Program Manager Risk Management

Summary of Qualifications/ Skills

**+ years of experience in the Workers’ Compensation/Risk Management Industry

30+ years consulting with employers on ADA/FEHA, and Return to Work evaluations

Worked with various Insurance Carriers, TPA’s, Brokers, School Districts, Colleges and Employers

Hands on troubleshooter in areas of WC Claims Reviews with employers, Claims Supervisors and Examiners and litigation experts to resolve issues to assure the appropriate benefits are in line and the WC cases are moving forward towards closure

Professional Experience

CALIFORNIA SCHOOLS RISK MANAGEMENT, San Bernardino, CA

Cost Containment / Workers’ Compensation Program Manager

August 2008 – October 2017

DIVERSIFIED RISK MANAGEMENT SERVICES, San Bernardino, CA

Workers’ Compensation Program Manager / Risk Manager

Feb 1987 – Current

Provides Workers’ Compensation training to employers to assure all parties are moving in the same direction

Assures the Workers’ Compensation claims are progressing and protocols are followed to ensure compliance.

Involved in mitigating potential exposure to risks, particularly those associated with medical/ physician matters.

Conducts Ergonomic Evaluations of work sites and directs the implementation of ergonomic equipment to assure of the integrity of the work place and injury prevention.

Facilitates ADA / FEHA Accommodation Meetings to assure of compliance with the State and Federal rules and regulations

Responsible for site visits with our Occupational Clinics and Orthopaedic Groups to assure the most appropriate medical treatment is being provided to the Injured Employees

Meets with Physicians and Clinical Administrators to discuss, facilitate and resolve issues pertaining to the progression of the Injured Employees Medical Care and Treatment.

Identifies and facilitates clinician/physician training workshops to assure MPN and Physicians are keeping abreast of new medical processes, procedures and medical equipment.

Identifies and implements Cost Containment Programs to enhance the integrity of cost control for employers.

Responsible of facilitating and troubleshooting cost containment programs while utilizing my extensive project management skills.

Facilitates and implements meetings with Service Providers, Clinical Administrators and Physicians to explore options for Occupational Clinics and Tele-Medicine.

Interacts personally with employers to assure there are no issues that would be problematic to the relationships that have been developed and nurtured to assure of success on all parties behalf.

Observes and identifies areas of concern that need to be brought forward for resolution.

Interacts with Superintendents and Assistant Superintendents, Chief Business Officers, Risk Managers, Human Resource Management and all other related parties to resolve problems that would have / may be brought forward for resolution.

Interacts with Service Providers that have been established to assure that there are no concerns that would be problematic to the established relationships between current and potential members.

Facilitates and leads meetings with members and potential members to address trainings, new rules and regulations and business that should be addressed.

Serves as President and Program Director for a monthly educational meeting for a non-profit organization that presents WC educational programs to the WC /RM industry.

Organizes and leads quarterly meeting with Employers to provide educational training and bring forward new ideas and cost containment programs.

Education/Certifications

Education

Florida State University, Tallahassee, FL

CA State San Bernardino, San Bernardino, CA

Certifications

Risk Manager - ARM

Workers’ Compensation Claims Specialist – WCCS

Certified Ergonomics Assessment Specialist – CEAS

Certified Disability Management Specialist – CDMS

Certified Insurance Rehabilitation Specialist – CIRS

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