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About
Us > Profiles
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Directors |
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Christopher
R. Brigham, MD
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Christopher R. Brigham, MD is
the Chairman of Impairment Resources,
LLC. He is the Senior Contributing
Editor for the AMA Guides to the
Evaluation of Permanent Impairment,
Sixth Edition and was a contributor
/ author for several chapters, including
Upper Extremities, Lower Extremities
and Spine. With the Fifth Edition
he served on the Advisory Committee
and as a reviewer. Dr. Brigham is
Board-Certified in Occupational
Medicine (ABPM), Founding Director
of the American Board of Independent
Medical Examiners (ABIME), a Certified
Independent Medical Examiner (CIME),
a Certified Impairment Rater (CIR),
a Fellow of the American Academy
of Disability Evaluating Physicians
(FAADEP) with Certification in Evaluation
of Disability and Impairment Rating
(CEDIR), and a Fellow of the American
College of Occupational Environmental
Medicine (FACOEM), and a graduate
of the Washington University School
of Medicine – St. Louis. He
is the Editor of the AMA publications
Guides Newsletter and the Guides
Casebook. He is co-author of the
text Understanding the AMA Guides
in Workers Compensation, has written
over one hundred published articles
on impairment and disability evaluation
and other texts, chaired the Medical
Advisory Board for the Medical Disability
Advisor, Fourth Edition, is featured
in several video, audio and web-based
productions in the medicolegal field,
and has trained thousands of physicians,
attorneys, claims professionals
and fact-finders, throughout the
US, Canada and internationally.
He is an experienced professional
speaker. As a clinician with over
twenty five years experience, he
has performed several thousand independent
medical and impairment evaluations,
providing him with excellent insight
to the complexities of human potential,
impairment and disability. As a
result of this experience he has
consulted for numerous organizations
(including governmental jurisdictions).
Curriculum Vitae
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Biographical Sketch
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Craig
Uejo, MD, MPH
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Craig Uejo,
MD, MPH, QME, CIME, CIR, National
Medical Director for
Impairment Resources, LLC, is a
board-certified occupational
medicine physician practicing as
an Occupational and Disability
Medicine Specialist with
Sharp-Rees Stealy Medical Group,
Associate Editor of the new
edition of the Guides Casebook,
reviewer of the AMA Guides Sixth
Edition, and an Associate Editor
for the AMA Guides Newsletter.
He has more than 14 years of experience in Occupational
Medicine, and received his M.D.
from the University of Southern
California - Keck School of Medicine,
did a residency in Occupational
and Environmental Medicine at the
University of California at Irvine,
and received a Master’s Degree in
Public Health from San Diego State
University. He is also a Qualified
Medical Evaluator with the State
of California, Certified Independent
Medical Examiner by the American
Board of Independent Medical Examiners
and a Certified Impairment Rater.
He has extensive experience in the
use of the AMA Guides to the Evaluation
of Permanent Impairment, having
performed and/or reviewed thousands
of cases regarding impairment and
causation/apportionment analyses.
Curriculum Vitae |
Frederick Uehlein |
Frederick Uehlein,
Director, is the Founder
and Chairman of Insurance Recovery
Group, a firm that specializes in
second injury fund and COLA recoveries
for Employers, Insurers, and Third
Party Administrators throughout
the United States. He has also been
Managing Partner and Founder of
a leading Massachusetts law firm
in the field of insurance defense
and prior to that advocated for
injured workers claiming workers’
compensation benefits. He has over
33 years experience in workers'
compensation insurance practice.
In addition, Mr. Uehlein is a frequent
lecturer and writer on insurance
claims issues, second injury fund,
COLA recovery, and litigation management.
Mr. Uehlein is a member of the Workers'
Compensation Trial Lawyers Association,
and is on the Advisory Committee
of John Burton's "Workers' Compensation
Resources." He is a graduate of
Boston College Law School and Trinity
College, and is licensed to practice
in Massachusetts and New York.
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David Jollin |
David Jollin,
Director, is the President
and CEO of Insurance Recovery Group,
a firm that specializes in second
injury fund and COLA recoveries
for Employers, Insurers, and Third
Party Administrators throughout
the United States. He has over 30
years of property and casualty brokerage
experience in the insurance industry.
