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Yyyyyy x. yyyyyy

32 Pelican Dr. | Walpole, MA 0208xxx-xxx-xxxx

linkedin.com/in/maryann-falvey-9536896/ | abc@xyz.com

 

 

Driven, dynamic Executive Manager with a strong background in both change and risk management, leveraged to aid employers, insurers and global manufacturers in transforming their business models in a manner that ensures success. Motivated, expert-level leader who excels both independently or in teams. Focused, with a positive outlook and exemplary mindset as it pertains to goal achievement. Now in pursuit of a Project Manager opportunity that will call for ongoing leverage of change management skills.

 

Highlights

 

  Turn-Around Specialist, well-versed in Human Resources, Claims, Insurance Optimization and Succession Planning to devise cost-effective efforts that alleviate risk and reward outcomes

  Deliver transformative process improvement in strategically liaising across all matrix environment levels to inspire teams to achieve optimal performance and craft sound processes analytic insight to develop opportunities

  Serve as a trusted Lead Program Manager and Consultant for Workers Compensation Trend Reversal - craft workplace strategies to reduce WC MOD rate, lost time, treatment periods, surgical requirements and pharmacy costs

  Possess noteworthy expertise in alleviating risks and reversing injury trends with insurance coverage

  Highly knowledgeable as it pertains to No-Fault Expert/Management of Low Impact Soft Tissue (LIST) Injuries; created, implemented and managed a program used by leading insurers, 14 Claims Offices and 100 Adjusters that garnered 30% savings

  Foster mutually beneficial business relations with C-Level executives, Fortune 100 and major global companies to surpass client expectations using cost-cutting measures to counter client pain points and translate data into actionable corrective plans

 

Core Skills

 

Process Improvement | Strategic Planning | Project Management | Training & Development | Global Experience

Vendor/Broker Management | Data/Coverage Analysis | Actuarial Reporting | Claims Management | Communication

Change Management | Business Development | Stakeholder Engagement | Client Relations

 

Professional Experience

 

AIG Global, Global Worker Safety Strategist (2016-2017)

  Served as a foremost strategist, thought leader and subject matter expert for clients, focused on developing client programs at a global level, used to mitigate musculoskeletal disorders and property and general liability risks

  Offered technical authority specific to worker safety, calling on progressive industry advancements for use in client environments; traveled internationally to source innovative, medical- grade work solutions for vendors

  Proved vital in identifying IoT use opportunities for Tier 1 commercial clients

  Visited each client onsite to suggest risk mitigation technology promoting worker connection, job safety, property monitoring, man-down alerts, bio-metrics, lone worker protection, and equipment operation best practices

  Produced white papers that detailed the leadership role that risk consulting plays in the overall realm of worker safety

  Joined with internal innovation and science teams to develop worker safety programs such as Scrambler Therapy, used to reduce chronic pain and opioid use

  Engaged as a key member of important boards and committees

  Designed a lauded Wearable Technology program, inclusive of a full business plan and legal approach for the new sector that focused on utilizing advanced fused sensors, artificial intelligence, and cloud computing to identify hazards

 

Soft Tissue Solutions/Alternate Perspectives, Founder and Principal Consultant (1998-Present)

  Efficaciously identifying risks for manufacturing and insurance clients in order to reduce soft tissue injuries

  Spearheaded highly effective programs that sought to slash costs and the incidence of worker disability claims for clients

  Launched a clinical program for local insurers and global manufacturers to assess operations and encourage participation in injury management and prevention

  Assessed client insurance programs, finance, medical care and operational compliance to deliver viable solutions

  Promoted services to reputed self-insured manufacturing organizations known for achievement of successful outcomes

  Recognized as a go-to specialist on soft tissue injury claims; headed major projects for insurance providers, healthcare companies, and medical device manufacturers in this capacity

Yyyyyy x. yyyyyy

Continued

 

 

Soft Tissue Solutions/Alternate Perspectives, Founder and Principal Consultant (1998-Present)

  Work with a variety of Clientele:

    • Whirlpool Corporation - Conducted workers compensation claim audit of 31M in loss data on a national scale; enhanced operational performance and coordinated seamless workflow across seven manufacturing sites
    • Hertz Corporation - Evaluated NY PIP, BI, and adverse claims for possible fraud due to clinical and insurance acumen; created strategies to combat concerning or fraudulent claims, ensuring ease of use across all solutions
    • Ideal Standard International - Worked with leaders in London and Milan to devise EU market standard operating procedures (SOPs) specific to health and injury management
    • Consulted with Delphi s executives, plant leadership and medical teams at Lisbon s manufacturing site to pose injury prevention plans involving wellness and treatment plans
    • Persuaded French client for Veolia Transportation to develop a self-designed WC change management pilot; cut lost work days by 17%, treatment periods by 15% and returned 100% of participating staff to work
    • Also decreased Veolia s pharmaceutical costs by 12% within 10 months, achieved 3-to-1 ROI and reconfigured operations to increase productivity by 30%
    • Developed guidelines for Pilgrim Insurance s auto client No-Fault LIST Program; founded a provider network and certified licensure to ensured legal and recordkeeping compliance, as well as conducted a settlement conference
    • Led Providian Financial beta testing and analysis of Graston Technique used to reduce injury costs; slashed new claim surgeries by 68%, pharmacy costs by 15%, treatment periods by 20%, lost time by 80% and PPD on claims by 25%, with the latter done via development of a local specialty network
    • Created a business plan, secured funding, and rolled out a product launch; penetrated 35% of the market in its inaugural year after creating a national specialty network, totaling 10K participants to date
    • Consulted with Managed Care of America PPO in designing workflows for a new contract that offered care to Brazilian union members
    • Engaged in an Ancillary Peer Review Program for Health, No-Fault, BI Claims, and Controverted Cases; implemented a criteria-based clinical peer review and rebuttal program to review musculoskeletal injuries, secured clients and averaged a 5-to-1 ROI per client
    • Also achieved an average 48% risk reduction and 35% net-net using client workflow and best practices

 

Additional experience includes work as a Director of Business Development, Claims Consultant

and Claims Manager/Senior Adjuster

 

Education & Training

 

Adjust Multiline Licensure, NVCC

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