Health Care Policy

Richard Krasner, MA, MHA
7151 Summer Tree Drive
Boynton Beach, FL 33437
(561) 738-0458, cell (561) 603-1685
richard_krasner@hotmail.com
http://www.linkedin.com/in/richardkrasner
Skype: richard.krasner

Professional Profile

Master’s In Health Administration (MHA) graduate with extensive Insurance business experience and academic training in Political Science and other Social Sciences, looking to transition into Health Care Policy.

Skills

  • Strong financial, organizational, written and presentation skills.
  • Strong analytical and problem solving skills.
  • Strong database management and quality assurance skills.
  • Able to respond to complex questions from internal and external customers.
  • Able to work independently; team player; self-motivated.
  • MS Office, Windows.

Education

Master’s in Health Administration, Florida Atlantic University, Boca Raton, FL, Dec. 2011

Courses:
Introduction to US Health Care Systems
Organization Behavior in Healthcare
Health Care Mgmt. (elective) Topic: Healthcare Quality
Health Law
Health Policy
Healthcare Finance
Planning & Mktg. in Healthcare
The 2010 Affordable Care Act (elective)
Research Methods for Healthcare Mgmt.

Papers:
EnergySmart Hospitals: A Comparative Review
Banning Soda under the SNAP Program: A Policy Review
Legal Barriers to Implementing Int’l Providers into Medical Provider Networks for WC
PPACA: The End of Workers’ Compensation?
Medical Management Internship Paper

M.A., History, New York University, New York, New York
Concentration: American History

B.A., Liberal Arts, SUNY Brockport, Brockport, NY
Concentrations: Political Science, History, Sociology/Afro-American Studies/Social Sciences/Humanities

Professional Experience

Content Writer, Transforming Workers’ Compensation Blog, Boynton Beach, FL            2012 – Present

  • Published over 300 articles covering current issues in Workers’ Compensation, Healthcare, and to promote the implementation of medical travel into Workers’ Compensation.

Risk Management Consulting Services, Boynton Beach, FL                                        2002 – 2010

For Strategic Outsourcing, Inc., a professional employment organization (PEO) in Charlotte, NC with more than 830 clients and 33,000 assigned employees.

  • Performed detailed risk and loss analysis on all lines of property & casualty coverage, with emphasis on workers’ compensation and general liability.
  • Worked on the design and analysis to create internally or purchase an effective Risk Management Information System (RMIS).

For Environamics, Inc., a commercial construction company in Charlotte, NC.

  • Worked with the Human Resources Manager and insurance broker to create fully   developed losses in all lines of insurance and loss development factors.
  • Developed the analysis to determine the best levels of self-insurance and deductibles.
  • Created fully functional loss spreadsheets.

For the Fredrick C. Smith Clinic, one of the largest physician-owned medical clinics in
Ohio.

  • Conducted detailed risk and loss analysis in their workers’ compensation program.
  • Developed the criteria to use to select a third party claims administrator.
  • Designed an effective strategy to reduce frequency and severity of workers’ compensation claims.

For Bonitz, Inc., a commercial construction company (sub-contractor) in Columbia, SC,with over 1000 associates (employees), with 16 locations in 6 states, specializing in ceiling, drywall and flooring.

  • Under supervision of Director of Human Resources, designed a more effective safety program with special emphasis on Workers’ Compensation claims and claims costs.
  • Assisted in the set-up and implementation of claims database system (RMIS).
  • Worked on wrap-up claims, policies and programs on an as needed basis.

Sr. Specialist/Data Mgmt., Aon Risk Services of TX, Inc., Houston, TX                         2001 – 2002

  • Processed internal/external client requests for data.
  • Analyzed changes in clients’ Experience Modification Factors.

Risk Management Consultant, Dallas, TX                                                                         1995 – 2001
Various assignments in Texas and Florida in Risk Management, Claims Administration and Data Management.

Data Analyst, Stirling Cooke, Dallas, TX

  • Maintained data integrity; managed data and system reconciliation; ran claims and policy reports; ran monthly loss runs; coordinated and compiled TPA claims data; generated month-end processing.

BPO Compliance Analyst, PMSC, Sarasota, FL

  • Gathered, analyzed, defined and implemented requirements and procedures for electronic reporting of WC data.
  • Documented data reporting requirements. Developed and executed test plans.
  • Compiled, analyzed and verified WC exposure, premium and claims data for statistical bureau reporting.
  • Tested and analyzed data reporting software. Coordinated resolution of programming issues with programmers.

Data Services Consultant, NCCI, Inc., Boca Raton, FL

  • Analyzed, researched and resolved issues for all data types, requests and collection systems for all data reported to company.
  • Responded to complex questions and data requests from internal and external customers.
  • Researched and resolved carrier appeals to ensure equitable application of data reporting incentive programs.
  • Participated in internal carrier visitations and end-user training.

Underwriting Data Analyst (Contract), Allstate, Boca Raton, FL

  • Performed data analysis and data management tasks to support underwriting operations.

Additional Experience

Claims Coding Supervisor, Reliance National Insurance Company, NY, NY

  • Supervised work of coding staff. Assisted in testing of database software during data conversion process from current database to new database.

Claims Administrator, Hamond & Regine Inc., Mineola, NY

  • Managed and improved administration of Construction/Maintenance OCIP “wrap-up” claims program (WC, GL, and Builders’ Risk) for retail insurance broker, resulting in improved operational and insurance program analysis.
  • Created and generated Loss Control Analysis Reports, improving risk analysis and exposure identification.
  • Interacted with Loss Control/Safety personnel to improve monitoring of claims and incidents. Reduced errors and omissions by more than 50%.
  • Investigated, analyzed and coordinated correction of claims data discrepancies, saving client over $100,000 in additional premium.
  • Conducted periodic claims file reviews and audits. Gathered and prepared claims data for renewal process.

No-Fault Claims Supervisor, American Colonial Insurance Company, NY, NY

  • Administered Automobile No-Fault claims unit .

WC Claims Examiner, Greater New York Mutual Insurance Co., NY, NY

  • Processed, investigated and paid WC & Disability claims.

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