He has held a variety of positions
with major insurance brokers, including
Johnson & Higgins, Corroon & Black,
and Willis, ranging from sales and
service of large risk management
accounts to senior management positions.
This in-depth experience has provided
broad exposure to all types of insurance
coverages, claims and claims handling
for insurance companies and large
employers, and has allowed Mr. Jollin
to work closely with many insurance
companies to establish, on behalf
of clients, risk avoidance, effective
risk transfer, and claims handling
services. Previously, Mr. Jollin
was Chairman and CEO of Willis of
New England. He has also served
on various private school boards
and is co-author of articles on
second injury fund recoveries. Mr.
Jollin is a graduate of Brown University.
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Consultants |
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Ken
Subin, MD, MPH
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Kenneth P. Subin,
MD, MPH, CIME, CIR, is board-certified
in General Preventive Medicine and
Occupational Medicine. Dr.
Subin has more than 11 years of
clinical experience in Occupational
Medicine and currently practices
in Elmira, New York where he serves
as Clinical Medical Director for
the Center for Occupational and
Environmental Medicine. He received
his M.D. from The George Washington
University School of Medicine.
He completed an internship in General
Surgery at The George Washington
University Medical Center, a residency
in General Preventive Medicine at
the University of California at
San Diego, and received his Master’s
Degree in Public Health from San
Diego State University. He is a
Certified Independent Medical Examiner
by the American Board of Independent
Medical Examiners and is a Certified
Impairment Rater. Dr. Subin has
extensive experience in the use
of the AMA Guides to the Evaluation
of Permanent Impairment and causation
analysis. In addition, Dr.
Subin has extensive training in
the philosophy and methodology of
Quality Improvement.
Curriculum Vitae
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Steve
Demeter, MD, MPH
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Stephen Demeter,
MD, MPH, CIME, CIR is board-certified
in three specialties: internal medicine,
pulmonary medicine and occupational
medicine. He is a distinguished
consultant with a superb national
reputation and a highly regarded
author, having written approximately
one hundred scientific publications,
reviewer/associate editor for several
medical specialty journals, and
co-author of 3 medical textbooks
(Environmental Respiratory Disease
and 2 editions of the highly regarded
AMA text Disability Evaluation).
He is a graduate of Ohio State University
College of Medicine, completed internship
and residency at Mount Carmel Medical
Center in Columbus, Ohio, Fellowship
in Pulmonary Disease at the Cleveland
Clinic Foundation, and Masters in
Public Health from the Medical College
of Wisconsin. He has served as Professor
and Head of Division of Pulmonary
and Critical Care Medicine at Northeastern
Ohio Universities College of Medicine
(1983-2002 and Full Professor 1989-2002).
Dr. Demeter is a Founding Fellow
of the American Academy of Disability
Evaluating Physicians (1987) and
President (2000-2001). He is a Certified
Independent Medical Examiner by
the American Board of Independent
Medical Examiners and is a Certified
Impairment Rater.
Curriculum Vitae |
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Dean
Redington, DC
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Dean Redington,
DC, DABCO, CEDIR, CIR has
30 years of clinical experience,
performed over 1100 impairment evaluations,
400 independent medical evaluations,
and thousands of record reviews.
He is Board Certified by the American
Board of Chiropractic Orthopedics,
Board Eligible by the American Board
of Chiropractic Neurology, Certified
in the Evaluation of Disability
and Impairment rating by the American
Academy of Disability Evaluating
Physicians (AADEP), and a Certified
Impairment Rater (CIR) with Impairment
Resources. Dr. Redington has lectured
on Claims Review for various insurance
and regulatory agencies. He is licensed
in North Dakota, South Dakota, and
Minnesota. He is the founder and
President of Orthopedic Chiropractic
Consultants.
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Stanley Besser,
MD |
Stanley M. Besser,
MD, QME, CIME, CIR is board-certified
in Occupational Medicine (ABPM)
and board-certified in Family Medicine
(ABFM). He is in clinical
practice with the Sharp Rees Stealy
Medical Group where he is a Regional
Medical Director and Associate Director
of Occupational Health Services.
He received his M.D. from the University
Of Toronto, Canada and completed
a residency in Family and Community
Medicine at Toronto General Hospital.
