Casualty Insurance Claims

Download as txt, pdf, or txt
Download as txt, pdf, or txt
You are on page 1of 2

SUMMARY OF QUALIFICATIONS

Twenty four years of multi-state automobile, general liability, excess, construc


tion and workers compensation claims experience with eight years in a Corporate
Claims Capacity and over 9 years as a Claims Liaison with Fortune 1000 Companies
. Excellent presentations skills, having trained claims professionals, conducte
d presentations before Corporate Board Members and Brokers. Experience with For
tune 100 Corporate Risk Management Departments and Supervision of multiple TPAs.
Conducted over 60 Quality Control Reviews of branch offices, TPAs and corporat
e clients. Responsible for up to $750,000 in reserve and settlement authority a
t prior positions. Currently hold adjuster licenses in 15 states.
AREAS OF EXPERTISE
Complex claims handling, coverage and supervision
Litigation Management
TPA Supervision
Quality Assurance
Reinsurance
PROFESSIONAL EXPERIENCE
ACE USA, Wilmington, DE 2008 2010
Liability Specialist
Responsible for TPA oversight for over 60 Fortune 500 accounts. Work closely w
ith Corporate Risk Managers, Brokers and Underwriters to ensure quality claims h
andling. Prepares claims evaluation and reports for Senior Management
Evaluation and Reserving of Claims in excess of Insureds SIR or Deductible
Participated in Account marketing and training presentations for brokers and cl
ients
Responsible for coverage review and analysis of complex claims issues
Attend mediations, trials and settlement conferences on large exposure claims

UNITED AMERICA INDEMNITY, Bala Cynwyd, Pa 2004-2008


Senior Claims Examiner II
Directly handle large exposure, Excess, Umbrella and General Liability claims.
Prepare Large Loss and Reinsurance Reports for Claims Management.
Responsible for reserve and settlements of Excess/Umbrella claims in excess of
$100,000.
Prepare Large Loss Reports for company management.
Prepare Reinsurance Reports and updates for company reinsurers and intermediari
es.

BROADSPIRE/KEMPER RISK MANAGEMENT, Philadelphia, PA 2000-2004


Account Executive
Ensure quality reserves, settlements and customer relations for approximately tw
enty Fortune 1000 accounts. Responsible for reinsurance reporting, coverage ana
lysis, and large loss reporting to company reinsurers and Corporate Claims Depar
tment.
Provide reserve, coverage and settlement authority for claims in excess of acco
unts SIR.
Report and monitor reinsurance reportable and large exposure claims to company
reinsurers and Corporate Claims Department.
Act as point person between Broker, Account Risk Management Department and Comp
any for Quality Control and Risk Management issues.
RELIANCE NATIONAL, Philadelphia, PA 1997-2000
Claims Account Manager
Acted as liaison between the Insurance carrier and the clients Corporate Risk Ma
nagement Departments to ensure quality claims handling by the assigned TPA and m
onitored large exposure losses for the client and the companys reinsurers.
Provided reserve, settlement authority and coverage verification for liability
and workers compensation claims with exposures above $50,000.
Conducted Quality Control audits for the client in claims handled by the assign
ed TPA and Managed Care Vendors.
PMA INSURANCE COMPANY, Blue Bell, PA 1989-1997
Corporate Liability Specialist- Branch Support
Acted as liaison between assigned Branch Offices and the Home Office in order to
improve Corporate Claims Results.
Supervised and directly handled large exposure liability claims in excess of $3
00,000 in 15 states.
Conducted over 50 internal quality control audits for assigned Branch Offices.
Reported and analyzed large exposure claims for company reinsurers.
TRAVELERS INSURANCE, Voorhees, NJ 1986-1989
Senior Claims Supervisor
Evaluated and negotiated liability claims reserved in excess of $50,000
Supervised a unit of 6 liability adjusters
EDUCATION
CPCU Designation 1992 Associate in Reinsurance Designation 1993
Casualty Claims Law Associate, American Educational Institute 1989
Bachelor of Arts Degree, Franklin and Marshall College 1985
PROFESSIONAL ORGANIZATIONS
Society of CPCU, Philadelphia Chapter
State Adjuster Licenses CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV,
WY

You might also like