Doug Hikawa

Background

About Doug Hikawa

Strategic, Collaborative and Results oriented Risk Management, Insurance, Claims, Managed Care, Compliance and Operations solutions leader. I excel at developing quality custom Claims, Managed Care and Risk Management programs and optimizing strategic relationships with Employers and their partners (Claims Administrators, Risk Managers, Brokers, Legal and Consultants). A team collaborative focus utilizing a strategic mosaic of Program experience to identify key Workers’ Compensation risk exposure trends and provide solutions for Clients to effectively manage their Workers’ Compensation program, in tandem with their own corporate goals and objectives. Leadership experience includes directing successful program outcomes for: Workers’ Compensation Claims and related insurance lines, Managed Care programs and Operations, including custom program integration of specialty programs: Specialty Provider Networks for Medicare Set-Aside (MSA) programs, Medical Provider Networks (MPN), Medical Bill Review, Nurse Case Management (Telephonic, Field), Utilization Review (UR), Pharmacy Benefit Management (PBM), Telemedicine, Early Return-To-Work (RTW) programs, Disability Management, Health Care Organization (HCO), Regulatory Compliance, and Account Management. And incorporated Analytics integration to identify key Workers’ Compensation risk exposure elements, to help our clients manage their Workers’ Compensation programs.