Results-focused Claim Operations Manager successful in process and quality improvement. Driven to cut company costs and boost company revenue through innovative management techniques. Organized and diligent, with excellent written, oral and interpersonal communication skills with 32 years of industry experience.
Gallagher
View- Website:
- ajginternational.com
- Employees:
- 5
- Company phone:
- +1-(630)-773-3800
-
Senior Resolution ManagerGallagher Oct 2018 - PresentRolling Meadows, Il, UsDedicated to Illinois region for a staffing agency handling all exposure levels of workers’ compensation claims. -
Workers' Compensation Claims ManagerUnited Airlines Jun 2017 - Oct 2018Chicago, Il, UsProvide management oversight of the processing of the company's multi-state workers' compensation program. Ensure financial control is maintained by oversight of claim reserve and settlement activity. Ensures the company is in compliance with applicable state laws and regulations. Provide training and guidance to third party administrator and other vendor partners. Serve as subject matter specialist for workers' compensation related issues. Ensure company is in compliance with state mandated workers’ compensation statutes. Continuous interaction and engagement with frontline employee, field operation and vendor partner. Act as liaison between third party administrator, insurance carrier, attorneys and vendor partners. Conduct 20-30 workers’ compensation claim audits annually, comprising of field audits and internal desk audits to ensure financial control and best claim handling practices are maintained. Monitor performance issues of outside vendors, generate reports and make recommendations to management. Participate in department, division and individual evaluations and team meetings. Liaison with internal and external nurse case managers and transitional duty managers on claim related issues for appropriate medical management. -
Senior Claims SpecialistAsc Alternative Service Concepts Mar 2016 - Jun 2017Nashville, Tn, UsDedicated to SSCRMP (Secondary School Cooperative Risk Management Program), a member owned risk sharing pool of 4 high school districts in Northern Illinois. Worked hands-on closely with clients while managing the workers’ compensation program including investigation through settlement of all workers’ compensation claims. I assisted with completion and distribution of monthly OSHA reports to all members, performed weekly and quarterly claim reviews with all members, completed monthly peer claim audits and reconciliations, conducted onsite investigations of claims, attended safety meetings, and presented updated workers’ compensation information at monthly board meetings. -
Claims Operations ManagerTristar Insurance Group Mar 2013 - Jun 2015Long Beach, Ca, UsServed as key contributing member of leadership team in the takeover of the State of IL WC program. Promoted to Claim Operations Manager of two offices after 6 months with the company. Successfully grew staff by 500% to meet the demand of new and takeover claims. Developed employee training processes and manuals for all positions. Reduced takeover claim inventory from 22,000 to 6,200 in less than 12 months. Streamlined the branch operations which kept final operating costs $100,000 under budget. Train all new staff to ensure compliance with Best Practices, SOC1 and Client Service Instructions. Prepare monthly operational and production reports for the client and Home Office commenting on budget compliance and productivity. Complete monthly internal claim file audits and work with supervisors to develop action plans to improve scores immediately. Oversee supervisor work product and diary compliance. Responsible for all personnel actions including hiring, performance reviews, corrective action plans and terminations. Conduct monthly staff training sessions. Assist Home Office and sales/service team with RFP's, client service issues or new client presentations. Maintain visibility in the industry by supporting and attending industry sponsored functions, speaking engagements and educational / teaching opportunities. -
Claims SupervisorCambridge Integrated Services Oct 2004 - Jun 2008InServed as a workers' compensation and subrogation claim supervisor dedicated to one client managing governmental agencies and municipalities. Managed a staff of 6 adjusters ensuring compliance with Best Practices and Client Service Instructions. Managed coordination of other benefits such as PEDA, duty disability pensions, IMRF and PSEBA. Coordinating quarterly training with defense counsel to keep current on workers' compensation statutes. -
Claims SupervisorThe Hartford Dec 1999 - Oct 2004Hartford, Ct, UsDirected staff of 7 workers' compensation adjuster, supervised 800 multi-jurisdiction (IL; workers' compensation files. Accountable for staffing, training, performance appraisals and achieving/maintaining a team quality score of 90% or higher on all claim files. Arranged periodic jurisdictional training conducted by our claim offices and defense counsel.
Kim V. Education Details
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Real Estate Sales AcademyReal Estate -
Scla Designation; American Education InstituteScla -
Robert Morris University - IllinoisParalegal
Frequently Asked Questions about Kim V.
What company does Kim V. work for?
Kim V. works for Gallagher
What is Kim V.'s role at the current company?
Kim V.'s current role is Claims Manager.
What schools did Kim V. attend?
Kim V. attended Real Estate Sales Academy, Scla Designation; American Education Institute, Robert Morris University - Illinois.
Who are Kim V.'s colleagues?
Kim V.'s colleagues are Mitch Surowitz, Brian Bush, Jordan Pessolano, Charles Herr, Erika Abels, Ivan Kolva, Beth Bishoff.
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