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Manager Medical

Location:
The Bronx, NY
Salary:
80000
Posted:
December 25, 2019

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Resume:

Joseph Varfley

917-***-**** (Cell phone) • 718-***-**** (Work) • Email: ada47t@r.postjobfree.com •

PROFILE: Administrative Manager for the Workers’ Compensation (WC) division in the MTA New York City Transit Authority (NYCTA) Law Department. Oversee WC claims from NYCTA, Manhattan and Bronx Surface Transit Operating Authority (MaBSTOA), MTA Police Department, and Staten Island Rapid Transit Operating Authority (SIRTOA). I have extensive knowledge of daily NYCTA policies and procedures and I am able to work in a fast-paced, confidential environment.

EDUCATION:

Long Island University

Masters of Business Administration, Finance

9/2002-5/2005

Monroe College

Bachelors of Business Administration, Accounting

9/1999-12/2000

Taylor Business Institute

Associates Degree in Accounting

1/1998-12/1999

EXPERIENCE:

2014-Present MTA NYC Transit Authority Administrative Manager

Manage 5 Workers’ Compensation (WC) Examiners in their daily duties

Analyze claim information and recommend acceptance/denial on all MaBSTOA, SIRTOA, and MTA

Police claims

Lead Case Management meetings where progression of cases are discussed

Oversee salary differential denials with the Labor Relations Department and various labor unions

Maintain spreadsheet for waiver/election time restoral

Update claim information to accurately reflect reasons for claim acceptance or denial

Obtain necessary information and back-up to support WC claim denials

Process first ten days payments to claimant after claim is accepted

Recommend claims to the Fraud Unit for surveillance

Produce WC forms and associated quality control functions

Communicate with directors, managers, and employees regarding employee return to work dates

Commence written and verbal disciplinary action against employees

2006-2014 MTA NYC Transit Authority Supervisor, WC Benefit Claims Examiner

Trained WC Examiners on policies and procedures

Conferred with employees and Claims Examiners about WC benefits

Processed payments for stipulated awards and WCB decisions

Scheduled Independent Medical Exams (IMEs) for claimants

Calculated employee Average Weekly Wages (C-240) to ensure proper WC benefit payments

Created a medical bill payment spreadsheet to medical providers breaking down the costs associated with each claim

2001-2006 MTA NYC Transit Authority Assistant WC Benefits Examiner

Reviewed claim information to present at Case Management meetings

Prepared WC cases scheduled for Workers’ Compensation Board (WCB) Hearings

Authorized testing and treatment plans according to WCB guidelines

Adjusted medical invoices for payment per fees schedules

Issued WC benefit payments to employees for work related injuries

Submitted third party notification/third party lien letters for cases with motor vehicle accidents

Assessed cases in regard to liens, subrogation, and second-injury claims

Filed necessary WC forms – i.e. C-11, C-240, FROI/SROI – with the WCB

1999-2001 MTA NYC Transit Authority College Aide

Prepared WC forms for employees injured on duty

Filed required forms with the WCB

Voluntary Experience:

2004-Present MTA NYC Transit Authority Fire Warden

Responsible for dispersing safety information during fire drill staging events

Patrol floor to have employees move to staging area

Monitor for smoke and/or fire conditions

Evacuate employees in case of fire, emergency, or drills

Computer Skills: Microsoft Office 2013 suite, LAWIS web application, Workers’ Compensation Board database, HPCB-5 application, Peachtree, Integrated Accounting, ParaRisk application, Corvel database



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