He completed postgraduate training
in Occupational and Environmental
Medicine at the University of California
at San Francisco. He is a
Certified Independent Medical Examiner
(CIME) by the American Board of
Independent Medical Examiners (ABIME).
He is a Qualified Medical Examiner
(QME) in the State of California.
He is certified by the Medical Review
Officer Certification Council (MROCC).
Dr. Besser has extensive experience
in the use of the AMA Guides to
the Evaluation of Permanent Impairment
and causation analysis. |
Cathy V. Brigham, RN, MS
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Cathy V.
Brigham, RN, MS is a
highly skilled nurse and consultant
with several years experience in
providing life care plans for individuals
with catastrophic injuries and illness.
She is a graduate of the University
of Florida’s Intelicus Program in
Life Care planning and has a Masters
Degree in Health Outcomes Research
and Public Heath from Dartmouth
Medical School. She is certified
by the American Association of Nurse
Life Care Planners (CNLCP) and the
Commission on Health Care Certification
(CLCP).
Curriculum Vitae |
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Norma
J. Leclair, Ph.D., RN
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Norma J. Leclair,
Ph.D., RN, LCPC is a principal
and senior consultant with
The Leclair Company with over
25 years of experience related to
work ability and work restoration.
Dr. Leclair has been a consultant
to business and industry, health
care systems, many of the leading
long-term disability and workers’
compensation insurers and re-insurers,
non-profit organizations and government
agencies. She has engaged in defining
and implementing the roles and responsibilities
of the employer, the health care
provider, the worker and the insurer
in the prevention and management
of work disability and supporting
people to restore successful functioning.
Dr. Leclair is a leading expert
on the relationship between complex
medical issues, psychiatric impairment,
and work restoration for both occupational
and non-occupational illness and
injury. She has spoken and published
on a variety of health care and
disability topics, including psychiatric
impairment and delayed recovery.
She served as the consulting editor
for psychiatric disorders for the
2001 edition of the Medical Disability
Advisor. She has authored articles
for the Guides Newsletter and co-authored
“Impairment and Disability: Mental
and Behavioral Disorders” in the
Clinics in Occupational and Environmental
Medicine. Dr. Leclair is an expert
on multi-axial assessment of psychiatric
disorders, including the Global
Assessment of Functioning. She received
her Masters Degree in Vocational
Rehabilitation Counseling from the
University of Iowa and her doctoral
degree in Counseling and School
Psychology from The Ohio State University.
Curriculum Vitae |
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Steven
Leclair, Ph.D., CRC
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Steven Leclair,
Ph.D., CRC is a principal
and senior consultant with
The Leclair Company. He is a
licensed psychologist and nationally
certified rehabilitation counselor
with more than 30 years of professional
experience. Dr Leclair is an accomplished
clinical and program evaluation
specialist and an internationally
recognized expert on disability,
rehabilitation and work restoration.
He has worked collaboratively with
hundreds of business and industrial
firms, hospitals, long term care
facilities, non-profit organizations,
and government agencies to assist
them in developing pragmatic and
cost effective disability prevention
and work restoration programs. He
has also designed or “fine-tuned”
numerous industrial rehabilitation,
occupational health and community-based
support programs across the United
States, Canada and The Netherlands.
Dr. Leclair has provided consultation
on complex claims, including those
involving psychiatric disorders,
for most of the major long-term
disability, worker’s compensation
and property and casualty insurers.
He has authored more than 50 publications
including books, book chapters,
articles and monographs related
to disability, rehabilitation, health
care and work. He has presented
numerous professional papers on
various rehabilitation, leadership
and health care topics at state,
regional, national and international
meetings. Dr. Leclair is an expert
on multi-axial assessment of psychiatric
disorders, including the Global
Assessment of Functioning. He received
his doctoral degree from the University
of Iowa in Rehabilitation Psychology.
Curriculum Vitae |
Lorne Direnfeld,
MD |
Lorne Direnfeld,
MD is a board-certified neurologist
who has practiced in the State of
Hawaii since 1983. For many years,
Dr. Direnfeld's practice has emphasized
the objective evaluation and analysis
of complex, work-related injuries.
