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Yyyyyy x. yyyyyy
88 McBride Dr. Portsmouth, RI 02781 401-662-0143 abc@xyz.com
Executive Profile
Hardworking, versatile and driven professional with more than 20 years of progressive experience. Regarded as an expert with regards to risk management and regulatory compliance. Adept in planning and developing project efforts in conjunction with colleagues and other important parties. Skilled in synthesizing conclusions into recommendations. Proven ability to effectively liaise with stakeholders at all levels. Pursuing a leadership role in the healthcare sector, with a focus on patient safety, risk mitigation, medical professional liability and claims avoidance.
Career Highlights
Lead global clinical and safety educational and loss prevention services for all entities and levels of long-term care; develop and conduct all levels of workshops (AIG)
Develop and present seminars; also contribute to marketing efforts carried out on behalf of AIG
Facilitated a notable change within the Claims Team in working with a large client; increased client satisfaction and retention across the major client s account including multiple clinical sites. (AIG)
Earned consistent, outstanding feedback from the AIG Senior Underwriting team for superb performance
Led Marsh s execution of a long-term corrective action plan for a major teaching institute and healthcare provider; saved the organization several hundred thousands of dollars in claims reductions
Worked as a lead for the Crisis Response Team for an extensive healthcare network that fielded various claims and a state licensure suspension (Marsh)
Named as the Front Spokesperson for Marsh at major conventions and marketing events including ASHRM and regional ASHRM-affiliated meetings
Successfully introduced a Captive Insurance Company for Southcoast within six months as the core member of the Senior-Level Team
Handled Auto Liability matters; provided leadership resulted in an all-time auto claims decrease for Southcoast
Trended for claims and employee illnesses; proposed a Southcoast Employee Wellness initiative in conjunction with the Directors of Employee and Occupational Health
Produced a CME course focused on Informed Consent, later established as a template for all 50 medical societies associated with Norcal, spanning the states of RI, CA and AK, among others (Norcal)
Created a rehabilitative program for Physicians in good risk standing with consensus from Underwriters and other parties (Norcal)
Skill Areas
Billing | Claims Management | Client Relations | Coaching & Mentoring | Cost Reduction | Data Research | Education & Prevention
Operations Coordination | Change Management | Information Collection | Insurance Marketing & Public Relations | Interviews
Healthcare Consulting | Legal & Business Intelligence | Needs Assessment | Process Improvement | Project Management & Profit
Profitability | Proposals & Sales Presentations | Quality Control | Recordkeeping & Reporting | Relationship Building
Research & Development | Resource Allocation | Risk Management | Strategic Planning & Analysis | Workflow Development
Professional History
AIG
Senior Risk Consultant, 2011-Present
Serve as an internal client support provider for the East Coast, including the Mid-Atlantic region, upstate New York and Pennsylvania
Assess underwriting trending data and executive-level strategic and business planning efforts
Develop and deliver support for presentations and seminars that covered all facets of clinical safety best practices
Lead an internal peer group to create measurable objectives, as well as related skills and training for the Casualty Risk Technical Career path team
Research and develop presentations focusing on loss prevention, claims management and numerous categories of lessons learned
Conduct clinical Best Practice Assessments and other important benchmarking endeavors
Work in conjunction with claims and legal staff, often as a liaison between colleagues and clients specific to claims management
Use claim and legal trending data to intensively work in resolving claims
Confer with the legal defense team specific to matters and trends to share with colleagues and clients alike
Recognized as the foremost contact and file manager for an established group of Physicians with high-risk patient groups
Create a strong marketing presence for events hosted in the greater Northeast/Mid Atlantic area
Selected amongst thousands of colleagues as a team leader for AIG s Innovation Boot Camp to address Medical Tourism; event is being developed in partnership with a global contact as a potential new concept to launch in the coming year
Travel frequently with underwriting, claims and marketing teams to present risk and loss prevention data to clients and prospects; also share the most recently captive management related activity with the aforementioned parties
Yyyyyy x. yyyyyy
Continued
Klovir Risk Consulting
President & CEO, 2010-2011
Worked in an independent consultant capacity with clients needing assistance and evaluation
Collaborated with clients over the course of a series of quality, regulatory, safety, claims, risk management, business interruption, loss prevention and captive readiness projects.
