Michael A. Koss co-founded NSRC in 2010 after 40 years of practitioner experience in all aspects of self-insured public entity risk management, including Workers’ Compensation, safety services, property and casualty liability, auto insurance programs, OCIP/CCIP, litigation management, managed care services and Special Investigation Unit Fraud program development. He was Senior Director of Risk Management for a major international airline, served as the Director of Workers’ Compensation and No-Fault Claims programs for the nation’s largest public benefit transportation agency and as President of the Los Angeles Public Risk Management Authority.
His experience includes:
- Elected President of the New York Claims Association, the nation’s oldest and largest Workers’ Compensation multi-line insurance dedicated association for two terms
- Presenting workshops and delivered keynote addresses for eleven risk management and insurance entities, including RIMS, PARMA, PRIMA, IAIABC, AASSE, AASCIF, ATA, ASSP and NAPO
- Establishing claims and insurance loss control program performance metrics and Key Performance Indicators (KPIs) for numerous clients
- Designing and implementing organizational risk strategies including risk governance, operational integration, business resiliency policies, business process reviews and outcome measures
- Analyzing multi-jurisdictional Workers’ Compensation and insurance related legislation and proposed regulatory issues and provided viewpoints and recommendations to numerous clients on financial and program impact
- Developing safety loss prevention, cost containment and Special Investigation Unit programs for public and private clients
- Performing multi-line claim audits focusing on reserving, incident investigation, fraud identification, compensability determination, indemnity payment accuracy, medical management and plan of action effectiveness
- Developing and monitoring Transitional Duty Programs
- Developing and managing subrogation, recovery and restitution policies and programs for various organizations including financial leakage audits for public sector entities and Third-Party Administrators
- Determining for public entities, TPAs, and insurance carriers, whether their internal claim management processes had effective established guidelines, that appropriate level personnel with decision-making capability were engaged and that internal controls with resolution and escalation steps met industry best practice standards
Select Professional Certificates:
- Fraud Program Management – NYS Insurance Fraud Bureau
- Dupont Safety Management – Instructor Status
- Catastrophic Injury Management – NYS Insurance Fund
- Confidentiality of Medical Records – John Jay College of Criminal Justice
- Workers’ Compensation Program Management – Counsel on Education and Management