deliver a high quality migration. In addition, provide issue identification,

planning and resolution, develop project plans, review pre migration and post migration

data for accuracy, ensure interdepartmental partners deliver per project plan, control and

maintain planning and target dates, and manage client expectations and communications.

Along with these duties, oversee various projects for implementation process

improvement.

• Develop project plans and target dates for assigned clients and communicate the

plan with the client and internal resources.

• Ensure projects remain on schedule and are delivered with high quality, customer

satisfaction and achievement within Best Practices.

• Monitor project deliverables and progress through continuous communication

with project members and establish effective communication with

interdepartmental partners to ensure the project is completed in a timely fashion.

• Interface with the customer and internal partners/resources to gain status and to

convey project issues and concerns.

• Develop an awareness of potential issues and work to mitigate risks and to

facilitate resolutions as required.

• Constant communication with development Manager on project progress and

issues.

• Ensure accuracy of loaded data.

• Develop and oversee various projects for implementation process improvement.

• Ensure a successful hand-off of projects to provide post implementation support.

Total Performance Manager (Sedgwick 2011-2012)

Complete Quality assurance reviews for workers compensation and general liability

claims, State compliance audits, customer focus reviews, quarterly summary reports and

account management financial reviews. Developed and implemented training for claims

professionals, organized and executed projects.

• Responsible for calibration of QTC’s along with summarizing the results and

leading a countrywide QTC conference call.

• Increased efficiency through consistent and efficient process improvement audits

for account management, claims colleagues and accounts/clients.

• Prepared, organized and delivered office and regional claim audit results to Senior

Leadership.

• Provided recommendations for quality and training improvements to Senior

Leadership.

• Developed and presented service expectations for sales and account management

divisions along with developing auditing criterion.

• Responsible for collecting and reporting SAS/SOX audit requirements to the

internal audit manager.

• Led JURIS training and provided floor support as follow-up to the training.

• Develop and lead one on one and office training.

• Complete quality reviews for workers compensation, liability, customer focus

reviews, quarterly summary reporting and account management financial reviews.

Develop and implement training for claim professionals and the office support

based on quality results.

• Review account management and sales financials to prevent financial leakage.

Analyze and deliver results to Account management and Sales Senior Leadership.

Specialty Risk Services 2004 to 2011

Quality Training Consultant (2005 – 2011)/Quality training team leader (2009 –

2010)

Complete Quality assurance reviews for workers compensation and general liability

claims, customer focus reviews, quarterly summary reports and account management

financial reviews. Directed and led a team of QTC’s. Developed and implemented

training for claims professionals, organized and executed projects.

• Directed and led a team of QTC’s to develop reports to identify and analyze root

causes of issues for offices and claim handler’s performance.

• Responsible for calibration of QTC’s along with summarizing the results and

leading a countrywide QTC conference call.

• Increased efficiency through consistent and efficient process improvement audits

for account management, claims colleagues and accounts/clients.

• Prepared, organized and delivered office and regional claim audit results.

• Provided recommendations for quality and training improvements.

• Developed and presented service expectations for sales and account management

divisions along with developing auditing criterion.

• Responsible for collecting and reporting SAS/SOX audit requirements to the

internal audit manager.

• Led SOURCE and JURIS training and provided floor support as follow-up to the

training.

• Develop and lead one on one and office training.

• Complete quality reviews for workers compensation, liability, customer focus

reviews, quarterly summary reporting and account management financial reviews.

Develop and implement training for claim professionals and the office support

based on quality results.

• Review account management financials to prevent financial leakage. Analyze and

deliver results to Account management SR Leadership.

Account Consultant (SRS 2004 – 2005)

Investigated and managed workers compensation claims for assigned clients from

inception to closing for PA, NJ, US Longshore, VA, and DE jurisdictions. Negotiated

settlements within assigned client and office financial authority.

• Provided superior quality claims management with friendly and efficient customer

service.

• Responsible for investigating and managing all aspects of workers compensation

claims from inception to closing.

• Involved and participated in client reviews.

• Active participant in sales presentations.

• Participant in future leadership training.

AIGCS 2002-2004

Claim Specialist

Investigate and manage workers compensation claims from inception to closing for NJ,

PA, DE, US Longshore, DC and Defense Base Act claims.

• Responsible for investigating and managing all aspects of workers compensation

claims from inception to closing.

• Negotiated settlements within client and office authority.

• Participated in client reviews.

ManagedComp 2000-2002

Claim Specialist

Investigate and manage workers compensation claims from inception to closing for NJ,

PA, DE, VA worker’s compensation claims.

• Participate in Broker reviews.

• Member of the Office Safety Committee.

• Participate in weekly health and safety team reviews.

Claim Supervisor

Recruit, hire, train, supervise, motivate and develop employees.

• Oversee operations of 8 employees. Ensure company and account

compliance by performing individual handler reviews

• Responsible for coordinating and attending client file reviews

• Reviewed monthly results and provided a summary analysis to SR Leadership.

• Developed training programs for employees.

• Identified team and office trends along with developing effective improvement

action plans.

Cigna/ESIS/ACE 1987-2000

Team Leader (1995-2000)

Recruit, hire, train, supervise, motivate and develop employees. Responsible for

reviewing handler files to determine compliance with industry and company standards.

Provide analysis summaries to SR Leadership.

• Managed 8 workers compensation examiners. Responsible for reviewing

individual files to ensure company and account compliance. Determine trending

opportunities and address as appropriate.

• Developed training sessions for claim professionals and office.

• Reviewed and analyzed various production reports to determine and address

office opportunities.

• Attended and coordinated client reviews.

• Project manager for various projects and committees.

Claim Specialist (1987-1995)

Investigated and managed workers compensation claims for NJ, PA, Defense Base Act

and Longshore Claims.

• Responsible for investigating and managing all aspects of assigned client claims

from inception to closing.

• Assisted the Team Leader with new assignments and overseeing employee’s

activities/work in the absence of the team leader.

• Mentor for new hire employees.

• Participant in Management Meetings.

• Attended and participated in high profile client reviews.

Education

York College of Pennsylvania – BS Criminal Science

Senior Claims Law Associate degree

Project Management seminars



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