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Insurance Workers Compensation

Location:
Syracuse, NY
Posted:
January 15, 2013

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Resume:

Sam Stedman

Email: abqg6b@r.postjobfree.com

Address: **** **** **** ****

City: Syracuse

State: NY

Zip: 13224

Country: USA

Phone: 315-***-****

Skill Level: Director

Salary Range: $80,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

SAM H. STEDMAN

37093 Route 12E * Clayton, New York 13624

315-***-**** * abqg6b@r.postjobfree.com

WORKERS COMPENSATION CLAIMS MANAGEMENT

Dynamic, innovative and highly experienced workers compensation claims professional leveraging more than four decades of experience overseeing the evaluation of claims for self-insured clients, insurance companies and claims attorneys. Comprehensive knowledge of insurance and workers compensation regulations and industry. Deliver broad vision of compensation claims process to enhance claims handling and investigations. Plan and launch new business operations. Recruit office personnel and establish operating procedures. Work directly with clients to address needs and resolve problems. Review medical examinations of claimants to insure compliance with legal standards and client requirements. Dedicated team leader who communicates effectively and interacts successfully with physicians, employees, major corporate clients and outside parties. Anticipate problems and deliver effective solutions. Simultaneously manage operations at multiple, geographically dispersed offices. Implement insurance industry best practices. Easily adaptable to new organizations and environments.

Medical Evaluations * Workers Compensation * Human Resources * Networking * Leadership

Budgets * Insurance Claims * Business Planning * Regulatory Compliance * Disability Management Customer Relationship Management * Market Research * Purchasing * Social Security Disability

Employee Recruitment * Labor Relations * Scheduling * Medical Report Review * Employee Training

PROFESSIONAL EXPERIENCE

STEDMAN & GARGER ASSOCIATES/GARGER ASSOCIATES, Syracuse, New York * 1985-2012

Former provider of independent medical evaluations to self-insured clients; up to 120 employees. Ceased operations in 2012.

Chief Administrative Officer/Co-Founder/Owner

Launched limited liability partnership and built organization from the ground up. Recruited multi-specialty physicians to conduct medical exams and provide assessments of individuals claiming injury against self-insured client companies and employers. Prepared license applications for physicians in the group. Directed communication and interaction with state agencies. Conducted market research. Opened new offices around New York State. Hired new staff and created company policies. Direct daily business operations. Attended business networking functions and trade shows to raise company visibility and recruit new clients. Assessed claims submitted by clients to determine whether additional questions needed to be asked prior to handing case to evaluating physician. Planned and implemented promotional campaign to market the group to potential clients in the insurance industry, attorneys pursuing insurance claims and self-insured corporate clients. Reviewed physician exam reports to make certain that specific client questions had been answered, all insurance issues had been covered by the reports, and that the reports were in compliance with regulatory and legal requirements. Interacted with physicians to address any unresolved issues in the reports prior to submission to clients. Prepared physicians to give depositions or make court appearances in insurance litigation. Handled billing for physicians who provided court testimony. Maintained responsive relationships with clients.

Major Contributions:

* Recruited and serviced major corporate clients including General Motors, Chrysler and Carrier Corp.

* Liaised with external accountants and auditors to monitor financial reporting for the group.

* Interacted directly with clients to assess needs and make recommendations.

* Devised effective marketing strategies to attract new clients.

* Maintained compliance with accounting and employee compensation regulations.

* Communicated with lending institutions to maintain business financing and lines of credit.

* Managed affiliated entity: Garger Chiropractic Associates PLLP.

continued

SAM H. STEDMAN * Page 2 * abqg6b@r.postjobfree.com

EMPIRE EVALUATION CENTERS/RIVERFRONT MEDICAL CENTER, New York * 1982-1985

Provider of independent medical insurance claims evaluations.

Administrator/Marketing Director

Provided guidance on insurance and regulatory issues to physicians compiling medical reports on individuals claiming benefits. Obtained offices and recruited company staff. Assembled team of participating physicians. Created company policies and procedures. Interacted with clients to build relationships. Managed daily operations of firm.

Major Contributions:

* Implemented office information technology system to organize and store client records.

* Work with clients to address needs and develop solutions for problems.

* Directed purchasing of required office equipment and supplies.

Career Note: From 1981 to 1982, served as Manager at ALEXIS RISK MANAGEMENT SERVICES/CLAIMCO, a division of ALEXANDER & ALEXANDER, identifying and soliciting self-insured clients and overseeing business operations for medical evaluation firm. Details on request.

KEMPER INSURANCE COMPANY, Long Island, New York * 1977-1981

Provider of insurance coverage to individuals and corporate clients

New York State Empire Division Workers Compensation Examiner (1979-1981)

Oversaw investigations of compensation claims handled by four district offices. Assessed compensation claims and provided support to claims units for complex cases.

Major Contributions:

* Organized instructional meetings for company personnel to provide training for compensation claims investigations.

* Audited the performance of district offices on an annual basis.

* Promoted from Workers Compensation Supervisor.

* Oversaw the investigation and processing of 1,300 claims, including (1-B) Employer Liability claims.

* Managed department staff of 11.

Career Note: Prior work history includes roles Home Office Workers Compensation Supervisor, Compensation Supervisor, Examiner and Hearing Representative, and Compensation Adjustor at UTICA MUTUAL INSURANCE COMPANY, overseeing employer liability and reinsurance claims, workers compensation investigations and New York State workers compensation pre-trial and court hearings.

EDUCATION

Automobile Physical Damage Appraisal School

Fundamentals of Insurance I & II

Orange County Community College * Middletown, New York

PROFESSIONAL DEVELOPMENT

Personnel Management (Kemper Insurance Company)

Legal Principles (American Insurance Association)

TECHNICAL SKILLS



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