JGCL-100

Accomplished claims management professional with expertise in overseeing the complete lifecycle of workers' compensation claims. Skilled in facilitating communication, ensuring regulatory compliance, and developing strategic resolution plans that align with client objectives, delivering measurable improvements in claim outcomes.

• Handling workers' compensation claims lifecycle across healthcare sector in New York, maintaining compliance and timely outcomes.
• Achieved faster claim resolutions through strategic coordination with defense counsel, leading to a measurable reduction in processing times.
• Enhanced investigation processes by synchronizing efforts between internal teams and external vendors, improving assessment speed and accuracy.
• Developed comprehensive claim updates and presented findings in account review meetings to strengthen stakeholder engagement.
• Identified emerging trends from accident analyses, delivering insights that supported proactive risk management initiatives.

• Coordinated effective communication between TPA insurance carriers and healthcare clients in NY, NJ, and CT.
• Oversaw accurate claims reporting to multiple carriers, including excess carriers, ensuring regulatory compliance.
• Conducted thorough evaluations of reserves, action plans, and litigation reports to develop strategic resolution plans.
• Facilitated claim reviews and underwriting meetings to align claim management protocols with client objectives.

For additional information or to obtain a resume on this Insurance Professional...

Contact Fred Gorman at 1-631-588-4200 Between 8AM & 9PM or Email Fred@GormanPersonnel.com