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Risk Management Specialist Resume Samples
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0-5 years of experience
Supervise workers’ compensation and general liability programs for a city of 34,000 residents. Manage the full claim life cycle, working closely with TPAs to authorize settlements and reserves. In conjunction with risk manager and broker, devise/implement policies and place insurance. Collaborate with vendors and business partners to ensure adequate coverage and mitigate risks. Oversee 200 open workers’ compensation claims and 120 open general liability claims.
- Facilitate interactions with internal partners in finance, HR, and other departments to effectively manage claims.
- Participate in monthly safety meetings to ensure a safe workplace with an emphasis on loss prevention and control across all departments.
- Saved more than $100K annually in managed care costs with development/introduction of a workers’ compensation program for the city; managed RFP process and selected new TPA.
0-5 years of experience
- Reduced the company average of defaulted accounts by over 25%
- Developed new department training procedures and operational protocols, resulting in increased efficiency
- Implemented improved policies for the tracking of metrics to better evaluate the performances of accounts and target
- Established new partnerships with third party agencies to both increase revenue and decrease operational losses
0-5 years of experience
Performed control testing to assess the risk of various functions of the bank’s mortgage servicing division. This included testing for Sarbanes Oxley, Gramm Leach Bliley, and other relevant regulatory requirements
- Communicated testing results to management of the businesses and worked with them to address any issues and improve their operations as needed
- Assisted in the coordination of audits and reviews of the business with Regulators, Investors, and Auditors
- Managed issues resulting from the various audits and reviews to ensure they were addressed in a timely and accurate manner
- Responsible for documenting, tracking and managing loss events for the business.
- Hosted and coordinated a monthly Risk Working Group meeting with all of the business leaders and risk colleagues to discuss open issues and any other risk related matters.
0-5 years of experience
- Investigated and evaluated actual and potential liability claims.
- Collaborated with liability carrier, defense counsel and insureds in investigation of claims and in all phases of litigation.
- Participated in Peer Review committees including Medical Staff Quality Improvement and Patient Care Assessment Committees.
- Participated in evaluation and regulatory reporting regarding serious incidents and sentinel events.
0-5 years of experience
- Assisted global clients by responding to phone, email and other inquiries regarding company products, services and procedures.
- Provided technical assistance to clients and responded to all client inquiries. Corrected errors in client accounts and statements.
- Conducted detailed risk assessments by analyzing documents, statistics, reports and trends. Provide clients with seamless support of record keeping, estate claims, transaction clearing and customer service.
- Maintain dedicated product management expertise and advanced fraud monitoring.
- Review and open investigations daily to ensure proper follow-up and closure.
6-10 years of experience
Responsible for ongoing activities related to Plastic Card fraud
- Monitored daily security reports
- Maintained and balanced accounting general ledgers for plastics
- Maintained a professional relationship with local law enforcement agencies to apprehend unauthorized users of plastic
- Monitored and reviewed all CAMS alerts issued by Visa and took appropriate steps to minimize losses and cardholder
- Monitored fraud trends and recommended FALCON strategy changes to deter fraud
- Monitored member account activity to detect possible fraud and prevent future fraud
- Reviewed, researched and processed all documentation required for chargebacks and closeout packets
- Developed and ensured proper procedures relative to chargebacks and fraud were in place
- Provided back up support for credit, debit, ATM, and online bill pay departments
- Updated staff and management concerning chargebacks, losses, and current fraud trends
0-5 years of experience
- Prepare and review individual insurance plan using risk management technique and transfer risk exposure from individual through an accumulation of funds
- Assist in Workers Compensation and Disability Benefits policy auditing and interact with policyholders to solve inquiries about rate increase. Improved retention rate by 35% in 2016
- Coordinate and prioritize requests from underwriting department and priorities related to systems and technology
- Produce monthly domestic business report using Perspective+ for management to seek potential client base
0-5 years of experience
- Performed administration duties for the members of the Underwriting Department
- Demonstrated high degree of integrity, business acumen & knowledge of the organization & legal policies
- Provided certificate of Insurance issuance
- Managed the SMART program (Staffing Mgt. Acct. Reporting Terminal)
- Acted as liaison between Underwriting & clients
- Primarily classified workers’ compensation assignment & research
- Generated quote classification for rates using V-lookup
- Processed loss run reports upon client’s request
0-5 years of experience
- Member of the Booz Allen Hamilton USA Advisory Board to the Saudi Arabian Royal Court and the Deputy Crown Prince.
