I am a detail oriented individual with a strong work ethic who consistently meets/exceeds performance objectives. I possess great communication and interpersonal skills and have the ability to build and maintain positive relationships.
Overview
35
35
years of professional experience
Work History
Client Service Manager
PMA Companies
Erie , Pennsylvania
02/01/19 - Current
Liaison for all claims service, maintenance and set up issues related to assigned accounts
Participate in new business presentations
Coordinate orientation of new accounts and serve as a point of contact for all claims handling service issues
Facilitate account improvement process and coordinate feedback to service teams
Conduct claim review and stewardship meetings
Serve as a point of contact for all service issues while keeping brokers/agents informed of all service related issues
Communicate claims handling philosophy/guidelines with accounts and brokers/agents
Regional Claims Supervisor
PMA Companies
Erie, Pennsylvania
02/01/07 - 12/01/19
Manage assignment of new losses to claims staff and provide technical direction and ongoing guidance
Ensure timely and accurate documentation of claim activity
Select, train, coach and mentor unit personnel
Plan staff responsibilities and direct activities utilizing staff resources effectively to meet department goals
Ensure appropriate case reserves
Extend settlement authority on claims exceeding adjuster granted authority
Manage account management process and resolve service issues
Supervise claim staff to ensure appropriate claim outcomes through consistent execution of best practices
Provide a high degree of customer service to clients including face to face interactions
Communicate effectively, verbally and in writing with internal and external parties.
Senior Account Claims Representative
PMA Companies
Erie, Pennsylvania
02.1994 - 02.2006
Investigate, evaluate and resolve assigned claims of a more complex nature for self-insured, unbundled and traditionally insured clients
Determine coverage, compensability and subrogation potential
Ensure timely denial or payment of benefits
Establish appropriate reserves with documented rationale and maintain and adjust reserves over the lifetime of the claim
Negotiate claim settlements
Establish and implement appropriate action plans for case resolution
Comply with special handling instructions written specifically fir self-insured clients
Report claims meeting specific criteria to excess carriers, follow excess carriers handling and reporting guidelines and request reimbursement for claims which have pierced the self-insured retention level
Develop and maintain relationships with customers, defense counsel and approved vendors to expertly and accurately service each account
Claims Adjuster
Travelers Insurance Company
Pittsburgh, Pennsylvania
02.1990 - 02.1994
Investigate, evaluate and resolve assigned claims
Determine coverage, compensability and subrogation potential
Ensure timely denial or payment benefits
Establish appropriate reserves with documented rationale and maintain and adjust reserves over the lifetime of the claim
Negotiate claim settlements
Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition
Develop and maintain relationships with customers to expertly and accurately service each account
Education
Bachelor of Science - Business
University of Pittsburgh
Pittsburgh, PA
05-1988
Bachelor of Science - Psychology
University of Pittsburgh
Pittsburgh, PA
05-1988
Skills
Account Management
Customer Relations
Schedule Management
Client Relationship Building
Work Prioritization
Excellent time management skills
Timeline
Senior Account Claims Representative
PMA Companies
02.1994 - 02.2006
Claims Adjuster
Travelers Insurance Company
02.1990 - 02.1994
Client Service Manager
PMA Companies
02/01/19 - Current
Regional Claims Supervisor
PMA Companies
02/01/07 - 12/01/19
Bachelor of Science - Business
University of Pittsburgh
Bachelor of Science - Psychology
University of Pittsburgh
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