Workers Compensation Claims Manager with proven expertise in claims management. Committed to driving continuous improvement and enhancing team collaboration to achieve positive business results.
Overview
23
23
years of professional experience
Work History
Workers Compensation Claims Manager
ESIS
Buffalo, NY
01.2022 - Current
Supporting CVP (Claims Vice President) in overseeing Mid Atlantic offices consisting of 12 teams and 71 adjusters across various jurisdictions
Integrated efforts with construction teams by way of training, participating in file reviews, and oversight of high exposure claims
Contributes to recruitment efforts by conducting interviews and integrating new team members.
Supports requisition submissions for open positions, backfills, and counter defensive actions
Recently assumed responsibility for compiling monthly staffing reports
Assistance provided to CVP and management team to achieve claims quality standards while ensuring exceptional customer service and reducing expenses - penalties in particular.
Involvement in audits, Quality Reviews, assistance with supervisor reviews allows for identification of both positive trends as well as areas of needed improvement against ESIS' Best Practices
Partners with CVP to develop action plans addressing improvement opportunities
Runs weekly reports including reserving reports, indemnity and EDI payment reports
Handles daily tracking of initial contacts that has assisted the office in achieving a 28% increase in Contacts score from 2023 to 2025
Reviews and tracks CLR's to Chubb for approval
Manage office's Claims Coordinator to confirm sufficient resources are provided to supervisors and overall office functions.
Provides coverage during management team absences through participation in file reviews and oversight support to supervisor's team
Ensures high quality customer service for clients and carrier partners. Participates in the development of corrective action plans when necessary.
Involved in coaching and performance management of claims staff
Continual monitoring of penalties including root causes and corrective actions that has allowed the office to realize a $716,262 reduction in penalties from 2023 to 2025
Workers Compensation Supervisor
ESIS
Buffalo, NY
11.2013 - 01.2022
Led and managed a team of up to nine adjusters handling New York claims focused within the ESIS Construction program and Chubb Dollar One group
Oversight included meeting carrier and client best practices, achieving 90% or higher on client and carrier audits, appropriate reserving, and aggressive claim handling to include global resolution strategies with GL counterparts on high exposure claims.
Effective September 2020 leadership expanded to oversight of the ESIS Canada Workers' Compensation program
Senior Claims Representative
ESIS
Buffalo, NY
10.2006 - 11.2013
Adjusted workers' compensation files combined for three national accounts
Met Best Practices by completing timely and thorough initial investigations, timely recognition and execution of reserve adjustments, and aggressive disability and medical management of claims
Claims Representative
NCA Comp
Buffalo, NY
10.2003 - 10.2006
Handled on average 250 files both workers’ compensation and disability
Emphasis placed on developing strong relationships with employers and various vendors all while developing and utilizing innovative methods in order to keep a claim’s exposure minimal