- Spearheaded the Regulatory Analysis and Enterprise Risk Management Division for the Saudi Arabian 3 Trillion Dollar initiative in the Middle East and North African emerging markets region (MENA).
- Developed an organizational design for the Kingdom of Saudi Arabia to assess various business exposures, key risk indicators, key performance indicators, business change risk assessments, potential investment and contractual impacts, strategic risk-informed decision-making to mitigate operational and income volatility, and a purpose statement to align with the Kingdom of Saudi Arabia’s overall business objectives and mission.
- Responsibilities for Regulatory Analysis and Enterprise Risk Management include: Fraud and Misuse Management, advanced analytics, risk and control self-assessments, anti-fraud insights, risk ranking, controls optimization, business process re-engineering, and high level data analysis and solutions.
- Supported the build out of Fraud Line of Business Enterprise Framework with senior Booz Allen leadership.
- Collaborated on the newest Booz Allen Hamilton Enterprise Risk Management Innovative Discussion 2016 presentation deck for future and present clientele.
- Assisted in writing Point of View White Papers, Requests for Proposals, and Expressions of Interest.
0-5 years of experience
- Manage portfolio of claims in collaboration with in-house counsel at corporate office
- Compose detailed medical chronologies and case analysis reports
- Research medical literature and standard of care issues
- Train, delegate assignments and function as a resource person for two additional nurse reviewers
- Utilize multiple data management systems for investigation and claims administration
- Address enterprise clinical risk management issues and deficiencies in clinical documentation
- Attend monthly System Risk & Patient Safety Review Subcommittee meetings with the Chief Medical Director and facility-based leadership, as an active participant in developing process improvement strategies
6-10 years of experience
- Possessed strong analytical and assessment skills in handling difficult customer issues in the areas of identity theft, and other fraud-related cases
- Received commendations from customers for fast resolution of their issues
- Experienced in corresponding with various institutions and government agencies like SSA, RRB (Railroad Retirement Board), etc.
0-5 years of experience
- Direct or assist customers in a variety of businesses on Safety Programs
- Train customer employees on applicable Safety regulations and topics.
- Manage Workers’ Compensation claims in most effective way possible
- Conduct walk-throughs of customer sites to assist in their compliance
- Perform Underwriting inspections of potential customers to evaluate
0-5 years of experience
- Manage the overall administration of the Family Medical Leave (FML) Program in compliance with the Family Medical Leave Act (FMLA)
- Manage the overall administration of the Unemployment Benefits
- Manage short-term disability leave for employees; workers’ compensation claims, and the administration of student athletic claims
- Participate in the review and revision of existing policies and procedures for designated Human Resources and Risk Management Program areas
6-10 years of experience
- Possessed strong analytical and assessment skills in handling difficult customer issues in the areas of identity theft, and other fraud-related cases
- Received commendations from customers for fast resolution of their issues
- Experienced in corresponding with various institutions and government agencies like SSA, RRB (Railroad Retirement Board), etc.
0-5 years of experience
- Identification and assessment of transmission projects risks
- Development of project-specific risk profiles
- Calculation and evaluation of contingency funding
0-5 years of experience
- Monitor Agents calls and review emails for accuracy of information and call handling standards.
- Participates and, when necessary, coordinates and leads monthly call calibrations with off-site teams.
- Deliver coaching feedback to agents on call and email performance.
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Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
