Manager Workers Compensation
Resume:
Dear:
I'm a highly, energetic, decisive, innovative, self-starter professional,
who is willing and quite able to tackle the issues. I am a result oriented
individual when a problem is presented I use back-out type thinking to
determine why the problem is, it origin, and other mitigating factors
before trying to find a solution. This prevents unintended consequences of
a quick solution approach. Most people try to find a financial solution to
solve a human problem. My critical thinking skills employ finding human
solution to human problems that have positive outcomes. I have dedicated
20 plus years of my professional career working in the area of Workers
Compensation/Disability Management with public, private and PEO's. I have
an Ohio Property & Casualty, and Life Accident, Health and Variable Product
License. I am well versed in workers compensation law in all fifty states,
including Canada. My successes where published by the Ohio Monitor March
1997 issue On the City of Cleveland Success, Write up OSHA Compliance,
Business and Legal Reports, 0896-9949/88/, p.11.OCA 321,
I develop the policy and procedures for claims processing, claims
management, and develop the return to work policy and strategies.
Claimant's reports and Supervisor are required to investigate (fact find)
and fill out supervisor's accidents reports. I develop a charge back system
for organization operation for accountability. I performed job analyses to
define job function from the excertion and non excertional point of view in
order to manage the physical and psychological issues as it relates to
occupational injuries. I separate the occupational and non occupational
issues as it relates to work environment.
I develop and implemented scanning Technology for the sole purpose of
capturing text, and images to attach to Workers Compensation files.
Medical report where scanned as images to protect the integrity of the POR
signature, and hearing result from the legal department where scanned and
converted to Microsoft Word documents, and attach to the files.
I created database on a network with the ability to attach files for
managing claims. using RiskMaster World to manage claims through the
internet for off site location and giving access to the appropriate
personnel for managing claims.
I select the Qualified Health Providers and trained them on the vocational
terminology and provide them with functional job description based on the
functional demand of the jobs. We become a team managing issues with a
better understanding of what we do from a functional point of view or job
task.
I pay medical bill after reviewing the files for appropriateness and use
the states usury fee schedule or negotiated fees from providers to
authorize bill payment.
I have a solid understanding of software application, as it relate to
managing risk. I wrote the hardware and software specification for the
purchase of computers and software for the department and, maintained the
network system. I'm a skilled user of Microsoft Office XP outlook; excel
(spreadsheet), access and word. I have created database in Assess and used
a report writing software to create reports for reviewing trend and target
risk exposures.
I was train by the Toledo Police Department on Motor vehicle accident
investigation in 1984, and completed the defensive driving instructor
training program by the National Safety Council. I taught Defensive
Driving for ten years for the city Toledo. I served as Chairman for the
Accident Review Committee for all uniformed and non uniformed employees in
the City of Toledo & Cleveland.
I want to be part of your team. If you have any questions please contact me
at 216-***-****
Thank you,
Robert Edward Lawson II
Robert Edward Lawson II
Robert Edward Lawson II
15015 Olmsted Dr.
Denver Co
Home Phone: 720-***-****
abhdt4@r.postjobfree.com
Summary
> Provide risk solution with insurance products for business and
individuals.
> Developed risk, and return to work strategies for occupational injuries
and provided actuarial analyses based on Manual Rates, Modification
Rates, Industry Codes, Group Rate, Retro Rated, NCCI Classification
Rates, and identify transferable skills base on the DOT (Dictionary of
Occupational Titles), for settling Workers' Comp claims.
> Review investigates, and establishes claim compensability
> Provide quarterly actuary/status report's on claims activity.
> Certified or rejected any and all claims for alleged industrial
accidents for employers.
> Develop a team approach and mentor the relationships with the states
vocational rehabilitation case manager, and provide necessary vocational
job analyze and /or job description to support rehab goals.
> Select, and train Attorneys of job function from the exertional and non-
exertional point of view for managing claims. Return claimants to the
functional demand of the occupation and/or settle. Attend hearings and
develop strategies for litigating claims.
> Attend and assist Attorney's in Workers Comp hearings before the
Industrial Commission, and Common Pleas Court
> Versed on current Workers Compensation statues in fifty states.
> Twenty years of workers Compensation experience working and currently
working as CEO of Integrated Risk Solution Inc., Risk & Workers'
Compensation Manager for the City of Cleveland, City of Toledo, and
Consultant for University of Toledo, Cleveland State University.
> Developed qualified health providers and a team approach with medical
provider, TPA, and Employers in managing risk.
