Results driving executive with extensive experience in health and property and casualty claims, specializing in claims processing and regulatory compliance. Proven track record in enhancing operational efficiency and customer satisfaction through data analysis and performance management. Adept at leading cross-functional teams to achieve strategic goals while fostering a culture of continuous improvement.
Overview
33
33
years of professional experience
Work History
Divisional Vice President Policy Benefits
Globe Life Insurance Company
McKinney, TX
01.2013 - 04.2025
Implemented operational improvements to streamline processes, reduce costs, and improve customer service.
Led cross-functional teams in developing new services, and initiatives.
Fostered collaboration and development of new practices by business leaders.
Established KPIs to measure progress towards organizational objectives.
Coached team members on skills development, career growth, and professional development.
Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies and company policies.
Evaluated existing programs for effectiveness and made recommendations for changes as needed.
Oversaw implementation of new technologies to improve efficiency and productivity.
Created and managed annual budget for the division.
Ensured compliance with all relevant laws, regulations and company policies.
Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Achieved cost-savings by developing functional solutions to problems.
Vice President of Customer Service
Globe Life Insurance Company
McKinney, TX
02.2006 - 01.2013
Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
Monitored customer feedback regularly to identify areas for improvement in services offered.
Identified opportunities for process improvement within the customer service department.
Prepared detailed reports of daily activities for executive management review.
Coordinated with internal teams to ensure timely and successful delivery of solutions according to client needs.
Communicated effectively with team members to ensure timely response times for customers.
Ensured that all customer queries were handled quickly and professionally.
Worked effectively in team environments to make the workplace more productive.
Achieved cost-savings and increased revenue by developing functional solutions to problems.
Claims Manager
UNITRIN
Dallas, TX
01.2001 - 01.2006
Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
Developed and monitored key performance indicators for claims department, driving improvements in processing times and customer satisfaction.
Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
Established strong relationships with external partners, including adjusters, contractors, and medical providers, to streamline claims resolution.
Coordinated with legal counsel on litigated claims, providing expertise and support to achieve optimal outcomes.
Conducted regular audits of claims files to ensure adherence to company policies and industry regulations.
Analyzed information gathered by investigations and reported findings and recommendations.
Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
Directed the application of reserves on claims, ensuring accurate financial reporting and compliance with regulatory requirements.
Coordinated responses to regulatory inquiries and audits, ensuring timely and accurate compliance reporting.
Reduced loss ratios through fair and prompt processing of claims.
Managed complex claims negotiations, achieving favorable settlements within policy limits.
Reviewed and approved settlement offers and expense payments, maintaining authority within delegated limits.
Divisional Claims Manager
Progressive
Lubbock, TX
05.1992 - 01.2001
Developed procedures to streamline the claims process, improving overall efficiency.
Provided training and guidance on best practices for handling new and existing claims.
Developed and monitored key performance indicators for claims department, driving improvements in processing times and customer satisfaction.
Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
Negotiated with policyholders and third parties to resolve disputes, minimizing litigation risks and costs.
Coordinated with legal counsel on litigated claims, providing expertise and support to achieve optimal outcomes.
Conducted regular audits of claims files to ensure adherence to company policies and industry regulations.
Oversaw the handling of catastrophic claims, mobilizing resources and coordinating with emergency services for rapid response.
Implemented risk mitigation measures such as quality assurance reviews of high-risk cases.
Gathered and documented evidence to support court proceedings.
Adapted claims processes and policies in response to legislative changes, technological advancements, and market conditions.
Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
Managed team members effectively to meet high production standards with accurate results.
Oversaw onboarding processes for new team members, delivering training on claims handling.
Engaged in continuous professional development, staying abreast of industry trends, legal developments, and best practices in claims management
Motivated team members to maintain targeted turnaround time to obtain processing goals.
Analyzed data from previous claims to identify trends and areas for improvement.
Investigated properties, classified damages and created estimates outlining repair costs.
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