Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sherry Hairston

High Point,NC

Summary

Dynamic Workers’ Compensation Risk Manager with extensive expertise at Truist, driving significant savings through innovative program management. Proven ability to enhance employability for injured workers while fostering compliance and risk mitigation. Skilled in negotiating settlements and interpreting complex legal documents, complemented by exceptional communication and operational capabilities.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Workers’ Compensation Manager

Truist previously (BB&T)
Charlotte, NC
02.2015 - Current
  • Served as Program Manager to minimize asset losses through comprehensive policies and quality improvement initiatives.
  • Acted in fiduciary role to monitor reserves and claim settlements with third party administrator.
  • Reviewed and analyzed exposure risks associated with workers’ compensation claims.
  • Addressed impacts of ERISA, FMLA, ADA, and Backfill requests on claim resolutions.
  • Managed Due Diligence processes to mitigate risk exposure with third party administrator.
  • Played a key role in selecting third party administrator for merged organizations and contract renewals.
  • Initiated compliance policies for safety legislation across various jurisdictions.
  • Collaborated with third party administrator to select external defense counsel for dispute resolution proceedings.

Supervisor Vocational Case Management

Jackie Jessie Vocational Case Management Solutions
Fayetteville, NC
05.2013 - 01.2015
  • Edited reports for case managers to ensure clarity and compliance.
  • Reviewed billable hours for accuracy, finalizing invoices linked to each report.
  • Assisted case managers in identifying best practices to enhance employability for injured workers.
  • Supported recruitment, hiring, and training of vocational case managers.
  • Contributed to development of employee performance evaluations.
  • Provided supportive counseling to injured workers, focusing on goal setting and self-advocacy.
  • Educated case managers on engaging injured workers for timely access to necessary services.
  • Created Labor Market Surveys to identify suitable employment opportunities within the county.

Workers' Compensation Claims Case Manager

Liberty Mutual
Charlotte, NC
06.2010 - 03.2013
  • Conducted comprehensive investigations to assess policy coverage and determine compensability.
  • Managed claims as case manager across multiple jurisdictions, including North Carolina, South Carolina, Georgia, Florida, Virginia, and Tennessee.
  • Calculated and issued weekly benefit payments while authorizing medical payments and treatment.
  • Provided ongoing disability and medical case management for assigned claims.
  • Evaluated claims for potential fraud to mitigate risks.
  • Collaborated with Risk Managers and Safety & Loss Specialists to develop proactive risk exposure programs.
  • Investigated potential subrogation opportunities to safeguard insured interests.
  • Maintained a caseload exceeding 150 files through to closure.

Education

Bachelor of Science - Industrial And Organizational Psychology

High Point University
High Point, NC
05-2006

Skills

  • Proficient in workers' compensation nationwide, extensive knowledge in the Southeastern region, and experience in monopolistic states
  • Operate as the program manager for the Workers' Compensation program with Truist
  • Well-versed in Canada’s workers’ compensation process based on provincial and territorial jurisdictions
  • Served as one of the lead facilitators in the merger of BB&T and SunTrust, which is now Truist, workers' compensation programs
  • Implemented changes with Truist that generated substantial savings for the organization
  • Provide training to the FMLA and ADA team on workers' compensation practices
  • Work with the Department of Labor to complete annual OSHA surveys
  • Instrumental in creating an internal OSHA-compliant and OSHA walk-in process for the entire organization
  • Extensive knowledge of return-to-work programs that have been beneficial in assisting injured individuals with a return-to-work mindset
  • As the vocational supervisor, I inherited files from case managers once assigned to me, and I was able to bring the files to conclusion by either finding the client a new job or the client electing to settle their claim
  • Participated in numerous mediations nationwide
  • Attended multiple seminars specifically on negotiating settlements in workers' compensation
  • Effective communication skills, the ability to interpret financial information, and legal documents pertaining to risk management
  • Systems: Workday, Salesforce, ServiceNow, Archer, Base, ImageRight, Excel, Word
  • Excellent operational skills, ability to effectively access potential exposure pertaining to workers' compensation claims
  • Created the Workers' Compensation process for the Truist Policy and Procedure Manual
  • Worked with sourcing and legal to establish the SOW (statement of work) and MSA (master service agreement) with the TPA (third party administrator)
  • Knowledgeable in interpreting health insurance benefit policies, leave of absence policies, and employment relations guidelines

Certification

Previously licensed as a Certified Disability Management Specialist, CDMS#:00119148,

Workers’ Compensation Claims Law Specialist Certificate

North Carolina Property & Casualty Licenses Adjuster NPN# 7901613 2002 Current

Timeline

Workers’ Compensation Manager

Truist previously (BB&T)
02.2015 - Current

Supervisor Vocational Case Management

Jackie Jessie Vocational Case Management Solutions
05.2013 - 01.2015

Workers' Compensation Claims Case Manager

Liberty Mutual
06.2010 - 03.2013

Bachelor of Science - Industrial And Organizational Psychology

High Point University

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Sherry Hairston