Objective
Seeking a position in the Maritime Industry to utilize my current knowledge in the areas of crew medical management and program management as well as provide opportunities for further development.
Experience
Health Systems International 2003-present
Maritime Program Director
• Oversee overall management of Maritime program, services offerings, and client relations which generates $2.6M of overall revenue
• Worked closely with P&I Clubs, Brokers, Adjusters, Shipowners, and Port Agents to coordinate medical care for injured or ill crewmembers
• Managed client implementation and establish process, procedures, and protocols for each HSI department
• Assisted with marketing activities which includes maintaining knowledge of issues which effect the maritime community, development of marketing campaigns, and oversee production of quarterly e-newsletter
• Additional duties include provider network development and contract negotiation
• Identified opportunities for new product development that enhance revenue for HSI including up sells and client retention
• Maintained responsibility as primary contact for Maritime clients including onsite visits and attending conferences pertinent to our business
• Identified opportunities to increase client’s usage of HSI services
• Assisted with the adjudication and negotiation of medical claims for crewmembers covered under Jone’s Act and/or International Admiralty Law
• Developed reporting criteria and communicate with clients according to the prescribed protocol
• Managed Client Relationship Management schedule
• Assisted with formulating responses for Requests for Proposals (RFPs)
International Claims Manager
• Served as Case Manager to adjudicate medical claims on behalf of foreign governments, travel insurance carriers, assistance companies, and self-insured employers
• Served as primary account representative to International and domestic payors which includes email communications, telephonic communications, and onsite visits
• Assisted New Business Development Manager with implementation of new clients
• Assisted with developing responses to all “Requests for Proposals” or RFPs
Vitran Express 1999- 2002
Risk Management Specialist (Worker’s Compensation)
• Managed all medical only and lost time injuries for trucking company with 42 terminals in 15 States
• Reviewed invoices for appropriateness of care
• Primary responsibility for managing all leaves of absences and ensure corporate compliance with ADA, FMLA, and other applicable laws
• Developed and implemented “Return to Work” program
Richmond State Hospital 2002-2003
Patient Advocate (Intern)
Muskegon Rescue Mission 1999-1999
Women’s Shelter Supervisor
Education
Indiana University, Indianapolis, IN 2003
B.S. Public Affairs
Areas of Concentration: Profit/Non-Profit Management
Minor: Public Health
Certification
Certification in Public Health
Skils
Process Improvement
Process analysis and design
Web-based application design
Program Design
Insurance and Medical Claims Adjudication
Process Enhancements
Account Management
Due Diligence Process
Public Affairs/Relations
Global Sales
Injury Case Management/ Program Management
Negotiations
New Business Integration
Global Marketing
RFP and RFQ processes
HR Programs
Program Director with marine/health/travel insurance and casualty claims experience with a proven track record in development, implementation, and improvement of client-focused processes and procedures.
Customer-focused innovator with demonstrated ability to design processes and
procedures according to the needs of the client.
Effective interpersonal, written, and verbal communicator and leader with
experience with national and international clients.
Exceptional problem-solver and negotiator with advanced ability to solve complex problems, utilizes teamwork to provide solutions, and analyze/ define business processes for inefficiencies and improvements.
Willing to relocate