Michelle Namisniak has over 25 years of experience in the workers' compensation field. She received a Bachelor of Arts in Public Justice from SUNY Oswego in 1990. She is currently a Cost Management Consultant at CNA, where she is responsible for controlling medical costs and reducing spending. Previously, she held positions as a Workers' Compensation Specialist at CNA and Client Service Director at RSKCo. She also has experience as a private investigator and workers' compensation claim representative. Namisniak holds the professional designations of WCLS and CRIS. She is licensed as an insurance adjuster in New York and workers' compensation adjuster in Connecticut, New Hampshire, and Rhode Island.

1. Michelle Namisniak
7093 N. Division Rd.
Auburn, NY 13021
(315) 255-1675
Education: State University of New York College at Oswego
Bachelor of Arts in Public Justice, December 1990
Employment
History:
6/1/14 to Present: Cost Management Consultant – Northeast & Southeast Regions
CNA
Responsible for controlling medical costs and reducing spend by
focusing on core medical programs and services that promote
return of injured employee to productivity/work in a timely and
cost effective manner. Implement and train claims branch and
client service staff on cost management programs, Analyzes regional
results and performance, determines areas for improvement; develops
and implements solutions. Conducts quality file reviews, round table
discussions and provides recommendations to help field offices
assess effective utilization programs and to identify vendor
performance quality issues. Participates in special focus projects
or programs as subject matter expert. Identify and develop
proposals for new cost management services/products. Liason with
internal clients and vendors regarding new products, training, updates,
issues and workflows. Managing vendor relationships to ensure
vendor is providing contracted services at required performance levels.
Addresses vendor and field office performance issues and monitors
performance.
2003 to 6/1/14: Workers’ Compensation Specialist
CNA
Responsible for processing claims of all complexity levels in
CT, MA, ME, NH, NY, RI and VT. Duties include the investigation,
evaluation and disposition of claims. Making compensability
decisions. Prompt establishment of clear, concise and accurate
case estimates reflecting the probable ultimate cost of the loss at the
earliest possible time. Negotiating settlements of claims. Develop
rapport with client, team members, customers and injured workers.
Compliance with customer request, completing status reports, claim
reviews, State regulations and requirements. Controlling medical
costs through utilization of Cost Management programs and
processes.

2. 2001 to 2003: Client Service Director
RSKCo
Responsible to monitor client-program results and make proactive
recommendations. Act as client’s liason, coordinating all RSKCo
services. Develop strategies & new product ideas based on client’s
input & service goals. Work to ensure execution of RSKCo’s claim
service agreements. Develop renewal pricing at profitable rates.
Participate in presentations to prospective and existing clients.
Build ongoing relationships with clients and brokers.
1995 to 2001: Workers’ Compensation Specialist
RSKCo
1993 to 1995: Worker’s Compensation Claim Representative
Crawford & Company
1991 to 1993: Bellerdine Investigative Agency
Private Investigator
Written face to face investigations of initial Worker’s Compensation
Claims in order to evaluate compensability and establish accurate
reserves. Neighborhood and face to face activity checks to confirm
claimants’ work status and physical capabilities. Surveillance of
workers’ compensation claims to confirm claimant’s activities.
PROFESSIONAL
DESIGNATION: WCLS – Workers’ Compensation Claims Law Specialist.
Legal Principles Claim Specialist
CRIS – Construction Risk and Insurance Specialist
LICENSES HELD: State of New York – Auto and Casualty Insurance Department
Adjuster License.
State of CT, NH & RI – Workers’ Compensation Adjuster
License.