Dr. Direnfeld is nationally recognized
for his skills in independent medical
examinations and permanent partial
impairment ratings. He has been
a faculty member for both the fundamentals
and advanced impairment and disability
evaluation courses, sponsored by
the American College of Occupational
and Environmental Medicine. He is
a frequent speaker within the State
of Hawaii and nationally, on issues
of workers' compensation and disability,
particularly concerning conditions
affecting the spine and the nervous
system. Dr. Direnfeld is a member
of the Standards Committee of the
American Board of Independent Medical
Examiners and has been certified
as an independent medical examiner
by this board. He is on the editorial
board of "The Guides Newsletter",
published by the AMA, providing
expert advice in the use of the
"Guides to the Evaluation of Permanent
Impairment", and has served as a
consultant to the Practice Guidelines
Committee of the American College
of Occupational and Environmental
Medicine, and as a member of the
medical advisory board and reviewer
for "The Medical Disability Advisor."
He is a Master Fellow of the Academy
of Independent Medical Examiners
of Hawaii (AIMEHI). Dr. Direnfeld
is a Contributing Author to the
AMA Guides to the Evaluation of
Permanent Impairment – Sixth Edition,
and holds an academic appointment
as Assistant Clinical Professor
at the John A. Burns School of Medicine,
at the University of Hawaii. He
is a member of the American Academy
of Neurology, the American Medical
Association, the Hawaii Medical
Association, and the Massachusetts
Medical Society.
Curriculum Vitae
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Bernard Blais,
MD |
Bernard Blais,
MD, FAAO, FACOEM, FACS is
a practicing ophthalmologist who
is Board Certified in Ophthalmology,
trained in Ophthalmic Pathology,
a fellow in the American College
of Occupational and Environmental
Medicine. He was the Chair of two
Ophthalmology Departments and had
worked for eighteen years as a Corporate
or Regional Occupational Medical
Director. He has spoken and published
and spoken extensively in the field
of occupational ophthalmology. He
was a contributor to the Guides
Casebook: Learning Companion to
the AMA 4th and 5th Edition Guides
(AMA Press Publication). Dr.
Blais has extensive experience in
the use of the AMA Guides to the
Evaluation of Permanent Impairment
in assessing visual impairment.
Curriculum Vitae |
Patrick Luers,
MD |
Patrick R. Luers,
MD is a specialist in Spine
Imaging and Interventional procedures
who has authored 2 articles clarifying
normal/abnormal spine motion in
The Guides Newsletter, is a reviewer
for the AMA Guides to the Evaluation
of Permanent Impairment, Sixth Edition
and contributor/author of the Spinal
Alteration of Motion Segment Integrity
(AOMSI) section of the Guides. The
articles in The Guides Newsletter
revised the abnormal spinal translation
motion thresholds listed in previous
(fourth and fifth) editions of The
Guides. Dr. Luers has presented
at National meetings on AOMSI and
spinal imaging, reviewed dozens
of AOMSI Impairment cases and is
considered the national expert in
AOMSI. Dr. Luers is a graduate
of the University of Miami (Fla)
School of Medicine (co-valedictorian),
is Board certified in Radiology
(ABR) and has performed a fellowship
in Angiography & Interventional
Radiology at Harvard University
(Massachusetts General Hospital).
He is currently the Chairman of
the Department of Radiology of Intermountain
Medical Center in Salt Lake City,
Utah, a tertiary referral, trauma
I hospital which is the largest
in Utah. Dr. Luers has over 20 years
experience in Spinal Imaging and
Interventional procedures.
Curriculum Vitae |
August Colenbrander,
MD |
August Colenbrander,
MD is an ophthalmologist
with special expertise in the fields
of ophthalmic classification and
coding and in vision rehabilitation.
He is based in San Francisco.
Originally trained in the Netherlands,
he has worked in the United States
since 1969. He has worked with the
American Academy of Ophthalmology
(AAO) and served as a member and
chair of its Committee on Vision
Rehabilitation and its Committee
on Terminology. In the United
States he was involved with the
development of the eye sections
in ICD-9-CM and CPT; he consulted
on the former California RVS and
on SNOMED. He has worked with the
World Health Organization (WHO)
and the International Council of
Ophthalmology (ICO), for whom he
coordinated the major revision of
the eye chapter in ICD-9 and the
eye codes in ICIDH. He represents
the specialty of vision rehabilitation
on the Advisory Committee of the
ICO and is a member of the ICO/WHO
Topic Advisory Group for the development
of ICD-11. For 25 years he was the
medical director of Low Vision Services
at California Pacific Medical Center
in San Francisco; he is an affiliate
senior scientist at the Smith-Kettlewell
Eye Research Institute. He
was a founding board member of the
International Society for Low Vision
Research and Rehabilitation. Since
previous visual disability ratings
in the AMA Guides were still based
on employment estimates from 1925,
he was asked to revise the vision
chapter for the 5th and 6th edition,
bringing it up-to-date with current
methods of vision assessment and
with the functional approach to
disability evaluation, advocated
in the WHO’s International Classification
of Functioning (ICF).
