• Manages a complex, lost-time Jones Act claim caseload for a variety of industry leaders in the international shipping/transportation, defense, and dredging sectors.• Reviews and investigates claims to determine compensability, coverage, and continuance of indemnity benefits.• Experience with complex illness and injury claims including sprains/strains to fractures, amputations, stroke, and infectious disease.• Maintains regular communication with mariners, employers, underwriters, defense counsel, and medical providers through claim’s inception through mariner’s return to work, maximum medical improvement, and/or successful settlement.• Maintains detailed and thorough records of all claims activities, including ongoing correspondence, reports, and settlement agreements.• Ensures timely payment of maintenance & cure obligations under the Jones Act.• Communicates solutions to mitigate risk and coverage conflicts for cost-effective outcomes with a strong record in reducing litigation costs.• Directs negotiations and analysis to achieve successful settlement.• Coordinates with unions, global port agents, foreign hospitals, club correspondents, ship to shore medical professionals, nurse case managers, MEDEVAC providers, and medical escorts.• Stay updated on industry trends, changes in regulations, and case law to enhance efficiency and expertise in claims handling.

• Provided in-depth administrative assistance to a team of 10+ claims adjusters handling state workers compensation, Longshore, and Jones Act claims.• Assisted in procuring and reconciling all payable bills.• Created claim files, assisting in the timely reporting of claims across state jurisdictions.• Assist in filing state EDI requirements• Spearheaded development of efficient administrative processes and best practices across TPA state program.• Evaluated for jurisdiction (state workers compensation, USL&H, and Jones Act) prior to adjuster assignment.• Compiled the timely transmission of monthly client invoicing.• Assisted in special projects including, but not limited to, editing and development of RFP proposals, travel arrangements for key stakeholders, and reconciliation of adjuster time & expense invoicing.

Rebound Medical is a unique and highly specialized DME provider for post procedure care (Typically surgical) providing multiple therapies for fast recovery, better outcomes and blood clot prevention. Our specialization is in exceptional patient care.Researches all existing claims, identifying all outstanding payments from a variety of payors.Identifies payment and adjudication trends in the changing healthcare insurance market.Coordinates directly with Accounts Receivable and Collections assuring that all monies are accounted for in a timely fashion.Schedules appointments directly with patients. Assists in identifying patient insurance eligibility.Identifies opportunities for further claim adjudication coordinating directly with appeals and billing analysts.

Develop and maintain a network of contacts to help identify and source qualified candidates for direct hire and temporary requisitions.Interview all candidates, assessing motivation for change, technical skill set, challenges to current role and desired future role.Prepare candidates for interviewing with the clients by providing detailed information on the company, department background, job descriptions, and expectation setting.Prepare on-boarding paperwork (i-9, w-2, among others) for temporary employees.Network with technology professionals through appropriate social media channels and local meet-up/networking groups.

-Develop and maintain strong and effective relationships with our clients—creating a partnership that yields success, predictable results, and credibility.-Develop and maintain a network of contacts to help identify and source qualified leaders.-Manage and coordinate all communication with candidates and clients.-Interview all candidates, assessing motivation for change, technical skill set, challenges to current role and desired future role.-Cover compensation details (current and target), geographic preferences, and resident status.-Prepare candidates for interviewing with the clients by providing detailed information on the company, department background, job descriptions, and expectation setting.-Gather post-interview debrief/feedback and post-mortems with interview teams and candidates.-Perform detailed reference checking and/or reference analysis on selected candidates and reviews results with hiring managers and human resources.-Manage the presentation, selection, offer, negotiation, closing, and administrative components involved in full lifecycle recruiting.-Visit clients to develop a thorough understanding of their departments to help candidates fully understand the opportunity.-Participates in the development of ongoing creative and cost-effective sourcing strategies.-Stay informed of market trends and innovative recruiting techniques in order to remain competitive.

-Maintain business standards and relationships between large and small format retail clients in upper and lower Fairfield County.-Provide superior customer service, receive and replenish stock of nonalcoholic beverage lines.-Assist sales representatives in the securing of display space.