York Risk Management Services/YorkPro Ms. Burgeon, This is Bill Williams returning a voice mail from you in regards to a possible position at York Risk Management Services in El Dorado Hills California. Apologizing directly to you for not being prudent in response to your voice mail. School continues to be a focus of mind. As seemly enough I am also accruing an unofficial masters degree in the field of Risk Management Services, straight out of the University of York inc. Being that ultimate goal and dream, to help and contribute to the ongoing success of York inc. Officially working on an Associates degree in Human Services. At the same time, 30 units into the 64 required and going on a fourth semester, with approximately four more semesters to go. Now that having to cut down to 8/9 units per semester. Overloaded I was, I now can focus on Family, Sherry's serious injury, Her medical insurance meant to be laced with complexity. Which meaning to be set in place so that the entitled insured individual gets what they have got coming. Exposed by the time I get done with the in-depth procedures that will be carried out in order to get what she rightfully has coming. By the time that is completed, by all means I will be one of the most rounded Warriors York has ever handed a masters degree to with York being the professor. It is appealing and appreciated. Your desire to go out of your way to leave a detailed voice mail. Making the pursuance of a possible interview/employment, within a division at York inc., making the voice mail in the fashionable way you elected to on my behalf. To make it much easier to get this resume out to you directly and personally. (Guessing one could refer to it as being a resume of sorts). The direct email address so that it could by pass any other methods, of getting it directly to your desk. Stay with Me Ms. Burgeon, and what's being said." Risk" and" Resume," is what is being brought your direction, as you have never experienced before. I have worked the extensively with-in the work mans compensation claims procedures process, my forte being in the field of the grocery industry and on the job injury's. Focusing on the more serious and or atrophic claims that company's encounter from time to time. depth processes and procedures. While always trying to maintain fashionable investigating, while always and what seems to be continuously, for many years now. Always have had to operate with-in two different approaches. Set forth on behalf of what each one of their roles actually were and are, to this day. In regards to, while always observing what the two different roles were, being taken at any given time pertaining to what each Division was handling's were during any given direction needed to be focused on. All at the same time, attempting to put together the complex formulas of how exactly to go about handling the division's operational tactics. Of the Risk Services being provided and the level of operations surrounding Risks. While at the same time dealing with my own life's needs and the needs of my family. As I have seen several very powerful entities in the corporate sector of the Corporate America. Walk the edge of risk as far as their character goes. Curtain ones must feel a need to stick to the morals ethics and values that created their character, much more than other company's. That character being, one that if broken in some fashionable way, while a atrophic risk, that is unpredictable and could take place, no matter how much Money, Power, and Privilege, along with how characteristically featured one thinks they have and or believe to be in the eyes of the public. Are they unstoppable at their unethical practices based on the public and their viewpoint? Probably not...! I have also observed the points of view, that the company's must take to deal with the on going patterns of thoughts, we as human beings have and the corporations themselves have to have. I get it; it is it is in our ever-changing world of research we live in today. The Most Powerful Minds in the management of Risk. Say that one must always look for an alternative. For instance, if something goes horrible wrong. Which something with out a doubt can go wrong, from time to time? In Big business, as I have experienced based on research. Ethnographically. Of a corporation over time. That coming up on 70 years of service. As a family's time served, with them. That the consistence of not being as ethical over the last several years, as being the opposites of what got you where you are today. Might actually be viewed in the eyes of the public. This time around quite, abet different from prior run INS with the ones that buy and serve the product that made you rich. The exposure just might be devastating to what once was and what now has become. That being the (ANAL SING THE "RISK" BEING TAKEN BEFORE DURING AND AFTER THE CLAIM IS RESOLVED). (RISK MANAGEMENT, THE MANAGEMENT OF RISK, CMI inc. WITH IN THEIR SERVICES PROVIDED Social Security filings and procedures, Fraud, AME/QME reports, post and pre-op surgeons reports. Internal affairs BY THE CORPORATIONS). NOW GOING ON seven PLUS YEARS, WITH NO END IN SIGHT WITH OR WITHOUT AN INTERVIEW FROM THE LEADING RISK MANAGEMENT PROVIDER IN THE COUNTRY. Knowing very well what I do best. I am fully capable of being trained to do better, training the foot soldiers, the managers, the adjusters about what I know and have experienced. I ask my self is it actually possible to not be what York is looking for. I may or may not be qualified currently for some reason or another. In the eyes of a corporation, up tell knowing this over the top resume. Hoping that after I attempt to keep your attention as I you read this entire resume, on what I can actually do for any/all Risk Management Services out there. Seeking an individual that is honest, hardworking, and persistent, always focusing on customer service. With an intense training course, that focuses on where a proper placement just might be after complete review of this resume. Possible the opening of a door to an interview with in York Inc. At a position that I could be taught to grow at. One could feel that an outlook may be and or bias, on behalf of my position