Curriculum Vitae |
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Staff |
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Leslie
Dilbeck
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Leslie Dilbeck,
WCCP, CIR, Vice President of Client
Relations, is a Workers’
Compensation Claims Professional
who has worked in the California
Workers’ Compensation system since
1995. She received her Bachelors
of Arts degree in Speech Communications
from Point Loma Nazarene University
where she had a successful career
as a National Speech and Debate
competitor. She began her career
in workers’ compensation as a claims
adjuster handling both State and
Federal workers’ compensation claims.
She has been awarded the State of
California Self-Insurance Certificate.
After a 5 year career in the claims
industry Ms. Dilbeck went on to
work for Sharp Rees-Stealy Medical
Group in San Diego where she was
responsible for training over 60
multi-specialty care physicians
in report writing for workers' compensation
and long-term disability. Ms. Dilbeck
still acts as a consultant for physicians
on the issue of impairment rating.
She has extensive experience as
a Certified Impairment Rater by
providing training to physicians
and claims professionals on the
Guides. Additionally she has reviewed
and rated several hundred cases
utilizing the 5th Edition AMA Guides
to the Evaluation of Permanent Impairment.
Curriculum Vitae
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Candace LaChapelle |
Candace LaChapelle,
CWCP, Vice President of Business
Development, has over 28
years of experience in operational
management and marketing of workers'
compensation related services. She
has held a variety of positions
in senior management and sales in
large national organizations. Ms.
LaChapelle was the National Account
Manager for Lynch Ryan & Associates,
a leading consulting firm in workers'
compensation loss reduction, where
she served as a point of contact
for many of the firm's Fortune 500
clients. In addition, Ms. LaChapelle
also served as Vice President/General
Manager of a twelve hundred employee
division of Fotomat Corporation.
She currently serves on the Board
of Directors of the New York Claims
Association, as well as the Executive
Board of the New York City Chapter
of the National Association of Insurance
Women. Ms. LaChapelle is a graduate
of the University of Massachusetts.
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Mindy
Brigham
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Mindy Brigham,
Vice President of Operations,
completed her Bachelors Degree
in Education from Plymouth State
University in Plymouth, NH. She
taught elementary school for several
years in Maine, Arizona and California
before attending graduate school
at San Diego State University, after
which she was involved in management
and marketing. She transitioned
into the workers’ compensation field
six years ago as a medical claims
reviewer and abstractor. Mindy is
responsible for the overall management
of the west coast office, customer
service, training coordination,
and marketing for Impairment Resources.
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Aimee
McEntire
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Aimee McEntire,
CIR, Senior Impairment Rater,
is a Workers’ Compensation
Claims Professional who has worked
in the California Workers’ Compensation
system since 1999. She began her
career in workers’ compensation
as a coverage specialist. She underwent
a training program through Liberty
Mutual and worked for a short while
as a Property and Casualty adjuster.
Having missed the thrill of the
California Workers’ Compensation
system she returned as an AOE/COE
examiner investigating questionable
claims. Soon after she was catapulted
into an extensive training program
and became a rating specialist under
the AMA Guides and achieved Certified
Impairment Rater® status in 2006.
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Patty Stevens |
Patty Stevens,
CIR, is a Workers’ Compensation
Claims Professional who has worked
in the Maine Compensation system
since 1986. She began her career
in workers’ compensation as an Adjuster
for MGA Insurance Services in 1986
until 1995. She obtained her
Maine Adjusting License in 1992.
She worked for Hanover Insurance/Allmerica
Financial as a Resident Field Adjuster
until 2004 earning a National Award
for Claims Excellence. She
worked for Maine Municipal Insurance
until 2006 as a Claims Supervisor.
