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Customer Service Management

Location:
Milwaukee, WI, 53222
Posted:
August 08, 2010

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Resume:

Michael J. Geary

H: 414-***-**** Milwaukee WI ***22

ablsiy@r.postjobfree.com

C: 414-***-****

TURNAROUND MANAGEMENT / BUSINESS DEVELOPMENT

Strategic planning expertise in insurance claims environment; Casualty

claims SME, adept negotiator, litigation specialist

Persuasive communicator with the vision and experience essential for

evaluating and improving business operations and processes. Recognized as

strategic problem solver with demonstrated track record of success in the

face of complex operational and turnaround challenges. Dedicated work

ethic with exceptional customer service response. Extremely well-

organized, with a proven ability to prioritize, coordinate, and complete

multiple simultaneous tasks with strong attention to detail and deadlines

in a high pressure environment. Dynamic and personable leader and team

player who communicates effectively across all organizational levels and

enjoys working with culturally diverse population. Adept at motivating

teams to fully participate in company initiatives and achieve personal &

professional goals. Operates from a firm ethical base and with a high

level of integrity.

Expertise in all aspects of customer service management, including customer

care and retention, people management, and process improvements; with broad

experience developing and executing strategic and tactical programs to

reach targeted goals.

Key strengths:

Multi-line Casualty claims Budgetary Planning / Forecasting

Worker's Compensation claims Federal Employers Liability Act

Self-Insured Company claims Negotiations / dispute resolution

Medical bill review SME / Medical

terminology

EXPERIENCE

EMPLOYERS INSURANCE, Milwaukee WI. 2006 - 2010

; branch of Employers Insurance Co. of Nevada.

Claims Manager / Turnaround Management

Hired to turnaround office performance, service quality, and results of

assigned claims for office. Responsible for all technical and

administrative management for 24 employees handling claims; served

Wisconsin and Minnesota. Tasked with developing and supporting office

culture that fostered teamwork, valued diversity, and was respectful of

all customers, both internal and external. Implemented process

improvements which resulted in employees regaining confidence in the firm,

and placed emphasis on growing the restructured business while maintaining

a strong balance sheet.

. Conducted comprehensive analysis of office operations, established new

guidelines, programs, and objectives to reach targeted goals.

. Held full responsibility for strategic and budgetary planning (>$1.1M),

as well as monitoring the effectiveness of programs.

. Responsible for budget and reserve standards; consistently operated the

office under budget and within 99% of reserve performance standards.

. Developed from conception to implementation an innovative cost savings

program, resulting in annual savings of >$5M in medical costs. New

program included medical review, prescription program (with cards) for

tighter control on prescription utilization, and diagnostic testing

program.

. Held accountable for compliance with regulatory requirements and claims

best practices. Reduced State compliance fines and penalties >75% in 4

yr. period by improving reporting compliance standards.

. Developed and maintained industry best practices, resulting in Quality

Assurance rating increasing to 94%.

. Greatly shortened claim processing time by initiating practice to use

phone/verbal customer communications rather than written/mailed

communications. This one process improvement completely changed

attitudes and work ethic of office staff as well as significantly

increasing customer service satisfaction as the lag time for

compensability was minimized.

SAFECO INSURANCE, Milwaukee, WI. 1997 - 2006

Senior Claims Adjustor / Representative

Charged with setting up and managing new remote office for handling of

multi-line claims, including Worker's Compensation claims. Efficiently

shepherded claim from initial report to final resolution, controlling all

aspects from initial investigation to final settlement.

. Demonstrated extensive knowledge in law/policy interpretation and

application, litigation and dispute resolution.

. Supervised outside vendors, nurse managers, and attorneys on cases;

cultivating and maintaining excellent working relationships with all

involved.

. Negotiated all settlements directly and assisted with the collection of

all subrogation liens

. Ensured compliance with best practices, procedures, applicable laws and

regulations; maintaining >93% on quality control audits.

. Prepared for and attended prehearings and trials.

CANADIAN PACIFIC RAIL SYSTEM, Milwaukee, WI 1991 - 1997

Casualty Management Representative/TPA (Third Party Administrator)

Expertly handled all cases involving accidents with trains, company

vehicles and employee injuries under the Federal Employers Liability Act,

for this self insured company. Ensured prompt investigation of accidents

to determine liability and to work the case to conclusion. Represented

company's interest with all outside parties.

. Collaborated with all levels of management and unions to bring injured

employees back to work, including consulted with all departments to

obtain an understanding of the employee's job functions and union

agreements.

. Maintained current database of cases; prepared accurate and timely

reports to ensure proper reserves were set on each case.

EDUCATION AND PROFESSIONAL DEVELOPMENT

B. A. in Criminal Justice, Marquette University, Milwaukee, WI

TECHNOLOGIES

MS Office Suite: Word, Outlook, Excel, PowerPoint



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