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Minute Men HR Management - Self Insured Workers Compensation Claims Manager Resume Example

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Christian Roberts
XXXX XXXXXXX XXXXXX, Cleveland, OH 44135
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
Professional Summary

Accomplished and energetic Workers' Compensation Claims Manager with a solid history of achievement in claims managment. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include customer service, communication and leadership.

Skills
  • Customer and Personal Service
  • Clerical (Word & Excel)
  • Critical Thinking
  • Coordination
  • Active Learning
  • Judgment and Decision Making
  • Complex Problem Solving
  • Instructing
  • Learning Strategies
Experience
Self Insured Workers' Compensation Claims Manager Mar 2013Present Minute Men HR Management Cleveland, OH
  • Managing Self-Insured Workers' Compensation claims
  • Responsible for reserving medical, indemnity and expense in all medical and lost time claims
  • Review all medical bills for processing and payment
  • Approval / Rejection of C86 motions within 30 days of receipt
  • Appeals to DHO/SHO Industrial Commission orders
  • Review claims for possible Independent Medical Reviews
  • Preperation of claim files for hearing
  • Identify if claim should be referred for investigation
  • Evaluate and calculate each claim for possible settlement agreement between all parties
  • Training of Claims Service Specialists
State Fund Workers' Compensation Claims Manager Jan 2011Mar 2013 CPM Risk Managment (Minute Men HR) Cleveland , OH
  • Process State Fund Workers' Compensation claims as a TPA for state funded employers
  • Appeal BWC/DHO/SHO order per employers request
  • Excellent customer service and communication with all employers
  • Work hand in hand with designated Managed Care Organization
  • Identify and file Handicap Applications
  • Assisted with Cleveland Metropolitan School District claims
Lead CSS/Hearing Docket Coordinator Oct 2008Jan 2011 CPM Risk Managment (Minute Men HR) Cleveland, OH
  • Assist Workers' Compensation Claims Managers with filing appeals of BWC/DHO/SHO orders, logging forms into Compensate, continuances/cancellations of hearings, answering telephone calls and filing documents into files
  • Hearing Docket responsiblities
    • Logging /download hearing notices into Compensate
    • Contact hearing reps/legal counsel for assignment
    • Process and distribute weekly hearing docket
    • Process attorney bills
Claims Service Specialist Oct 2006Oct 2008 CPM Risk Management (Minute Men HR) Cleveland, OH
  • Filing documents into files
  • Answering telephones
  • Logging documents into Compensate
Aquatics Coordinator/ Resident Director May 1999Sep 2006 Greater Cleveland YMCA Cleveland, OH
Lifeguard/Recreation Jun 1994May 1999 City of Cleveland Cleveland, OH
Education
High School Diploma Jun 1997 Lincoln- West High School Cleveland, OH
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Resume Details

This is a real resume for a Self Insured Workers Compensation Claims Manager in Cleveland, Ohio with experience working for such companies as Minute Men Hr Management, Cpm Risk Managment Minute Men Hr, Cpm Risk Management Minute Men Hr. This is one of the hundreds of Self Insured Workers Compensation Claims Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Self Insured Workers Compensation Claims Manager resume.

Previous Companies:

  • Minute Men HR Management
  • CPM Risk Managment Minute Men HR
  • CPM Risk Management Minute Men HR

Previous Job Positions:

  • Self Insured Workers Compensation Claims Manager
  • State Fund Workers Compensation Claims Manager
  • Lead CSS
  • Hearing Docket Coordinator
  • Claims Service Specialist

Schools:

  • Lincoln- West High School

Level of Education:

  • High School Diploma

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