Bernice Nash
Arlington,TN
Summary
Results-driven Claims Director experienced in financial statement review, auditing and reporting. Proven track record of significantly reducing the cost of risk. Strong leadership and talent development skills. Meticulous, conscientious and methodical in approach. An analytical thinker, able to develop strategic solutions that drive cost reduction and improve operational efficiency. Seeking an opportunity to leverage expertise and add value as a Claims Director.
Overview
15
15
years of professional experience
Work History
Risk and Claims Manager
Helena Agri Enterprises, LLC
2018.02 - Current
- Led team of adjusters, attorneys, and vendors, providing coaching and performance feedback for improved productivity.
- Developed training materials to ensure consistent handling of claims across departments.
- Strategically reduced cost of risk by over $250M, by analyzing loss drivers and financial data.
- Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
- Led educational panels to create risk awareness and promote sound executive leadership decision making through implementation of Enterprise Risk Management and proactive claims management.
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
Senior Claims Adjuster, Liability
Sedgwick CMS
2009.01 - 2018.02
- Provided expert analysis and strategic management of complex claims to ensure optimal outcomes which reduced financial impact of losses by millions and shortened tails of pending claims year over year.
- Demonstrated keen proficiency in interpretation of all ISO policies and contracts.
- Remediated regulatory and jurisdictional fines through coordination with legal teams to ensure compliance with all applicable laws and regulations.
- Assisted in recruitment process for new hires, conducting interviews and evaluating candidate qualifications based on job requirements.
- Contributed to continuous improvement of departmental policies and procedures through identification of inefficiencies and proactive problem-solving techniques.
- Served as subject matter expert for complex claims issues, providing guidance and support to colleagues.
- Leveraged industry expertise to provide valuable input during policy revisions, helping develop more comprehensive insurance offerings for clients.
Claims Representative III
The Hartford
2014.08 - 2016.11
- Trained new Claims Representatives improving overall team productivity.
- Strategically investigated complex commercial losses such as builder's risk, inland marine, treaties, steam boiler, risk transfer, contract adhesion, and catastrophe.
- Directed engineers, appraisers, and fire investigators, to support rapid handling which contributed to multimillion dollar loss cost reductions through complex coverage and damage analysis.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Developed strong relationships with clients, facilitating trust and open communication.
- Demonstrated expertise in interpreting policy language accurately, leading to better-informed decisions on coverage application during claims evaluation.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
Education
Master of Science - Risk Management and Insurance
Florida State University
Bachelor of Arts - Management and Leadership
Judson University
Senior Claims Law Associate -
American Educational institution
Certified Risk Management Professional -
The Risk Management Society
Skills
- Enterprise Risk Management
- Leadership
- Cost Reduction
- Procedure Implementation
- Performance monitoring
- Financial Acumen
- Critical Thinking
- Claims analysis
- Relationship Building
Affiliations
- USLAW
- Risk Management and Insurance Society
Timeline
Risk and Claims Manager
Helena Agri Enterprises, LLC
2018.02 - Current
Claims Representative III
The Hartford
2014.08 - 2016.11
Senior Claims Adjuster, Liability
Sedgwick CMS
2009.01 - 2018.02
Master of Science - Risk Management and Insurance
Florida State University
Bachelor of Arts - Management and Leadership
Judson University
Senior Claims Law Associate -
American Educational institution
Certified Risk Management Professional -
The Risk Management Society
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