Oversee WC Leave of Absence Program, collaborating with AIG claims advocate for AIG staff with workers compensation claims to ensure TPA adjusters are managing claims according to WC statute. Ensure employees are receiving indemnity/LOA benefits.►Manages HRSS (Human Resources) to ensure WC claims are timely reported/coded to TPA/WC Carrier.►Serves as contact for any WC related issues on employers’ side of the house.►Completes Lagtime report/audit to confirm reporting trends.►Directs quarterly WC claim reviews to ensure injured employee receives proper medical/indemnity benefits, Subro Recovery, along with recommendations for reserving for potential exposure for anticipated life of claim. ►Manages Ergonomic Evaluations for Office Employees/Remote Workers for recommendations to reduce exposure in Repetitive Trauma WC Claims.

Directed and oversaw 3 direct reports by monitoring the electronic TPA claim systems, and in addition, manages their KPIs. Evaluated and approved or denied adjuster requests to increase reserves and gives settlement authority, while providing excellent claim service to internal and external customers. Analyzed monthly loss run trends, reportable claims and/or problematic claims, and reported to executive management.►Facilitated Return-to-Work Program, assisting management in finding appropriate transitional work assignments and making necessary accommodations to injured workers.►Coordinated with the HR and Payroll Departments on Transitional Work timecards and ensuring compliance with any applicable collective bargaining agreements.►Addressed all claim questions from internal clients, including but not limited to: Operations Managers, Legal, Human Resources, and Safety departments.►Responded questions and requests for assistance or documentation for claim investigations, analysis and defense strategies.►Participated in claim file reviews with insurers, brokers and TPA, as well as compliance audits.►Analyzed claim data and trends to support conclusions regarding ongoing management and programs that enhance claim mitigation techniques.

Provided claims services to one of the largest investigation and surveillance firms in the United States. Met with a variety of clients, witnesses, attorneys and investigators, to obtain affidavits and collect evidence.►Investigated accident scenes on behalf of firm clients facing possible litigation, as well as obtained recorded statements from witnesses.

Investigated and managed lost-time caseload of 150 to 175 claims, and in addition, interfaced with insured's workers' compensation manager to discuss claims, investigations, and work status for modified and anticipated full-duty cases.►Substituted for department supervisor.►Maintained in-depth knowledge of Texas Workers' Compensation regulations and facilitated investigations so that claims moved towards conclusion within a timely manner.►Worked closely with defense counsel to prepare benefit review conferences and client claim histories.►Established reputation within company as important resource and sounding board for insurance policies and procedures pertaining to rehabilitation, assignment of private investigators, and light duty program issues.

Completed initial investigations for new claims to determine compensability under Texas regulations, as well as initiated benefits and coordinated development of action plan.►Successfully handled 165 to 175 cases for clients such as Kelly Services, Avis Rent-a-Car, Budget, and Christus Spohn Hospital.►Monitored long-term medical treatment and updated plans and instructions, while collaborating with defense counsel.