This individual has over 24 years of claims experience handling complex automobile, general liability, excess, construction, and workers' compensation claims. They have experience supervising third party administrators and conducting quality control reviews. Areas of expertise include complex claims handling, litigation management, third party administrator supervision, and quality assurance. The individual's most recent role provided oversight of third party administrators for over 60 Fortune 500 accounts and responsibility for coverage review and analysis of complex claims issues.
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This individual has over 24 years of claims experience handling complex automobile, general liability, excess, construction, and workers' compensation claims. They have experience supervising third party administrators and conducting quality control reviews. Areas of expertise include complex claims handling, litigation management, third party administrator supervision, and quality assurance. The individual's most recent role provided oversight of third party administrators for over 60 Fortune 500 accounts and responsibility for coverage review and analysis of complex claims issues.
Original Description:
Casualty Insurance Claims with 21 years experience looking for a Middle Management position.
This individual has over 24 years of claims experience handling complex automobile, general liability, excess, construction, and workers' compensation claims. They have experience supervising third party administrators and conducting quality control reviews. Areas of expertise include complex claims handling, litigation management, third party administrator supervision, and quality assurance. The individual's most recent role provided oversight of third party administrators for over 60 Fortune 500 accounts and responsibility for coverage review and analysis of complex claims issues.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as TXT, PDF, TXT or read online from Scribd
This individual has over 24 years of claims experience handling complex automobile, general liability, excess, construction, and workers' compensation claims. They have experience supervising third party administrators and conducting quality control reviews. Areas of expertise include complex claims handling, litigation management, third party administrator supervision, and quality assurance. The individual's most recent role provided oversight of third party administrators for over 60 Fortune 500 accounts and responsibility for coverage review and analysis of complex claims issues.
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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