Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
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

  • 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
Associate of Science: Practical Nursing, Expected in 10/1992
Gwinnett Technical College - Lawrenceville, GA
Master of Arts: Organizational Development/Leadership, Expected in 04/2005
Shorter University - Rome, GA
Bachelor of Science: Business Management, Expected in 12/2003
Shorter University - Rome, GA

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


Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:


resume Strength

  • Length
  • Personalization
  • Target Job
  • Typos

Resume Overview

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


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

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

*As seen in: