Sean Roberts Email & Phone Number

Northern California

Western United States

I explore new business opportunities for partnering with potential clients that need MSA/MSP Compliance and Cost Containment expertise in order to help them resolve claims faster and achieve optimal clinical and financial outcomes.Committed to superior customer service, I focus on the needs of the client and assist them in recognizing areas for increased cost containment and enhanced CMS Compliance.

Sacramento, California Area

Responsible for managing and creating strategy to drive new business and enhance service to existing clients in the Northwestern Region,(AK,CA, HI, ID, MT, OR, UT, WA, WY) with emphasis on Northern California. Educate prospective clients on PMSI service offerings, with emphasis on MSP Compliance and Clinical Cost Containment. I worked closely across LOB's (Pharmacy, Critical Care) to maximize market penetration and increase revenue.

Northern California And The Pacific Northwest

Actively sought out new clients in the marketplace to contract with PBM and MSA servicesLiaised with current client base and determine where enhancements to service can be madeUtilized effective marketing techniques to increase monthly script volume and drive revenuePerformed Client presentations to analyze results and recommend additional services if needed.

Analyzed exposure of Liability and Workers' Compensation claims for National insurance carriersDeveloped settlement strategy with clients, including use of Medicare Set-Asides, and provided assistance to facilitate successful approval of MSA'sResponsible for marketing services of the company in the Western region to insurance carriers, TPA's Defense and Applicant Bar to reach goal of $10 Million annual premiumAttend Mediations and Settlement Conferences in order to facilitate a Structured Settlement

Negotiated resolution of high-value Liability and Workers' Compensation claims across the Western United StatesDeveloped internal client base for local branch in addition to providing services for other branches outside of the Western RegionWork with both Plaintiff and Defense Counsel to reach fair and realistic settlementsSaved over $5 Million in potential claim dollars due to effective negotiations in 2002 - 2003

Responsible for handling Complex, litigated Workers; Compensation claimsCoordinated claim reviews for clients when requested both on-site and off-site.Handled several large, National accounts successfully

Handled large caseload of complex, litigated cases for several National accounts

Managed Team of 5 adjusters and 3 Assistants. Ensured that Team stayed on diary and provided guidance to facilitate compliance with State Labor Code and benefit provisionSupervised Waste Management Account which was the largest account based on premium dollars for the companyReported directly to Claims Manager and Branch Vice-President on weekly basis to ensure seamless delivery of top-quality customer service to clientHeld monthly claim reviews for Waste Management account

Certified Structured Settlement Consultant, Structured Settlements

Bachelor Of Arts (Ba), English Literature & U.S. History

Ba Combined Studies, English Literature, Us History