Summary
Overview
Work History
Education
Skills
Timeline
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Andrew Ansardi

Brooklyn Park,MN

Summary

Dynamic Catastrophe Claims Field Manager at Pilot Catastrophe Services, recognized for exceptional customer service, and effective claims team management. Proven expertise in fraud investigation and team leadership. Committed to improving the industry's next generation of employees through unmatched customer service, and driving process optimization to foster fair and equitable settlements in a timely manner. Adept at training and mentoring staff, fostering a culture of excellence and compliance in high-pressure environments.

Overview

34
34
years of professional experience

Work History

Catastrophe Claims Field Manager

Pilot Catastrophe Services
Mobile, AL
03.2005 - Current
  • Oversaw the handling of catastrophic claims, mobilizing resources and coordinating with emergency services for rapid response.
  • Oversaw adjuster activities for adherence to guidelines.
  • Managed complex claims negotiations, achieving favorable settlements within policy limits.
  • Directed the application of reserves on claims, ensuring accurate financial reporting and compliance with regulatory requirements.
  • Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
  • Resolved escalated customer issues by providing effective solutions in a timely manner.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
  • Implemented training programs for claims staff, enhancing their skills in fraud detection, claim analysis, and customer service.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
  • Managed team members effectively to meet high production standards with accurate results.
  • Recognized by management for providing exceptional customer service.
  • Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Provided training and guidance on best practices for handling new and existing claims.
  • Conducted regular audits of claims files to ensure adherence to company policies and industry regulations.
  • Led team in investigating, evaluating, and settling insurance claims, ensuring compliance with policy obligations and legal requirements.
  • Reviewed and approved settlement offers and expense payments, maintaining authority within delegated limits.
  • Provided technical support to staff members regarding system upgrades or changes in procedure.
  • Investigated properties, classified damages and created estimates outlining repair costs.
  • Motivated team members to maintain targeted turnaround time to obtain processing goals.
  • Collaborated with other departments to investigate potential coverage disputes or discrepancies.
  • Trained new team members on policies and procedures for claims handling.
  • Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
  • Negotiated settlement agreements between claimants and insurance companies when necessary.
  • Submitted clean claims to reduce denial rates, following payer reimbursement policies and procedures.
  • Facilitated team meetings to discuss complex cases, share best practices, and coordinate multi-disciplinary response strategies.
  • Investigated and analyzed claims involving property damage due to catastrophes, such as floods, hurricanes, tornadoes and earthquakes.
  • Managed multiple projects simultaneously while maintaining accuracy and attention detail at all times.
  • Provided training and mentoring services for new adjusters entering into this field of work.
  • Provided technical guidance to adjusters regarding complex claims issues.
  • Conducted on-site inspections to verify the cause of loss and determine coverage for insured losses.

Catastrophe Claims Adjuster

Coventry-Moorehead Firm
Austin, TX
06.2003 - 03.2005
  • Reviewed policy language to determine coverage for each claim and applied relevant laws or regulations when applicable.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Investigated and analyzed claims involving property damage due to catastrophes, such as floods, hurricanes, tornadoes and earthquakes.
  • Managed multiple projects simultaneously while maintaining accuracy and attention detail at all times.
  • Maintained accurate records of all activities related to investigations, including documents obtained during the course of an investigation.
  • Assisted in fraud detection and prevention efforts by identifying suspicious claim activities.
  • Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
  • Investigated properties, classified damages and created estimates outlining repair costs.
  • Analyzed data from various sources such as weather reports, satellite imagery, and aerial photography in order to properly evaluate claims.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Interpreted insurance policy language to apply appropriate coverage.
  • Conducted on-site inspections to verify the cause of loss and determine coverage for insured losses.
  • Assessed the extent of damages caused by a catastrophe and estimated repair costs.
  • Worked directly with clients affected by catastrophes in order to provide support and assistance during a difficult time.
  • Communicated effectively with policyholders, providing updates and explaining claim processes.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
  • Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.

Bus Driver

TNM&O-Greyhound Lines
Colorado Springs, CO
05.2000 - 06.2003
  • Conducted pre-trip and post-trip vehicle inspections to ensure operational safety.
  • Transported passengers on predetermined routes while obeying traffic regulations.
  • Operated bus professionally and interacted with passengers to foster pleasant rides.
  • Drove specified routes in compliance with traffic regulations and time schedules.
  • Provided courteous customer service while answering questions regarding routes and schedules.
  • Drove vehicles over routes or to destinations, complying with traffic regulations to provide smooth and safe rides for passengers.

