Dr. Marianne Cloeren. In addition to serving as the medical director for Managed Care Advisors, Dr. Cloeren is also the chair of the American College of Occupational and Environmental Medicine's Council on Occupational and Environmental Medicine Practice. With ACOEM she is also active in several special interest sections, including work fitness and disability, health and productivity, and federal and military occupational medicine.
As MCA's senior medical director, she is responsible for quality assurance and performs reviews on complex workers' comp cases, develops case management protocols, does occupational medicine consulting, and teaches and develops training related to workers' comp and disability. Her background includes ergonomics research, employee health program management, and workers' comp case management.
Cloeren has a holistic perspective and believes it is important to look at the whole picture and think about a variety of resources and treatments to help patients recover.
"My recent passion has been to prevent disability related to chronic pain and to identify and provide access to approaches that help patients with pain maintain function, and not become crippled by maladaptive behaviors and opioids," she says.
She believes better outcomes are more likely when everyone involved in a claim comes together -- including the injured worker."The missing piece in case management is including the injured worker in planning," she says. "As a system, we tend to do case management around them, rather than with them."
Cloeren says the workers' comp system would do well to look at strategies to bring injured workers and their representatives "into the fray."
After graduating from the University of Pennsylvania, Cloeren spent time with a friend who was in a rehabilitation hospital recovering from a motor vehicle accident. Seeing her friend recover from a severe brain injury was part of her decision to attend medical school.
"I was working at the time for a company that indexed medical research, and this work exposed me to the field of occupational medicine, to which I was attracted early on," she says. "While in medical school, I was a member of the American Medical Student Association and co-led its task force on occupational and environmental medicine, which gave me a chance to explore this field and plan conference sessions early in my medical career."
Cloeren is board certified in Internal Medicine and Occupational Medicine. She has been a member of ACOEM for more than 20 years and is in her third year on the ACOEM Board of Directors.
Certainly no stranger to the workers' comp system, Ms. Ferrandino is highly regarded in her position as executive vice president, National Practice Leader, Casualty for Willis North America. As part of the Willis National Placement team, she works with the company's casualty placement teams, client advocates and insurers to help deliver the best casualty solutions for its clients.
Ferrandino's extensive casualty background includes traditional casualty insurance/reinsurance, alternative risk solutions and risk finance. Prior to joining Willis in 2004, Ferrandino served at Guy Carpenter as vice president for its Alternative Reinsurance Solutions.
The Hartford was the first stop for Ferrandino in her insurance career. There she held various senior positions in the casualty product lines, including underwriting, captives, new product development, the creation of short- and long-term client partnerships and distribution management. Her last post at The Hartford was as director of National Client Practices.
Selling workers' comp to the C-Suite is an area Ferrandino would like to see explored more. That is, explaining to CFOs and CEOs how a workers' comp program can improve the bottom line.
"The challenge is how to hold people's attention, how to deliver your workers' comp message," she says. "It's all about the details, but like making sausage, sometimes the details that go into it are too much information."
C-Suiters, she says, need to understand the bottom line value of a strong holistic workers' comp program. Communicating this value is key as they may not need to understand every detail, but it is critical that they appreciate the analytical process that goes into a successful workers' comp program, knowing that it can save a company millions of dollars. Part of that is measuring outcomes -- another area that both interests and scares workers' comp participants.
"We talk about it, but how do we do it?" she says. "It's nebulous. You must measure the specifics -- what's driving your loss costs. How do you address those costs? For example, where can we deliver the savings or prevent further losses."
Ferrandino holds a bachelor's degree from the University of Connecticut with a concentration in finance and marketing. In addition to workers' comp, she also speaks at conferences for casualty, risk financing, alternative risk, captives, captive utilization and risk management.
Read more at the WorkersComp Forum homepage.
January 16, 2012
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