• Manage self insured / large deductible risk management programs in the Midwest region, responsibilities include:• Contract negotiations, pricing, renewal terms and program design.• Work with customers and various external entities to develop and implement claims management and medical management programs.• Electronic claims system analysis and development• Coordinate internal functions of finance, legal and field operations to ensure effective service delivery.• Interview, hire and train account management personnel• Resolution of liability and coverage issues.• Claims service office oversight through file audits and claim reviews to ensure execution of best practices claims management and customer satisfaction.• Data analysis and stewardship reporting to assist customers identify process improvement and cost savings opportunities.• Interact with Insurance Brokers, Captive Managers, Actuaries and Insurance carriers to ensure the development and ongoing success of customer risk management programs.• Responsible for collaboration with loss control services to evaluate exposures and develop data reporting processes to measure and trend loss activity.

• Responsible for the development of claims department managing all lines of commercial coverage in multi-state market.• Staff and train claims department personnel to effectively address client needs in accordance with established quality assurance guidelines.• Responsible for budget development, salary administration and department operations within budget constraints.• Interact with carriers, sales and loss control to coordinate service efforts.• Identify client risk management objectives while developing and implementing customized programs.• Conduct claim reviews and audits measuring carrier and client performance to ensure fulfillment of claims management guidelines and objectives.• Represent client interests to resolve claim management issues and coverage disputes.• Analyze claims data tracking loss trends; work with clients developing strategies to both prevent and mitigate loss activities. • Participated in the development of the NICB Advanced Fraud Investigators Program.

• Managed adjusters handling workers’ compensation claims in Missouri, Illinois and Kansas Jurisdictions.• Hired and trained personnel in the areas of claims investigation, medical and litigation management, cost containment strategies and procedures pertaining to good faith claims adjustment.• Responsible for budget development, salary administration and department operations within budget constraints.• Worked closely with customers establishing service standards and ensuring a high level of satisfaction.• Worked with Underwriting and Loss Control to evaluate program performance.• Audited legal counsel evaluating quality of work and billing practices.• Involved in the selection and implementation of medical cost containment program.