Sr. Drill Instructor

United States Marine Corps
Parris Island, SC
04.1997 - 08.2000
  • Developed and implemented individualized corrective action plans for struggling recruits.
  • Supervised daily physical training sessions to ensure compliance with regulations.
  • Selected and assigned instructors to conduct training.
  • Monitored, evaluated and recorded training activities or program effectiveness.
  • Coordinated closely with other drill instructors in order to coordinate training schedules and activities efficiently.
  • Organized weekly meetings with supervisors in order to discuss strategies for improving overall morale among trainees.
  • Trained recruits in basic battle skills such as land navigation, first aid techniques and map reading.
  • Evaluated training materials prepared by instructors and offered actionable suggestions for improvement.
  • Assisted in the development of operational plans for missions or exercises requiring a large force deployment.
  • Observed trainees closely while they performed various tasks or drills in order to provide feedback when needed.
  • Administered tests designed to evaluate knowledge acquired during boot camp training sessions.
  • Instructed and evaluated recruits on military drill movements, marching formations and ceremonies.
  • Supervised, evaluated or referred instructors to skill development classes.
  • Created and offered additional materials to enhance training.
  • Obtained and organized manuals, guides and visual materials for development and training purposes.
  • Disciplined recruits according to established guidelines whenever necessary due to rule infractions or poor performance.
  • Monitored progress of each recruit in order to facilitate successful completion of boot camp.
  • Inspected living quarters regularly in order to ensure that cleanliness standards were being met properly.
  • Provided mentorship services for trainees who were having difficulty adjusting to the rigors of military life.
  • Conducted inspections of uniforms, equipment, living quarters and other areas as required by regulations.
  • Maintained records on individuals' performance levels during drills, exercises and field maneuvers.
  • Provided guidance and instruction on proper use of weapons systems and tactical operations.
  • Encouraged new recruits to develop positive attitudes towards their roles as members of the military forces.

Military Police (5811)

United States Marine Corps
Various, Various
03.1991 - 07.1997
  • Enforced drug and alcohol policies, conducting searches and tests as authorized.
  • Interacted with civilian law enforcement agencies regarding investigations that involve both military and civilian personnel.
  • Prepared detailed reports documenting all actions taken while on duty.
  • Supported future criminal cases by preparing detailed and accurate reports related to accidents, crime disturbances and complaints.
  • Drafted incident reports detailing criminal activity, civil proceedings and varied incidents.
  • Investigated illegal or suspicious activities, performing direct follow-up or reporting findings to appropriate senior personnel.
  • Assisted local law enforcement agencies during off-post operations as needed.
  • Monitored and investigated suspicious persons, situations and unusual activities.
  • Responded to emergency calls involving accidents or other incidents requiring medical attention.
  • Led and trained junior military police officers in law enforcement tactics and procedures.
  • Conducted investigations of criminal activities, wrote reports, collected evidence, interviewed witnesses and suspects, and made arrests when necessary.
  • Investigated criminal activities, collected evidence, and prepared detailed reports for military prosecutors.
  • Conducted random checks of buildings and facilities for possible security violations or suspicious activity.
  • Completed regular patrols of assigned areas within operations areas.
  • Enforced military laws and regulations, including the Uniform Code of Military Justice (UCMJ).
  • Maintained accountability of government-issued weapons and equipment issued to unit personnel.
  • Utilized appropriate force when dealing with uncooperative subjects according to established guidelines.
  • Patrolled military base and surrounding areas to prevent unauthorized access and detect criminal activity.
  • Diffused hostile situations with effective negotiation techniques.
  • Responded to emergency calls for service, providing immediate assistance and coordinating with other emergency response teams as necessary.

Education

High School Diploma -

Coral Shores High School
Key Largo, FL
06-1990

Skills

  • Claims management
  • Fraud investigation
  • Policy evaluation
  • Team leadership
  • Training development
  • Problem solving
  • Employee coaching and mentoring
  • Employee training
  • Customer service
  • Process optimization

Timeline

Catastrophe Claims Field Manager

Pilot Catastrophe Services
03.2005 - Current

Catastrophe Claims Adjuster

Coventry-Moorehead Firm
06.2003 - 03.2005

Bus Driver

TNM&O-Greyhound Lines
05.2000 - 06.2003

Sr. Drill Instructor

United States Marine Corps
04.1997 - 08.2000

Military Police (5811)

United States Marine Corps
03.1991 - 07.1997

High School Diploma -

Coral Shores High School

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