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Workers Compensation M A

Location:
Beachwood, OH
Posted:
July 16, 2024

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Resume:

Dear: Sir or Madam

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

3700 Northfield

Suite 336

Highland Hill Ohio 44122

Home Phone: 216-***-****

216-***-****

********@*****.***

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

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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