She worked for Maine Employers Insurance
Company until 2008 as a Compensation
Specialist and a Mediation Representative.
She earned awards at Maine Employers
Mutual for Claims Excellence.
She has had extensive training in
workers’ compensation claims over
the years and is currently working
towards her SCLA Designation.
She relocated to San Diego and joined
Impairment Resources in 2009.
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Rob San Agustin |
Rob San Agustin,
WCCP, CIR, is a Workers’
Compensation Claims Professional
who has been in the workers’ compensation
arena since 2000. After exploring
the multi-faceted duties involved
with being a claims adjuster for
the past several years, he was presented
with the opportunity to apply and
focus his skills toward the rating
aspect of workers’ compensation.
Rob has passed the Certified Impairment
Rater examination and continues
to build his rating experience on
top of his claims handling foundation.
Rob joined the Impairment Resources
team in April of 2009.
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Krystle Llanto |
Krystle Llanto,
Marketing & Graphic Design Specialist,
originally from Alaska, completed
her Bachelors Degree in Integrated
Marketing Communications from San
Diego State University. Shortly
after graduation, she spent two
years studying Graphic Design at
San Diego City College. Although
she recently transitioned into working
in the workers’ compensation field,
she has extensive administrative
and client service experience. Krystle
acts as a liaison between the clients
and our products and services. She
is responsible for designing the
marketing collateral for Impairment
Resources and works closely alongside
Mindy to run the marketing department
in the San Diego office. |
One of our Client Service
Representatives' top priorities
is to always
ensure that quality reports are
provided in a timely manner.
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Nicole
Martin
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Nicole Martin,
Client Service Representative,
has years of experience providing
exceptional customer service. Nicole
works closely with our clients to
consistently exceed expectations.
Located in our Portland, Maine office,
she is the first point of contact
for our clients based in the Eastern
and Central time zones, in addition
to our international clients.
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Rachel Thurber |
Rachel Thurber,
Client Service Representative,
has years of experience as a client
service representative, providing
guaranteed client satisfaction.
Located in the San Diego office,
Rachel’s responsibility encompasses
our many clients based in the Hawaiian,
Pacific and Mountain time zones
and their complete satisfaction
with our services. |
Michaela Kreiser |
Michaela J. Kreiser, Client Service
Representative, has nearly a decade
of experience in office administration
and client services. Though new
to the workers’ compensation field,
Michaela is committed to utilizing
her keen attention to detail and
exemplary people skills to meet
the specific needs of our clients
and exceed their expectations. Located
in the San Diego office, Michaela
works closely with Rachel to provide
the highest level of customer service
to our clients based in the Hawaiian,
Pacific and Mountain time zones.
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Emily Jones |
Emily Jones,
Administrative Assistant, completed her Bachelors
Degree in Sociology from
California State University of
Long Beach, CA. She has spent
the last three years as an
office administrator, supporting
companies in healthcare
technology, biotech, and
non-profit sectors. Emily is the
first point of contact for our
clients and is dedicated to
providing superb client
satisfaction. She provides admin
support to our staff as needed. |
Jenny Walker |
Jenny Walker,
Business Administrator
has over 20 years of business
experience including a
background in Human Resources.
Hailing originally from England,
Jenny oversees the Portland,
Maine office and is involved in
the many different aspects of
the day to day business
nationwide. Responsible for the
Human Resource and Payroll
functions, she also ensures the smooth
operation of our accounting department and the company
websites. As Chief Security
Officer, her responsibilities
also encompass IT and Information Security. |
Heidi Getchell |
Heidi Getchell,
Accounts Manager was one
of our first employees. Located
in our corporate office in Portland,
Maine, she handles the daily finances
for our company. Heidi has over
20 years of experience in the bookkeeping
field including several years when
she ran her own business creating
wedding dresses.
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Mary Lou LeMoult
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Mary Lou LeMoult,
Accounts Assistant / Marketing Assistant
completed her Bachelors Degree in
Finance from the University of Connecticut.
Having worked in the financial industry
for several years, she started working
for Dr. Brigham in 1995 as his first
employee. Located at the corporate
office in Maine, Mary Lou works
in the Accounting Department and
is also involved in marketing our
products and services under the
guidance of Mindy Brigham. |
In addition, we work with
other highly skilled associates,
based on the specifics of each case.
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