Lucas Jackson
Installed Building Product
Westerville,OH
14
years of professional experience
Workers’ compensation professional with 13+ years of experience managing occupational injury claims from both the third-party administrator and employer perspectives. Experienced in complex claims management, claim investigations, litigation coordination, return-to-work strategies, reserve evaluation, regulatory compliance, and collaboration with TPAs, legal counsel, medical providers, employees, and business leaders. Proven ability to evaluate claim exposure, identify opportunities for cost containment, resolve complex issues, and drive claims toward timely and appropriate resolution.
Work History
Workers Compensation Specialist
4 Months- Evaluated and processed workers' compensation claims to ensure compliance with regulations.
- Collaborated with medical professionals to assess injury-related treatment plans and costs.
- Managed case files, maintaining accurate documentation for audits and legal inquiries.
- Developed training materials for staff on workers' compensation policies and procedures.
SENIOR CLAIMS SPECIALIST II
12 Years 10 Months- Highly skilled and experienced claims professional, responsible for launching intentional strategies to bring self-insured workers' compensation claims to conclusion via development of cost-effective risk reduction initiatives. Effectively partners with employers, injured workers, legal counsel, and medical professionals to successfully navigate the Ohio workers' compensation claims process. Assessed claims timely for coverage determination and engaged applicable medical, disability, litigation, or settlement strategy in a fast-paced environment. Handles all complex claims in the office.
- Utilized advanced predictive-modeling analytics to manage disability claims, ensuring timely and cost-effective resolutions.
- Develops comprehensive, defensible claim files in preparation for adjudication before the Ohio Industrial Commission.
- Delivered exceptional claimant experiences using clear terminology and empathetic, solutions-oriented communication.
- Maintains fiduciary responsibility by implementing a “most probable outcome” approach to accurate and sustainable reserve practices.
- Coordinated return-to-work objectives with injured employees, treating providers, and employer partners to facilitate smooth transitions back to work.
- Collaborates with brokers and excess carriers to proactively manage and resolve large-loss and complex claims portfolios.
- Reviews and responds to medical treatment requests promptly, ensuring clinical appropriateness and necessity for approved conditions.
- Guides injured workers toward post-injury goals focused on achieving long-term, meaningful, and remunerative employment.
- Provides comprehensive claims oversight to ensure all Medicare Secondary Payer requirements are met throughout the settlement process.
- Executed multiple settlements in the last 5 years collectively valued well over $3 million dollars
- Personally, invited to multiple Fortune 500 companies for on-site meetings due to performance
Youth Specialist
7 Months- Demonstrated expertise in de-escalating high-tension situations and facilitating constructive conflict resolution among youth.
- Led group sessions focused on skill-building, personal development, and healthy peer interaction.
- Supervised and motivated youth during community service activities, fostering accountability and encouraging positive engagement.
- Led group sessions to develop skills, promote personal growth, and facilitate healthy peer interactions.
- Managed and scheduled appointments to ensure youth accessed necessary services and resources in a timely manner.
- Enforced organizational policies and behavioral expectations while maintaining effective communication with youth and their families to ensure a safe, supportive environment.
- Recognized as employee of the month twice based on peer voting
- Assisted in coordinating the safe release of multiple youth to their families
Education
Bachelor of Science - Education
- Graduated Magna Cum Laude
- Member of the Who’s Who Among Students in American Universities and Colleges in 2011
- GPA: 3.72
Skills
Workers’ compensation
Claims cost management
Claim settlement strategies
Risk mitigation
Return-to-work coordination
Resource allocation
Analytical thinking
Problem solving
Critical thinking
Strategic planning
Organization
Leadership
Client interfacing
Communication
Timeline
Workers Compensation Specialist
Installed Building Product
05.2026 - CurrentRead More
SENIOR CLAIMS SPECIALIST II
Helmsman Management Services
07.2013 - 05.2026Read More
Youth Specialist
Washington County Juvenile Center
11.2012 - 06.2013Read More
Ohio Valley University
Bachelor of Science from Education
Read More