> I have 25 years experience managing workers compensation issues
ob
Employment History
Integrated Risk Solutions Inc. 5-2002 to the
present
A Risk Management Company
> Develop Policy & Procedures
> Develop return to work strategies
> Develop and Train Accident Investigation Policy & Procedures
> Assess the environment
Analyze the workers compensation experience
> Provide a safety/risk audit
> Select the medical providers
> Pay medical bills
Train providers on job function definitions
Train medical providers on DMI protocols
Functionalize the work environment
> Develop transitional work program
> Develop an ADA committee with employer
Present and train employer on new protocols
> Provide an onsite disability case manager
> Provide tracking and risk management software
> Generate DMI and risk management reports for insurance carrier
> Schedule medical exams
> Make recommendation for claims settlement
> Ergonomic Assessment
> Vocational Assessment
> Claims management
> Coordinate services with State VR program for DJDE settlement of claims
using annuity
> File review
> I am a student of workers compensation status, rules and regulations.
Integrated Risk Solution Inc. provides a quality comprehensive disability
management system based on the unique characteristics of an individual
employers organization. My mission is to provide a powerful integrated
disability management tool that promotes the utilization of the
functional/vocational model versus the medical model currently used in the
marketplace. We focus on the occupational and non-occupational side of a
total risk management for employers.
Integrated Risk Solution Inc. was created to provide a solution for
employers to help reduce employer liabilities with respect to occupational
and non-occupational lost time claims. This system was designed to
coordinate effective cost containment return to work strategies related to
disability claims from both occupational and non-occupational injury and or
illness. This system will have a tremendous impact on the overall costs
related to litigation, medical, indemnity and overall lost work days. In
addition to, increase compliance with American with Disabilities Act of
1988.
Integrated Insurance Agency
Allstate Insurance Agency
License Number 619495
5-2001 to 5-2003
Manage an office staff of three in Richmond Heights Ohio
> Property & Casualty Auto and Home
> Commercial Auto, Liability, Building
> Life Insurance Annuities
> Annuities
> Business Liability
> Health
> Cafeteria Plans
> Disability Insurance
> Accident Insurance
City of Cleveland
7-1993 to
Risk / Workers Compensation Manager 5-2001
> Managing Insurance Programs & Workers Comp Risk
> Chairman of the Motor Vehicle Accident Review Board
> Member of the ADA Committee
> Develop cost containment strategies for controlling Workers Comp Risk
/ Transitional Work Programs
> I wrote the hardware and software specification for the purchase of
computers and software for the department and, maintained the network
system.
> Present and assist other employers through Prima (Public Risk Manager
Association) Risk Strategies
> Certify or deny all workers compensation claims
City of Toledo
Risk / Workers Compensation Manager 3-1983 to 6-1993
> Risk / Workers Compensation manager
> Chairman of the Motor Vehicle Accident Review Board
> Certify or deny all workers compensation claims
> Develop return to work strategies
Education
University of Iowa Iowa City Iowa
Degree Bachelor of Business Administration 1978
Associate in Risk Management (ARM) 1985
American Institute for CPCU
Hondros College 6701 Rockside Rd.
Concord Point Bldg
Independence Ohio 44131
Property & Casualty License 2003
Life, Accident and Health and Variable Products 2003
Working on ARM
> Train the Trainer Bureau of Workers Compensation, 1983
> Motor Vehicle Accident Investigation - Toledo Police Department 1983
> Supervisor Safety Training Bureau of Workers' Compensation, 1983
> Supervisor Safety - Industrial Commission of Ohio 1984
> Accident Investigation
> Ergonomics
> Workers Compensation
> Inspection
> Train The Trainer - Industrial Commission of Ohio 1984
> National Safety Council Supervisor Safety Training 1986
> Train the Trainer - American Truck Driving Association Defensive
Driving, 1988 Instructor Program National Safety Council, 1985
> Actuary-Rates Seminar Bureau of Workers Compensation 1987 & 1988
> Instructor Trainer for Commercial Drivers License Joe Bogg &
Associates, 1990
> Instructor Trainer For Commercial Drivers License National Safety
Council,1990
> Grant Writing, Dr. Sharon J. Heuschele Dynamics Associates 1991
> Actuary Manual Changes Bureau of Workers Compensation 1992
> Actuary Rates Seminar Oswald Risk Management 1993
> RiskMaster Seminar 1991 Dorn Technology. Steve Dorn 1992 & 1994
> Squires Sanders & Dempsey Change in Workers Compensation Laws 1994
> Health Partnership Program (HPP) Managed Care Organization (MCO)
Bureau of Workers Compensation Seminar 1995
Awards
Employee of the month for the City of Cleveland December 1996.
Manager of the year 1997
Write up in the Ohio Monitor March 1997 issue On the City of Cleveland
Success
Write up OSHA Compliance, Business and Legal Reports, 0896-9949/88/,
p.11.OCA 321,
Dissertation by Dr. Robert A. Mosley: The effects of an early return
to work program on worker compensation cost. Two decades of my work.
Received the Chairman award for the Municipal Section in 1990 & 1994
from the Bureau of Workers Compensation
Served on the Industrial Commissions All Ohio Safety Congress as
secretary of the municipal section in 1987-1988,
Third Vice Chairman 1987-1988,
Second Vice Chairman in 1988-1989,
First Vice Chairman in 1989-1990
Chairman in 1990-1991
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