LiveCareer-Resume

vice president resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

I am a committed, hardworking individual who seeks to add value to an organization. I have over twenty years in Risk Management, Insurance Management and Claim Management experience. My reputation and integrity mean everything to me and I strive to be an asset to my client. I am a certified Paralegal and Certified Professional in Healthcare Risk Management with extensive knowledge of legal liability, risk mitigation strategies and insurance placement and funding mechanisms. Top-performing healthcare risk management professional assisting staff and insurance administrators with risk management support. In-depth knowledge of workers' compensation and safety planning. Managing concurrent objectives to promote efficiency and influence positive outcomes.

Skills
  • Knowledge of laws regarding claims and claim settlement practices
  • Advanced knowledge and experience in incident investigation, root cause analysis and mitigation techniques
  • Assisted in creation of online system wide incident and claim reporting system spanning eight hospitals, five freestanding clinics, three physician groups and two sub acute facilities
  • Access, Excel, Visual Basic, SQL and most computer applications
  • Excellent speaking and communication skills
  • Able to reach across all levels of management to accomplish goals
  • Excellent written and oral communication skills
  • Legal knowledge of claim process and settlement practices
  • Broad understanding of Underwriting Principles
  • Broad knowledge of legal proceedings and settlement process
  • Certificates and Licenses
  • ASHRM Member
  • National Paralegal Society Member
Experience
Vice President, 09/2016 to Current
Blackrock, Inc.San Francisco, CA,
  • Provide Risk Management services to various healthcare provider clients including hospital systems, physician groups and freestanding care centers
  • Set reserves based on claim type, merit of accusations, strength of defense and external factors including public perception
  • Train and support client risk management staff, provide support for missing or understaffed risk departments
  • Audit claim processing practice and loss runs for accuracy of reserve setting and handling practices
  • Review client insurance coverages, analyze coverage gaps and overlapping coverage
  • Train staff on risk identification, assessments of risk and responding to risk with a pro-active approach
  • Focus on open claim liability case load with an emphasis on moving claims to closure while staying under reserves
  • Handle claim meetings with carriers and staff, act as a resource as needed
  • Assist clients with claim reserve setting and claim settlement strategies
Director of Risk and Insurance Corporate, 03/2006 to 05/2016
AHMC Healthcare IncCity, STATE,
  • Handled day to day risk and claim activity for all locations in system, set reserves and established department goals
  • Worked with brokers and consultants on risk analysis and insurance placement programs
  • Assisted in the development of company wide internal incident and claim reporting system, tested and monitored system providing IT input and upgrade recommendations
  • Handled insurance program renewal negotiations for all lines of coverage with insured values exceeding a billion dollars system wide
  • Attended and facilitated the settling or general liability, professional liability and work comp claims
  • Led investigations for adverse events and unusual occurrences that led to financial loss, including professional liability, general liability and officer/director liability
  • Investigated risks involving actual or potential injury to patients, visitors and employees; collected information necessary to assist in defending claims
  • Worked with General Counsel as needed
  • Reviewed third party contracts for indemnification and insurance language and adherence
Risk and Insurance Vice President, 02/2000 to 03/2006
Gallagher Madison HealthcareCity, STATE,
  • Directed sales and service of all lines of insurance for clients
  • Trained clients on compliance and accident investigation techniques
  • Kept current with law changes and court rulings that may affect liability and risk
  • Met with upper management to access strengths and weaknesses in operations
  • Provided consulting services regarding changes in Insurance and Liability Issues
  • Provided Risk Management for National Clients
  • Handled and direct loss control measure for national clients
  • Handled and market and service book of commercial business of over $5,000,000.00 with a 99% retention level
Claim and Compliance Officer, 11/1997 to 11/1999
Family Health Network/ MedPartnersCity, STATE,
  • Developed company wide policy and procedures
  • On site audits and consulting of hospital and physician groups
  • Attended client and carrier meetings to provide input on liability issues and trends
  • Audited recovery and submission to carriers on behalf of clients across country
  • Handled all property and casualty claim case load
  • Handled credentialing of providers and addressed any provider liability issues that may arise
  • Trained claim and customer service staff
  • Worked with legal staff toward company wide risk mitigation goals
Education and Training
CPHRM Certified Professional in Healthcare Risk Management: Healthcare Risk Management, Expected in 05/2010
American Society For Health Care Risk Management - On-Line And Conference,
GPA:
Paralegal Certificate: , Expected in
Washington University - St Louis, MO
GPA:
Bachelor of Arts: Paralegal, Expected in
University of Redlands - Redlands, CA,
GPA:
Business Degree: , Expected in
- ,
GPA:
IEA Workers’ Compensation Certified Claim Professional: , Expected in
- ,
GPA:
Certifications
  • CPHRM Certificated - 2010
  • Licensed Insurance Broker
  • ARM - Associate in Risk Management for all Business Type
  • HIPAA Compliance certified
  • IEA Workers Compensation Certificate
  • National Paralegal Certificate
  • Lean Six Sigma Black Belt

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • American Society For Health Care Risk Management
  • Washington University
  • University of Redlands

Job Titles Held:

  • Vice President
  • Director of Risk and Insurance Corporate
  • Risk and Insurance Vice President
  • Claim and Compliance Officer

Degrees

  • CPHRM Certified Professional in Healthcare Risk Management
  • Paralegal Certificate
  • Bachelor of Arts
  • Business Degree
  • IEA Workers’ Compensation Certified Claim Professional

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: