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qhse director resume example with 19+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Skilled in Risk Management with excellent day-to-day safety protocols, claims management in operations, including claims evaluation, adjudication, and customer service in accordance with agreed quality and operations standards. Processes claims in a timely manner and complies with industry fair claims practices and applicable state regulations concerning the processing of claims. Prepares reports and sets goals, while being accountable for the results. Interacts with attorneys, claims professionals, which may include care coordination and intake nurses, claims examiners, benefit/ customer service specialists, and administrative support personnel, including the regular and timely response evaluation of their performance. Maintains good, professional working relationships with superiors, peers, subordinates, and other department managers and associates. Present statistical data in meetings and other venues.

Skills
  • Business Acumen
  • Communication Proficiency
  • Critical Evaluation Decision Making
  • Leadership & Navigation
  • Relationship Management
  • HIPAA & FMLA Compliance
  • Claims Management
  • Drug-Free Workplace Ethical Practice
  • Risk Management Processes and Analysis
  • Statistical Data Analysis
  • Interpersonal Skills
  • Advanced Technology Skills
  • Project Management
  • Data Management
  • Database Development
  • Relational Database Management
  • Systems Administration
Work History
QHSE Director, 10/2019 - 04/2020
Bethany Christian Services Fort Myers, FL,
  • Oriented, trained, and directed staff to achieve objectives.
  • Planned and implemented strategies to increase funding through various approaches.
  • Improved training to reduce knowledge gaps and eliminate performance roadblocks.
  • Oversaw staff, financials, and key performance indicators to manage business operations.
  • Cultivated and maintained positive relationships with employees and freelance personnel.
  • Recruited, hired and trained employees on operations and performance expectations.
  • Liaised with stakeholders to address issues and implement solutions.
  • Developed department performance goals and methods for achieving milestones.
  • Improved staff morale by optimizing workload to support work-life balance.
  • Examined hazardous incidents and accidents to uncover causes and provided corrective actions.
  • Created and implemented programs, policies and procedures designed to effectively reduce or eliminate injuries and hazards in workplace.
  • Responded to emergency situations in most efficient, effective ways possible.
  • Conducted regular inspections of facilities to check compliance with fire, hazard and safety guidelines.
  • Held safety training and traffic safety instructional courses which led to marked improvements in safety culture across personnel groups.
  • Supervised safety audits and oversaw investigations into plant quality issues.
  • Created and compiled safety training procedures into manuals to disseminate to staff members.
  • Minimized safety infractions 98% through teaching and training in risk management, record keeping, hazard identification and quality assurance.
  • Orchestrated and led occupational safety trend and current hazards analyses.
  • Authored, coordinated and delivered mass educational briefings focused on occupational mishap trends and prevention.
  • Kept detailed records of fraud investigations and licensing determinations for future review and appeals defense.
Corporate Claims Manager/Business Partner, 04/2013 - 04/2020
ATALIAN Global Services City, STATE,
  • Regulated compliance to all federal, state, local standards and guidelines.
  • Enforced and maintained BEST(TM) program standards supporting all safety initiatives, policies and procedures.
  • Managed day to day workflow of Safety & Risk Management activity.
  • Managed all company policies and procedures regarding incident management with OSHA recordkeeping.
  • Completed pre-qualifications, contract review, safety database and client updates of safety statistical data.
  • Maintained compliance with state and federal guidelines for Drug Free Workplace.
  • Maintained HIPAA Compliance and knowledge of FMLA guidelines.
  • Monitored associate's safety performance training needs and counseling.
  • Created and updated action plans and measured the effectiveness of set plans.
  • Served as support to the safety ambassador program.
  • Researched and analyzed data and prepared quarterly reports on safety trends.
  • Supported HR Program Manager incentive programs to support organizational excellence in safety, operations, performance.
  • Supported direction and activity of databases in association with approval of subcontractors, incident tracking, SDS, for internal/external clients.
  • Participates in inter-department, inter-company, and client business activities
  • Provided advice and counsel to department heads, managers and staff on updating and interpreting programs.
  • Served in the department as an acting HR/Safety Manager cross-functionally in another person's absence.
Regional Office Manager, 01/1999 - 04/2011
United Northeast LLC City, STATE,
  • Initiated timely project management within budget constraints for multi-faceted problems concerning executive leaders.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures.
  • Managed 18 employees through team building and employee engagement strategies, reducing employee turnover 97%.
  • Managed costs and billing and resolved financial discrepancies effectively through organizational management of account information using internal company software.
  • Arranged corporate and office conferences for company employees and guests.
  • Provided immediate emergency response and incident management.
  • Developed highly effective incident response team and trained extensively in preparation for possible events.
  • Gathered data from incidents that had been remedied for careful review and analysis to prevent future events.
Education
Bachelor of Science: Health Administration and Risk Management, Expected in 2015
-
University of Phoenix - Phoenix, Arizona
GPA:
Status - Area of Study Health Care Systems
Associate of Arts: Information and Technology, Expected in 2011
-
University of Phoenix - Phoenix, Arizona
GPA:
Status -

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Resume Overview

School Attended

  • University of Phoenix
  • University of Phoenix

Job Titles Held:

  • QHSE Director
  • Corporate Claims Manager/Business Partner
  • Regional Office Manager

Degrees

  • Bachelor of Science
  • Associate of Arts

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