Bilingual HR and workers’ compensation professional skilled in compliance management and operational improvements. Proven ability to optimize workflows, enhance collaboration, and achieve significant cost reductions in claims management.
Overview
32
32
years of professional experience
Work History
Manager, Claims & Risk Admin - Risk Analyst (3M)
KCI/Acelity - 3M
San Antonio, Texas
01.2013 - Current
Managed daily claim operations, ensuring adherence to claim process protocols and minimizing potential compliance issues.
Facilitated communication among insurance claim handlers, employees, and management, enhancing collaboration and streamlining operations.
Ensured claim filing compliance with all applicable laws, regulations, industry standards.
Implemented process improvements to optimize workflow and resource allocation.
Conducted regular claim file review meetings with insurance representatives and claim handlers to assess progress and pinpoint areas for cost containment.
Analyzed claim performance data and forecasted exposure results for upper management.
Manager, Workers' Compensation Program
ISS Facility Services
San Antonio, Texas
06.2010 - 01.2013
Analyzed claim performance data and forecasted exposure results to inform strategic decisions for upper management.
Implemented process improvements to optimize workflow and resource allocation.
Managed daily claim operations and ensured compliance with claim process protocols.
Ensured claim filing compliance with all applicable laws, regulations, industry standards.
Facilitated communication among insurance claim handlers, employees, and management to enhance collaboration and drive efficiency.
Conducted claim file review meetings with insurance representatives and claim handlers to assess progress and pinpoint areas for improvement.
Workers’ Comp. Program Manager
Zachry
San Antonio, USA
01.2004 - 09.2009
Managed the workers’ compensation program for all project sites in the U.S. and overseas to include OCIPs (Owner Controlled Insurance Programs) and Joint Venture – Project Specific Programs.
Implemented a claim management process that reduced the average cost per claim by 42% over a 12-month period.
Represented employer at Benefit Review Conferences and Contested Case Hearings as well as during settlement negotiations with authority up to $1M per claim.
Maintained procedures for regulatory processing and closure of workers’ compensation claims, ensuring compliance and efficiency.
Coordinated training for 100+ Site Safety Managers on consistent practices for mandatory reporting regulations, minimizing risk of penalties.
Collaborated with Dispute Resolution Department to address claims qualifying for FMLA or ADA.
Communicated with carrier adjusters regarding litigated matters, problematic issues and general claims management and claim reserve authorization.
Reviewed pending legislation on Texas Workers’ Compensation, assessing potential impacts on company operations and risk management.
Counseled injured employees and / or immediate family members regarding benefits or concerns.
Corporate Safety Support Manager
Zachry
San Antonio, USA
01.2001 - 01.2004
Monitored Drug and Alcohol Program for random, select, and post-accident drug screens; approved vendors and labs for drug test kits; processed appeals to ensure compliance and effectiveness.
Maintained Drug and Alcohol Program records that provided 100% compliance during customer audits.
Administered FMLA program and provided training to Project Safety Managers to ensure adherence to state regulatory rules and regulations.
Collected and organized statistical data for compliance and reporting, enhancing visibility into safety performance and trends.
Coordinated between project sites and insurance adjusters to resolve complex claims, facilitating timely resolutions and minimizing disruptions.
Reviewed injury reports for proper filing compliance.
Training and Logistics Coordinator
Zachry
San Antonio, USA
01.2000 - 01.2001
Coordinated six-week Professional Employee Orientation program to enhance onboarding experience for new hires.
Selected and evaluated outside sites for company training workshops to ensure alignment with training objectives.
Prepared budget and demand forecasts for Employee Development / Training Department, providing monthly variance reports to support financial decision-making.
Assisted the EEO Compliance Manager in documenting complaints, maintaining files, and updating open file log.
Supervisor, Administrative Services
Zachry
San Antonio, USA
01.1995 - 01.2000
Supervised 12 employees overseeing $250,000 inventory for office furniture and supply procurement, mail distribution, and print shop operations.
Supervised daily operations and ensured compliance with safety standards.
Coordinated team schedules and managed workflow to optimize productivity.
Trained new employees on procedures and safety protocols effectively.
Negotiated contracts and issued purchase orders while encoding invoices prior to payment and collaborating with vendors.
Employee Relations Coordinator
Zachry
San Antonio, USA
01.1994 - 01.1995
Created Employee Relations Department budget with 15-month projection; monitored business plan to ensure alignment with organizational goals.
Contributed to task force that established Practice and Procedures Manual for ADA and FMLA compliance, enhancing legal adherence and employee support.
Led implementation of initial employee benefit cafeteria plan; coordinated on-site presentations, training, benefit sign-up, and Q&A sessions to facilitate smooth transitions.
Education
Some College (No Degree) - Business and Claim Adjuster
San Antonio College
San Antonio, TX
Skills
Claims Management
Risk Claim Assessment
Excel
PowerPoint
MS Word
Google Docs
Outlook
Web Browser
Training
Numerous professional training programs and seminars such as, Ethics, HIPAA, Diversity, OSHA, Compensation Trends, FMLA, Dispute Resolutions, MMSEA, Records Management, Customer Service, Leadership, etc.
Phone Numbers
830-303-4011, 210-336-0909
Timeline
Manager, Claims & Risk Admin - Risk Analyst (3M)
KCI/Acelity - 3M
01.2013 - Current
Manager, Workers' Compensation Program
ISS Facility Services
06.2010 - 01.2013
Workers’ Comp. Program Manager
Zachry
01.2004 - 09.2009
Corporate Safety Support Manager
Zachry
01.2001 - 01.2004
Training and Logistics Coordinator
Zachry
01.2000 - 01.2001
Supervisor, Administrative Services
Zachry
01.1995 - 01.2000
Employee Relations Coordinator
Zachry
01.1994 - 01.1995
Some College (No Degree) - Business and Claim Adjuster
Broker, Risk, Claims and Insurance Manager at Eagle Eye Global Insurance Services IncBroker, Risk, Claims and Insurance Manager at Eagle Eye Global Insurance Services Inc
Senior Risk and Insurance Claims Manager at Vector Services | Vector Force DevelopmentSenior Risk and Insurance Claims Manager at Vector Services | Vector Force Development