Gender

Female

Location

Dublin, CA

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Professional Summary: I provide comprehensive support to Claims Executives in project execution through accurate and quality initiative management and governance of all Claims Projects. I lead and manage cross-functional teams from different levels in the organization in collection of data, ROI creation, and analyses. I conduct primary and secondary research, creatively tackling information limitations and surfacing insights. Portfolio Program Management: Working knowledge of Project life cycle management. Proficient in MS Project, Visio, Excel, PowerPoint, WebEx and SharePoint. Education: San Francisco State University, BA 1997 September 1, 2011 to Present State Compensation Insurance Fund, San Francisco, CA Manager Claims Project Office · Partner/Client Management – Provide a single point of contact for PMO clients/partners regarding projects including resources, new project engagement, implementation and project management · Budget/Finance – Work with finance to maintain reporting on project budgets · Resource Management– Assign Project Managers and technical resources to projects. Generate/maintain resource capacity · Portfolio Management – Monitor and manage accuracy of project timelines, milestones, resource requirements, costs, risks and execution, and completion of specific projects within the portfolio. Also responsible for monitoring the portfolio of projects to meet the revenue and profitability goals for the company, and ensuring projects are implemented consistent with company strategy/ commitments · Project Managers On boarding – Provide project leadership to motivate/guide project managers and facilitate project delivery. Set achievable objectives to improve program performance · Reporting/Analytics - Work with project managers to provide senior management with integrated views of all the projects within the Portfolio. Report on project status, health and maintain all projects information · Metrics – Work with the project managers to develop metrics for the projects to validate outcomes · Project Check-ins & Analysis – Meet with project managers, project owners, sponsors and stakeholders to determine portfolio health, performance, issues, risks and develop analytical reports for executive mgmt · Vendor Management - Vendor contracts review and management, managing vendor SLA performance and delivery · Project Change Control -Manage entire Project Change Control process September 1, 2007 to September 1, 2011 State Compensation Insurance Fund, San Francisco, CA Assistant Claims Manager Claims Optimization and Consolidation Project Management Duties · Project Management - Updated Work plans, identified and resolved unfavorable variances, monitored project progress, identified project delays, and tracked changes to project schedules · Risks and Issues Management – Identified and documented project risks and facilitated resolution · Reporting- Prepared weekly status reports with metrics and analysis for discussion at Status meetings · Project Change Control - Supported submission, decision and communication of Project Change Requests · Finances-Worked with financial teams to reconcile financials relating to project change · Deliverables Tracking - Maintained deliverables tracking documentation and project status reporting · Project Change Control- Supported submission, decision and communication of project change request · Vendor Management –- vendor contracts review and management, managing vendor SLA performance and delivery Claims Supervisor Duties · Facilitated regulatory audits · Analyzed audit findings and composed audit responses · Maintained expertise in Workers Compensation regulations and workers compensation legislation · Maintained expertise in Workers Compensation case law · Developed State Wide Broker/Agent training for Claims Adjusters to facilitate greater understanding of the Broker/Agent role and the claims adjuster servicing of that role · Coordinated and supervised the work of subordinate staff · Planned and assigned workloads · Trained and Coached subordinate staff · Established performance goals and objectives for subordinate staff and maintained level of productivity · Maintained good working relationships with policy holders, claimants, co-workers, regulatory agencies, vendors, the WCAB and employees · Stood in as acting Claims Manager for Bay Area Claims Services December 20, 2006 to September 1, 2007 State Compensation Insurance Fund, San Francisco, CA Claims Liaison · Developed and conducted State Fund’s Employer Training Presentation · Developed and conducted State Fund’s Broker Training Presentation · Developed and conducted Narrative Composition Training for Claims Adjusters · Managed the Claims Narrative Process to include content development and timely delivery for Broker/Employer Reviews · Communicated Claims information to Employers and Brokers and acted as interface between the claims department and the client · Resolved broker and employer concerns in relation to claims · Provided Training to the Claims Staff in Customer Service and Written Communication · Created customer response guide lines for the Claims Staff September 1, 2005 to December 20, 2006 State Compensation Insurance Fund, Stockton, CA Senior Workers Compensation Claims Adjuster · Analyzed issues, made decisions and worked on multiple projects with strict deadlines · Handled multiple assignments including training of staff · Was Expert in State Fund’s systems technology · Demonstrated effective, tactful oral and written communication skills including computer proficiency · Demonstrated strong organizational and time management skills of a team player and role model · Proactively managed, finalized and control an inventory of cases · Ensured timely and accurate liability decisions and benefit provision · Established and maintain timely, current, accurate and adequate estimates and case documentation · Participated in Claims Training programs and acted as a training resource · Provided professional public relations/customer service July 31, 2003 to September 1, 2005 State Compensation Insurance Fund, Stockton, CA Workers Compensation Claims Adjuster Under limited supervision, proactively managed and controlled an inventory of

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