Edwin Lord Email & Phone Number

San Francisco, Ca, Us

San Francisco, Ca, Us

Handle a caseload up to 170 complex worker compensation claims covering issues such as apportionment, coverage, medical treatment, level of disability, and death. Negotiate settlements with represented and un-represented employees in a timely manner. Complete permanent disability ratings based upon medical evidence to date, and ensure medical payments are done within the proper guidelines. Settled 2 claims per month meeting company guidelines by either C&R or Stipulation with Request for Award depending on instructions provided by Safeway. Ensured permanent work restrictions from doctors are obtained to ensure return to work timely satisfying company guidelines. Reduced caseload by 20 percent. Caseload on average is 40 percent litigated. Settlement authority is $75,000 with reserve authority up to $500,000. Obtained approval for Medicare Set Aside thorough Certified Medicare Services before submitting to the Worker Compensation Appeals Board. Have over 8 years of experience in handling complex claims with Safeway/Kaiser Permanente.

Detroit, Michigan, Us

Administered Claims Management and Risk program for 3500+ employees.Handled 175-250 complex worker compensation claims including California. Served as a liaison between medical personnel and employees for work related injuries.Assisted employees with reporting procedures and medical care.Ensured TPA adjusters are handling all claims with the Best Practice guidelines.Managed settlement negotiations for non-litigated and litigated claims regarding complex worker compensation claims. Maintained all reporting of general liability, workers compensation, property damage, autoliability, auto bodily injury claims Assist the Vice President of HS&E as necessary.Provided statistical data for losses, trending regarding complex claims.

Ensure veterans receive the appropriate benefit pertaining to disability, medical treatment, vocational rehabilitation, and dependency. Review medical records, personnel service file, lay statements, and tax records before making a decision to deny or grant benefits. Held hearings with veterans obtaining their statement regarding current symptoms/complaints, and review any medical evidence that justifies an increase in disability. RVSRs compose written decisions utilizing the Code of Federal Regulations.

Grant benefits to the claimant due to working at a land site that was exposed to toxic chemicals or radiation. Dosage reconstruction was completed, along with review of scientific databases/material data sheets noting exposure to various types of radiation. A decision is issue to grant or deny benefits after a review of the file.

Managed up to 175 complex worker compensation claims at any one time and settled over 50 percent claims without involving counsel. My settlement authority was up to $95,000. Reserves were $33,000,000.Took recorded statements from the employer and injured worker. Provided job descriptions to supervisor and treating doctor for comment on work restrictions within 24 hours of an injury. Monitored return to work status on a weekly basis. Prepared monthly reports on each claim covering indemnity losses and medical expenses. Prepared settlement worksheet outlining exposure for lost wages, permanent disability, vocational rehabilitation, and medical treatment for authority. Reviewed catastrophic files to see if benefits were being provided correctly. Attended hearings before Administrative Law Judges to resolve benefit/medical treatment issues. Round table files to come up new solutions to resolve a case. Provide unit training regarding HIPPA, ADA, and Best Practices. Grant settlement/reserve authority base upon adjuster experience. Manage claims adjusters, supervisors, and attorneys in multiple states to ensure compliance of specific special handling requirements, reserves, payments of benefits, and claim closures

Bba, Industrial Relations

Bachelor Of Business Administration (B.B.A.), Industrial Relations