Claim Manager Risk Manager Human Resource Professional

LIONEL SMITH

Address: 31380 Gabriel Metsu St, Winchester, CA 92596 | Phone: (951) 816-1686 | Email: [email protected]

CLAIM MANAGER ▫▫ RISK MANAGER ▫▫ HUMAN RESOURCE PROFESSIONAL Demonstrated background in Claims Settlement, Risk Management, Employee Relations, Medical Case Management, Safety Training and Program Management accompanied with proactive coordination, multitasking and problem solving skills Dynamic, versatile and results driven professional offering 20+ years of experience within human resources and workers compensation claim management. Through my current experience, gain deep knowledge of collecting and evaluating claim data, creating case management programs, managing/ coordinating risk, implementing claim litigation and analysis including interpreting insurance coverage/ legal processes. Further experienced at evaluating settlement strategies and alternatives for workers and determine potential costs, benefits and risks of litigation. Also dedicated and passionate about developing strong employee relations and exceeding organizational goals coupled with solid reputation of implementing policies and procedures that positively impact employee satisfaction and overall productivity.

CORE COMPETENCIES  Claims Management: Expertise administering claims, processing appropriate papers, determining claim coverage/ settlement and providing optimal customer services.  Risk Management: Demonstrate accomplishments in leading an organization to implement and sustain enterprise wide risk management, internal control and governance framework, as well as sound process improvement initiatives.  Human Resource Management: Strong knowledge of technical HR requirements, policies and procedures; deep sourcing skills and experience recruiting candidates coupled with excellent candidate assessment skills.  Security Management: Adept in managing disaster recovery programs and conducting criminal investigations. Bring expertise in planning, developing and managing facility security and risk management.

SELECTED HIGHLIGHTS . Managed community events visited by over 3000 community partners and vendors. . Orchestrated a successful return to work program of a 1,200 employee environment that resulted in a 20% reduction in Workers Compensation Leaves of Absence. . Conceptualized a 3rd party subrogation program that returned over $1M in lost revenue due to property damage from construction. . Attained 88% improvement in customer service, quality and reliability and awarded “Gold Status” for Security Team alignment and performance for 2 consecutive years. . Successfully contributed to a $500K reduction in Workers Compensation insurance premiums in just 2 years. CAREER SNAPSHOT Employer Role Mountain View Director of Operations. Responsible for analysis of activities between Operations and Community Church Finance Functions of the Church, and works in concert with the Chief Operating Officer to Temecula CA decipher synergies in operations across all of the Churches functions. Oversees Facilities, (June 2013- present Information Technology, Resource Ministry Dept., and Office Management. Plan and manage large-scale community events attracting thousands. 24 Hour Fitness, Senior Risk Manager: Ensured that workers compensation claims are settled in accordance Carlsbad, CA with policy and company guidelines; promptly advised workers of decisions regarding claims; (Mar 2007 – Jun 2013) provided accurate claim and policy status, beneficiary information and settlement explanations to claimants; reviewed and analyzed claim data to assess risk; calculated settlement adjustments; created Key Performance initiatives for TPA related to timely and proper claim management operations Cox Communication, Risk Manager: Ensured the risk management process is fully implemented and integrated; San Diego, CA prioritized and directed risk controls to reduce lines of claim experiences; analyzed past and (May2001 – Mar 2007) current losses for the purpose of prioritizing and directing safety-training requirements; created Cyber Crimes Taskforce in response to SB-88 and data improvement initiatives Additional Experiences Jun 1981 – Oct 2001 USN Hospital Corpsman Chief Petty Officer Master of Arts, Human Resource Management; National University, San Diego, CA Bachelor of Science, Social Psychology; Park University, Parkville, MO Advanced Medical Training; Naval School of Health Sciences, San Diego, CA Page 1 of 2 SHARON

Certified Workers Compensation Professional; University of Michigan, Ann Arbor, MI Business Continuity Program Management 20 years Naval Service, Allied Health, Physiology, Aviation Safety