that I currently feel I hold at York. I am and would like to assure you that the Best for York inc. is my ultimate goal, and here I am, soliciting you for the right for your best interest in me as a future prospect within York Risk Management Services. Utilization Board Reviews: nurse case workers reports, Primary Care reporting, surgeons reports claims adjusters reporting, Disclosure reports, Progress reports, Closure reports, Diary's pertaining to claims, Physical therapy reports, light duty procedures, return to work processes, TTD checks, TD checks, indemnity checks, review of all counsels documentation, Human service documentation, child support documents, Compromise and Release settlements, Settlements of stipulations, Auto accident reports, EXPERIENCE Mortgage documentation, Banking disclosures, with in the grocery union, Pro-per cases and the handling of them, and Risk taken by the service provider along with the Risk that may be encountered along the way as a claim is best suited to handle the client's needs. How money can be saved at the store level pertaining to on the job injuries that the grocery industry might encounter during the course of business, return to work policies. ANALYZING OF FILES*** Integrated managed care services Bill review Credit reporting Mortgage payment history/Insurance policy's Human Service Files CPS, Child Support , Court Files, All/any counsels files Court proceeding Along with the analyzation of all/any files listed above." QUALIFICATIONS: Exceptional Integrity with persistence to overcome adversity, at any given time a situation may arise and or be encountered. The relevant skills listed in the experience portion of this resume, I would hope give me an edge of the actual real time expertise; one really truly needs to have to become one of the Best in the field of expertise in Risk, wherever placement best sees fit. In reference to being well rounded in a cartographic claim and the most serious of claims, work comp has ever encountered. When the aspects put into order. Seeing first hand, anything can and or could arise at any given time or place. Having abilities to react to and excellent attention to detail, address situation in a spontaneous sense of direction, if need be. Always seems to have to be a plan "B," for say. Handling so many aspects of a serious claim. The Best out come, for the client's best interest always being the focus. At the same time having full knowledge of what the Risk Services actually are, being provided, the risk facing my employer the genuine with what it takes to justify my employers Risk comes First in my trust to that I am loyal, always honest to my employer, and trustworthy in an absolute fashion. Future placement down the road in a place, they always and I never would have thought. Teaching how exactly the claim should or should not turn out. Always following the direction given by the employer, as superior customer service provided to the client, as I carry on as a 110% team player. The Firm employing self is the ultimate entity that I take all orders from. All the time hoping that, just may have some input from time to time. After shown the business, as I need an intense course and definitely over time on going training. Therefore, that molded me into something beyond Special. In its own unique way that enables growth for the Best Corporation while they look over my family in the same fashion they see me.
Obtained relevant evidence and information regarding suspicious claims.Reduced loss ratios through fair and prompt processing of claims.Interviewed claimants, medical specialists and employers to determine pertinent claim information.Managed a caseload of [Number] clients each quarter.Conducted interviews, gathered detailed information and completed field investigations.Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control.Reviewed collection files to determine next steps in the collection process.Recommended settlement offers and negotiated payment arrangements.Investigated claims, conducted field audits, determined losses and reported findings.Worked with underwriting on loss reserves and risk assessment and coordinated field reviews.Completed required investigations on referred files in a timely manner.Monitored the quality of independently conducted investigations.Analyzed first reports of loss and underlying file material to determine if a claim was suspect.Recommended punitive action on fraudulent claims.Pursued membership in professional anti-fraud investigative organizations.Reviewed data to verify the validity of claims.
Human Services Business
**Weight *Intro to Human Services *Intro to Psychology of Human Relations *Intro to Law & Ethics *Intro level of writing *Intro to Chemical Dependency *Intro to Group Counseling and therapy *Management Diversity *Psychology of Human Relations *Basic Writing Skills *Law & Society *Spelling Intro *Apprentice Meat Cutter
PERSONAL INFORMATION: 2003-2008 I worked at Raley's Family of Fine Foods Supermarket. May home store being El Dorado Hills California Throughout the years I worked in the grocery Portion of the store. As a Utility Clerk, produce department and my final stop at apprentice meat cutter. As diligent as I am. I proceeded into the area of self-employment. From 2009, tell 2013, writing, experiencing, investigating, and so forth. The conclusion in 2013 was that I needed a vocational change. So leaving the grocery Industry in a way. I choose to go back to school and peruse my hobby of RISK MANAGEMENT SERVICES of the corporate Industry. As one should when given an opportunity I have been given. So here we are, asking you for a career that, nobody better than York knows how to do that. No matter what is put into words, having to be said at any given time. The truth of the matter is that. My family and I could sure use you right about now. Am willing to work my Ass off for it. Can I have a chance? I worked for Lucky's for two years in the 90's and built bridges for Benco Bridges for almost two years. The rest vie my earlier career I workers on custom homes in Upper Serrano.
Basic, Counseling, English, Human Relations, Law, Psychology, therapy, Writing Skills
Companies Worked For:
Job Titles Held: