Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Alan Nadelbach

Columbia,MD

Summary

Dedicated insurance claims professional with history of meeting company goals by utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Manager of Medical Litigation

Government Employees Insurance Company
Chevy Chase, MD
01.2009 - Current
  • Manage over (40) calls, instant messages and e-mails daily with questions or requests for authority.
  • Completed highest number of Atlas activities last (2) MAP reviews on my team; MAP1 2022-4553 increase of 288 from MAP2 2021. 2,944 more than my teammate with the least and 288 more than the next closest teammate.
  • (95) first calls handled in Map1-2022, saving interest payments for late handling of billing in regions.
  • Interpret laws, rulings and regulations for PIP suits, arbitrations and TCM Development
  • Participate in contract rewrites, settlement agreements and proposals
  • Communicate with regional associates, collect information to research cases and prepare settlement offers, denials, or disclaimers
  • Analyze probable outcomes of cases using knowledge of legal precedents
  • Explain available courses of action and possible repercussions of cases to regional personnel
  • Minimize risk exposure through careful advice on future handling of catastrophic claims.
  • Accomplish multiple tasks within established timeframes
  • Cross-train existing employees to maximize team agility and performance
  • Evaluate MIP report data to proactively adjust and enhance operations
  • Compile data highlighting key metrics to report information to Director on items needed to accomplish our teams goals
  • Participate annually in development of our CHO Medical Management planning cycle
  • Work with business partners including Legislative Counsel, Actuary, and our Bill Review vendor
  • Only Medical Manager with access to and knowledge of Azure Dev Ops.

Manager Training and Education

Government Employees Insurance Company
05.2007 - 01.2009
  • Managed Multimedia team, several claims trainers and other T&E personnel
  • Responsible for development and publication each week of the Price and Service Newsletter in collaboration with the Claims Vice President and CHO Directors
  • Organized production of multimedia visual aids and other educational materials; assisted with the subject matter for prepared videos for long-term use
  • Reviewed and edited training materials for accuracy and company policy compliance
  • Collaborated with Claims (CHO) Legal to review new or updated training materials
  • Communicated all learning and performance objectives, schedules and training assessments to upper management and shared on Gnie
  • Analyzed effectiveness of liability, supervisor and manager training programs and recommended updates
  • Administered training programs for managers and supervisors
  • Conducted phone surveys, to identify training needs each planning cycle to regional Managers and Directors

Trainer for Central Liability School

Government Employees Insurance Company
09.2004 - 05.2007
  • Relocated from Region 2 to Plaza following completion of various claims examiner and supervisory positions
  • Team member tasked with developing of original content, role plays, and testing for both TCR2 and Continuing Central Liability Schools
  • Conducted training for sections of both modules
  • Participated in trainer evaluations for pre-school curriculum
  • Mentor for Trainer Development Program

Education

Bachelor of Science - Marketing

University of Maryland - College Park
College Park, MD

Skills

  • Arbitration and litigation experience
  • Policy knowledge
  • Time management
  • Communication and negotiation
  • Manual and policy review
  • Case law and outcome analysis
  • Workday
  • Microsoft Office
  • WebEx
  • Associate engagement

Certification

Chartered Property and Casualty Underwriter, CPCU

Certificate General Insurance

Diversity training for associates and managers

Law for the Claims Person

Lean Six Sigma

Timeline

Manager of Medical Litigation

Government Employees Insurance Company
01.2009 - Current

Manager Training and Education

Government Employees Insurance Company
05.2007 - 01.2009

Trainer for Central Liability School

Government Employees Insurance Company
09.2004 - 05.2007

Bachelor of Science - Marketing

University of Maryland - College Park
Alan Nadelbach