Provided services including education and follow up in varied settings e.g. hospital, ambulatory, senior care, and corporate settings
Offered both onsite and remote assignments with attention to timeliness
Marsh Usa
Senior VP, Risk Management-Northeast Zone, 2005-2010
Delivered holistic risk management services based on individual client needs
Conducted research and gave updates on current risk, medical and legal issues
Enhances sales, marketing and retention efforts for Marsh clients; was a Senior Care client lead for entire Northeast Zone, which brought about a 20% clams decrease
Played a key role as an active member of the corporate team; partnered with clients during all insurance operations
Actively supported colleagues and clients with detailed preparation and review of C-Suite and Board-level presentations and resources
Led the successful resolution of a serious medication error at a major health institution
Worked closely with sales and marketing colleagues to consistently provide them with breaking news and updates specific to legal matters and client updates
Actively drove operations for and participated in the Requests for Proposal (RFP) process, along with prospect/renewal meetings
Southcoast Hospitals Group
Director, Risk & Claims Management & Employee Health, 2001-2005
Developed and integrated a multi-site Risk Management service program that incorporated legal and claims management
Became the Director of Employee Health services as well over six months time
Was a principal presenter to domestic insurance markets, as well as London, Cayman and Bermuda, all of which returned promising fiscal results
Founded key initiatives including consistent, integrated Sentinel Event, Critical Event, Incident and Failure Mode Analysis databases
Developed and executed policies and systems used to assist numerous clients of all backgrounds and need levels
Called on a large counsel network to initiate communication and quick, efficient responses to legal issues
Consistently offer key healthcare legislative and regulatory updates to senior clinical and administrative team members
Directed the self-insured Workers Compensation program which yielded a steady downward trend in claims
Cooperated with third-party administrators to develop and implement system safety initiatives
Worked with Administrative Assistants to fortify and further develop the new Captive claims database, created to avoid duplication, identify potential claims early on and further extend available resources to staff across the organization
Actively participated in all marketing planning phases; focused on the possible legal impact on all processes
Was the foremost contact to Public Relations staff; aided in preparing media statements involving possible legal matters
Norcal Mutual Insurance
Senior Risk Specialist, 1996-2001
Created and introduced the Rhode Island Risk Management office for Norcal in response to a joint commitment by the company and the Rhode Island Medical Society Boards of Directors
Quickly founded partnerships with key healthcare clients by arranging several meetings within the first 90 days of being hired
Led interventions including a seminar series; expanded later into a general database comprised of continuing education efforts and other models utilized company-wide
Founded a discourse for bridging the communication divide between Claims and Risk Management to prevent duplication
Slashed the number of work hours expended to look into claims and build a heightened awareness of all claims medical/legal impacts
Used Claims Loss Runs to institute parameters that improved upon Physician performance and lessened the possibility of future claims
Garnered positive Customer Satisfaction survey results and optimistic feedback within other client correspondence; showed evidence of the value-added component of risk management offerings as a key element in acquiring and retaining business
Earlier Experience
Associate Director of Risk Management & General Counsel, Tufts-New England Medical Center, 1994-1996
Law Clerk for the Hon. Janet Cox, Department of Industrial Accidents, 1993
Risk Manager/Claims Manager/Quality Review Coordinator, Newport Hospital, 1983-1991
Orthopedic/Oncology RN, University of Massachusetts Medical Center, 1982-1983
Team Leader RN Orthopedics, Mission Bay Hospital, 1981-1982
GN/ Registered Nurse (RN) Medical Surgical, Memorial Hospital, 1981
Yyyyyy x. yyyyyy
Continued
Education & Involvement
Certification, National Patient Safety Foundation (NPSF, pending)
Juris Doctor, Southern New England/University of Massachusetts Dartmouth School of Law
Master of Arts, Organization and Management/Human Development, Salve Regina University
Bachelor of Science, Nursing, University of Massachusetts
Certification, Healthcare Risk Management (CPHRM) Practitioner
Certification, U.S. Supreme Court
Certification, U.S. District Court- First Circuit
Certification, Massachusetts State Court
Registered Nurse, Massachusetts and Rhode Island
Innovation Boot Camp, AIG- Medical Tourism
Continuing Medical Education, Southcoast Hospitals Group
Involvement
Board Member, Massachusetts Society of Healthcare Risk Managers
Member, American & Regional Societies for Healthcare Risk Management
Team Member, Technical Career Path, AIG-Casualty Risk Division
Developer/Researcher/Contributor, AIG Tools & Resources
Contributing Author, ASHRM s Pearls: Informed Consent
Published Author, NORCAL Mutual Insurance Publications
Volunteer, Wounded Warrior and Looking Upwards
Honors & Accolades
Distinguished Alumni Success Award, Dartmouth School of Law (First Recipient)
Sweet Success Marketing & Client Satisfaction Awards, Marsh USA, Inc.
President s Team Cultural Awareness Award, Southcoast Hospitals Group
President s Club Award, Norcal Mutual Insurance Company
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