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Medical Manager

Location:
Baton Rouge, LA
Posted:
January 29, 2013

Contact this candidate

Resume:

Ramsey Horn

Email: abqgq7@r.postjobfree.com

Address: **** ****** **.

City: Baton Rouge

State: LA

Zip: 70816

Country: USA

Phone: 225-***-****

Skill Level: Experienced

Salary Range: $70,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Ramsey G. Horn

3414 Toulon Dr.

Baton Rouge, LA 70816

Home: 225-***-****

Cell: 225-***-****

E-mail: abqgq7@r.postjobfree.com

OBJECTIVE: Seeking a claims supervisor/manager position to serve as liaison between claims professionals and clients.

EDUCATION:

LOUISIANA STATE UNIVERSITY: Master of Criminal Justice; Minor of Political Science, 1989

LOUISIANA STATE UNIVERSITY: Bachelor of Criminal Justice; Minor of Political Science, 1985

BOGALUSA HIGH SCHOOL: Diploma with Honors, 1981

WORK HISTORY:

Senior Claims Representative (September 2011-November 2012)

LWCC, Baton Rouge, LA

Return to Work Specialist: Evaluating medical records and vocational assessments to determine potential return to work with insureds or referral to settlement specialist if unable to return to work. Served on Louisiana Medical Treatment Guidelines Task Force.

Consultant (July 2011- August 2011)

INSURANCE RECRUITING SPECIALISTS, Baton Rouge, LA

Responsibilities include: Interacting with clients to determine exposure analysis and chart course of strategy for claim resolution; Exercising proper judgment in analyzing claims exposure to determine proper course of action to move claim to resolution.

Consultant (July 2011- August 2011)

RISKSAVERS, Baton Rouge, LA

Responsibilities included: Determining exposure analysis and settlement negotiations.

Claims Representative IV: (May 2009- June 2011)

AVIZENT, Baton Rouge, LA

Responsibilities included: Negotiating settlements; Coordinating, directing and monitoring attorneys, medical case managers, vocational rehabilitation specialists, and private investigators; Assisting and representing employers/insurers at mediation and trials; Recovered monies from Second Injury Board, subrogation and excess carriers.

Supervisor: (April 2007-April 2009)

CAMBRIDGE INTEGRATED SERVICES GROUP, INC., Baton Rouge, LA

Responsibilities included: Managing, directing and assisting claims examiners at file administration and resolution of multi-jurisdictional workers` compensation, Longshore, General Liability and property claims; interviewed and hired various candidates for multiple positions; coordinated appropriate action with manager/human resources during employee issues or civil defense crises. Obtained workers` compensation licenses for AL, TN, GA, SC and NC.

Senior Workers` Compensation Claims Examiner: (October 1999- March 2007)

GATES McDONALD/ CAMBRIDGE INTEGRATED SERVICES GROUP, INC., Baton Rouge, LA

Responsibilities included: Negotiating settlements; Coordinating, directing and monitoring attorneys, medical case managers, vocational rehabilitation specialists, and private investigators; Assisting and representing employers/insurers at mediation and trials; Recovered monies from Second Injury Board, subrogation and excess carriers. Obtained MS multi-line license.

Senior Workers` Compensation Adjuster III: (May 1991- October 1999)

STATE OF LOUISIANA: OFFICE OF RISK MANAGEMENT, Baton Rouge, LA

Responsibilities included: Negotiating settlements; Coordinating, directing and monitoring attorneys, medical case managers, vocational rehabilitation specialists, and private investigators; Assisting and representing employers/insurers at mediation and trials; Recovered monies from Second Injury Board, subrogation and excess carriers. As medical malpractice adjuster: Evaluated medical records and interviewed physicians and nurses to determine liability, causation and damages. Served on ORM Safety Committee and U.S. Savings Bond Coordinator.

ACHIEVEMENTS:

January 2011- December 2012: elected Treasurer, Baton Rouge Claims Association

January 2010- December 2010: elected Vice-President, Baton Rouge Claims Association

January 2007- December 2009: elected Treasurer, Pachyderms of Greater Baton Rouge

February 2006- December 2008: chosen Council Member, LA Workers` Compensation and Trade & Tourism, LABI

April 2007: volunteer for United Methodist Hope Ministries

May 2002- January 2009: selected AC Lewis YMCA Fitness Committee Member

January 1994- PRESENT: member, Baton Rouge Claims Association

1992-1996: co-producer, monthly comedy shows at Augustine`s in Hammond, LA

March 1988- May 1989: elected 2 terms Assemblyman, Student Government Association at Louisiana State University



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