LaVonne Holloway

Experience

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  LWP Claims Solutions Inc

  Jan 2003 - Jan 2015

  Claims Supervisor

  Supervised up to 5 claims adjusters and 2 claims assistants with emphasis on large program for smooth business operations. Managed document and report caseloads, mail, insufficient reserves, no reserves, new losses and back due diary for staff on a weekly basis. __________Highlights– Completed minimum of 15 Supervisor reviews daily and prepared all reports/statistical information needed for client claim reviews.– Reviewed and approved for payment of awards, reserve changes, settlement authority, delays, denials, and closures.– Attended claim reviews and conducted quarterly litigation reviews to achieve program objectives and meet organizational mission.– Enhanced internal process for Compensation & Benefits while leading with an eye for process optimization and proper documentation.– Interviewed candidates for claims assistant and claims examiner positions with training to claims examiners to promote operational efficiency.– Drafted policy and procedures with focus on ensuring that compensation programs support corporate strategic objectives including competitive pay, global internal consistency, and good corporate governance. Show less

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  Sedgewick Claims Management Services, Inc.

  Jan 2009 - Jan 2012

  Claims Supervisor

  Prepared compensation claims related modeling and analytics to create sustainable practices and present to management teams. __________Highlights– Drove compensation analysis and recommendations for employee-level promotions and job level changes, for new hires and/or employees moving to new roles within the job architecture framework.– Orchestrated benchmarking/market data analyzes to make annual recommendations for changes to salary ranges.

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  ESM Solutions

  Jan 2015 - Jan 2016

  Workers Compensation Claims Management Consultant

  Coordinated workers compensation advice to employers and brokers to initiate earlier return to work and claims resolution. Calculated experience modification estimates for brokers and employers which includes review of premium audits. Provided direction, coaching, and development opportunities for compensation team members through qualitative consulting. __________Highlights– Collaborated cross-functionally and leveraged an eye for process improvement and creative problem solving to achieve successful results in workers compensation claims management.– Analyzed claims to identify key outstanding issues, and recommended appropriate action plans to ensure timely, and cost saving resolution.– Prepared and conducted employer schools on the basics of workers compensation, while handling claim reviews with carriers, brokers, and employers.– Administered long/short term workers compensation claims management programs that drive company performance.– Obtained claim status from adjusters, nurses, and attorneys both verbally and via email while providing leadership and direction for all components of compensation.– Examined carrier loss runs for loss trending, utilizing compensation policies, objectives, and initiatives to drive critical workers compensation claims program goals.– Prepared quarterly excel reports outlining claim status, historical financials, and loss trending to inform strategic decision making.– Identified employer risks and leveraged incentive survey data to ensure the organization's compensation programs/objectives are competitive in the current marketplace. Show less

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  Sierra WES Wall Systems, Inc

  Jan 2017 - now

  Safety/Workers Compensation Manager

  Review and manage workers' compensation claims, while ensuring that employees follow health and safety regulations to genuinely promote the wellbeing of employees. Champion safety research to create policies that eliminate workplace hazards, injuries and illnesses, document accidents in the workplace and investigate the circumstances of an illness and/or injury. __________Highlights– Improve Safety/Workers Compensation program through strategic communication, technical analysis, and an endless desire to create scalable and progressive structures.– Identify opportunities to minimize workplace injuries, accidents, and health problems while reviewing and updating needful changes to the IIPP and other safety documents.– Deliver excellent service in explaining proper management of workers' compensation claims to employees and managers to aid clearer understanding of applicable terms.– Provide annual training as needed: CPR, Forklift, Driver Safety, and other related safety trainings accordingly to improve employee best practices.– Evaluate injury reports to assess compensation and to determine the anticipated cost per claim while re-aligning workers' compensation claims/documents for service efficiency.– Coordinate payment of medical bills, disability compensation, and other work-related billing, engaging workers’ compensation adjusters and case managers in managing claim.– Maintain records, files, and databases of claims; prepare summary reports of collected data while providing employees with information and training regarding workers' compensation benefits. Show less