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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

10+ years of Workers Compensation experience including Senior Claims Adjuster, Telephonic Case Management (TCM) and Direct Nurse Management looking to obtain a long term position that utilizes my skills in management, workers compensation and medical risk.
10+ Years Direct Nurse Management experience
10+ years Healthcare Risk Management
Certified Workers Compensation Professional (CWCP)
Licensed Practical Nurse

Skills
  • Nurse Management
  • OSHA Certified
  • Off Shore Team Development
  • Care Planning and Management
  • Large caseload management
  • Nurse retention management
  • Workers compensation
  • Compensation analysis
  • Team Building
  • Organizational Development and Leadership skills
Work History
Workers' Compensation Clinical Nurse Manager, 06/2018 to Current
Marsh & Mclennan Companies, Inc.Hartford, CT,
  • Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care
  • Educated patients and families on treatment, expected outcomes and discharge instructions, serving as advisory resource to patients and families to facilitate recovery
  • Coordinated departmental operations according to administrative, legal and medical guidelines
  • Supervised team of 8 nurses and 4 Offshore Global team nurses
  • Continuously sought opportunities to improve patient care, outcomes and nursing staff performance
  • Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care
  • Documented all aspects of care following facility and Medicare standards, creating accurate patient records of all interactions and interventions to sustain continuity of care
  • Won BRAVO Awards for exceptional ability to make connections with team members
  • Administered performance evaluations and probationary reviews to assess nursing personnel
  • Reviewed clinical reviews weekly to complete quality control checks
  • Created several Standards of Operating Procedures
  • Created training materials and user manual
  • Created an offshore team including workflow training
  • Worked with multiple departments to resolve claim problems, improve operations and provide exceptional customer service
Healthcare Risk Consultant, 06/2016 to 06/2018
PMA InsuranceCity, STATE,
  • Completed statistical reviews to uncover trends, patterns and variations
  • Performed in-depth research and investigations and recommended strategies to resolve problems and prevent further concerns
  • Produced and filed reports to inform Underwriters of current activities and potential risk issues
  • Updated quality control standard methods and procedures to meet customer SLA and compliance requirements
  • Generated new business leads through direct customer engagement, deploying inbound and outbound marketing tactics and developing and optimizing informative content
  • Liaised with client leadership and brokers to organize and perform quality standard training for new and existing clients
  • Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
  • Maintained regular contact with clients and identified opportunities to deliver added value to client relationships
  • Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes
  • Managed high-value existing and new business partnerships to deliver on objectives and maximize corporate revenue, support and awareness
  • Attended Stewardship meetings
Safety and Loss Control Consultant, 10/2008 to 06/2016
Beverly Enterprises/Golden LivingCity, STATE,
  • Developed recommendations to reduce hazards by improving gear, behaviors and procedures
  • Identified accident causes and optimal prevention strategies by conducting thorough investigations and analyses
  • Built successful hygiene programs based on techniques such as atmospheric monitoring and noise surveys to provide ongoing worker support
  • Optimized new employee training on gear and procedures to maximize team safety
  • Eliminated dangerous behaviors potentially impacting worker safety in healthcare settings through careful analysis and process optimization
  • Evaluated workplace conformance with OSHA standards and state regulations, implementing immediate strategies to resolve deficiencies
  • Adhered to established policies, procedures and compliance for satisfactory audit rating
  • Conducted field visits and met corporate customers for business development
  • Performed quality controls following technical interventions and during product industrialization for products and processes
  • Presented metric reporting and account reviews to underwriters and clients
Education
Associate of Science: Practical Nursing, Expected in 10/1992
Gwinnett Technical College - Lawrenceville, GA
GPA:
Master of Arts: Organizational Development/Leadership, Expected in 04/2005
Shorter University - Rome, GA
GPA:
Bachelor of Science: Business Management, Expected in 12/2003
Shorter University - Rome, GA
GPA:

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School Attended

  • Gwinnett Technical College
  • Shorter University
  • Shorter University

Job Titles Held:

  • Workers' Compensation Clinical Nurse Manager
  • Healthcare Risk Consultant
  • Safety and Loss Control Consultant

Degrees

  • Associate of Science
  • Master of Arts
  • Bachelor of Science

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