Summary
Overview
Work History
Education
Skills
Skillsets
Military Training And Personal Awards And Honors
Timeline
Generic
David Sullivan

David Sullivan

Dunedin,FL

Summary

Experienced Property Adjuster with 6 years in claims management. Skilled in using Xactimate and other virtual estimating software. Proven track record of investigating, reviewing, and confirming coverage, evaluating damages, and negotiating settlements. Strong customer service skills with a history of delivering exceptional service. Proficient in MS Office suite software and troubleshooting computer problems. Demonstrated leadership abilities in managing teams and conducting Quality Assurance & compliance inspections. Certified adjuster with an active 6-20 LISC certification.

Overview

31
31
years of professional experience

Work History

Household CEO

Self Employed
07.2022 - Current
  • Wife currently active-duty Coast Guard Her role expanded at her new military unit which involved deployment overseas; we switched roles, similar to military units I Retired from while I was Active Duty
  • This positive break in my career path as an adjuster allowed me to work on personal growth, reevaluate next steps and focus on being a great father, husband and role model
  • Skills- Household Organization (cleaning, meal planning, budgeting), energetic accountant, project manager, multitasker, Strong management skills, Caregiver

Property Adjuster. 2 - Lisc all lines of Business

USAA
09.2016 - 07.2022
  • Investigate, review and confirm coverage's, evaluate damages, and negotiate settlements of intermediate to complex homeowners claims in a timely, efficient manner
  • Utilize multi-platform professional software such as Xactimate to streamline estimates including sketching structures if needed
  • Establish reserves, update diaries while monitoring progress and addressing supplements submitted
  • Communicate with all parties via telephone, fax, or email as per Department of Insurance (DOI) Requirements
  • Identify and report possible fraud and subrogation claims to respective departments as required by state and industry agencies
  • Perform recorded interviews of insured's and other parties involved with claims
  • Interview and correspond with policyholders, public adjusters, and attorneys, while delivering exceptional customer service
  • Draft denial letters for Claim Manager or Supervisor review
  • Actively listen to insured for life events that integrate with product lines offered through USAA and assist member with obtaining those product lines
  • Assigned to the Internal Catastrophe Team CAT- Deployable for undetermined time frames with recall within 6 hours
  • Deploy to on site disaster areas to evaluate damages
  • Routinely communicate with Public Adjusters, Contractors, Attorneys and their Associates, General Public, Police Department Detectives, Expert Witnesses, and policy holders
  • Skill sets: 6 years Xactimate and other virtual estimating software, working knowledge of claims contracts, case law and state regulations, intermediate to advanced working knowledge with Word, Excel, PowerPoint, and outlook
  • Proficient with smart phones and applications
  • Experience on Property Catastrophe team handling inside claims (wind, hail, hurricane, flooding)

Audit Analyst- Administrative Law Judge Team

Lincare Holdings Inc.
04.2015 - 07.2016
  • Prepare analysis of Medicare Part B denials of Durable Medical Equipment such as Oxygen, oxygen supplies, Unit Dose medications, CPAP machines and similar equipment provided to Patients by Lincare
  • Conduct research and analyze laws, Federal regulations, policies and precedent decisions prior to hearings and collect any supportive data and documents for argument at hearing to Judge as to why Lincare should receive payment
  • Gather, review, and submit medical documentation to pass and receive payments from Medicare on Durable Medical Equipment (DME) Lincare has issued
  • Prepare, review and present unpaid Lincare DME claims before the Administrative Law Judge, providing testimony as to validity of the need for equipment to patient according to Medicare Part B guidelines and policies
  • Answer questions from the Administrative Law Judge (ALJ) regarding hearings
  • Correspond with Multiple Medicare contracted agencies to ensure scheduling of hearings and coordination of withdrawn Beneficiaries and those that remain to present to Administrative Judge are conveyed to judicial offices on Lincare's 88 active Administrative Law Judges roster
  • Train incoming personnel on ALJ process and mentor along the process of learning
  • Intermediate level skill at MS Office suite software, with primary uses in word, and excel
  • Frequent use of fax, phone, and copiers interoffice software converting documents to PDF files
  • Troubleshoot staffing computer problems when encountered

Assistant Manager-Sales-Motorcycle Apparel and parts

Cycle Gear
03.2014 - 04.2015
  • Provided in-depth knowledge of innovative motorcycle apparel and protective gear to novice through experienced riders enabling the customer to make intelligent choices about state of the art safety equipment in the industry while meeting personal sales and store sales goals on a weekly basis
  • Responsible for oversight of all aspects of day to day store operations and providing high level of customer service
  • Assist in interviewing candidates for employment and Training new hires, promote and manage positive work environment
  • Manage and control inventory, maintain merchandise presentation and housekeeping, monitor cash flow data and reconcile shortages handling $3,000 daily in deposits
  • Generating community interest and awareness of store sales by creating and hosting motorcycle events, performing daily mounting and balancing of tires
  • Daily routine consisted of using accounting skills, point of sale transactions at counter, reconciling overages/underage's, scheduling employees for work, attending teleconferences/ meetings
  • Responsible for closing and opening store, balancing nightly deposits and completing credit card processing

Senior Health Services Technician -Executive Management position

United States Coast Guard
07.2011 - 09.2014
  • Unique management assignment conducting extensive Quality Assurance & compliance inspections annually to 22 isolated medical departments on ships with a range of 85-176 patient populations each
  • Provide guidance and mentorship for 135 non-isolated medical technicians, maintaining accurate training & compliance records of professional certifications in 3 states
  • Conduct Quality Assurance Inspections on 22 isolated medical / dental units
  • Evaluating their medical & dental care provided using OSHA, FDA & paralleling the Accreditation Association for Ambulatory Health Care (AAAHC) standards
  • As Senior Independent Medic of the southeast ensure 22 Medics' Medical & Dental supply needs including access to care for all members are met and oversee 122 non independent medical staff's training and professional development
  • Provide technical Consultation to Senior Executive staff & act as an advocate with matters affecting medics on ships and on missions out at sea and overseas in foreign countries

Chief Health Services Technician -Independent Health Care provider

U. S. Coast Guard Cutter Boutwell (WHEC-719)
06.2009 - 05.2011
  • Conduct examinations on patients, record and assess acute & chronic conditions of patients, write for medications, dispense & educate patients on use of medication including narcotics
  • Administer immunizations and perform minor surgeries such as toenail removals and wound debridement and closure with sutures
  • Routine pre-examination diagnostic tests performed: venipuncture, urinalysis, electrocardiograms, visual acuity tests & audiogram in addition to CLIA waived tests
  • Responsible for Medical Evacuations of injured crewmembers & survivors on open seas
  • Training crew in first aid, CPR, AED, & other combat and emergency related scenarios and situations
  • Other training including airway management & assisted ventilation, personal & dental hygiene, sexually transmitted diseases/ HIV prevention, respiratory protection program, hearing conservation & sigh conservation, blood borne pathogens, triage of shock hemorrhage control- & bandaging
  • Conduct mass casualty drills while grading crew on performance & efficiency on life saving techniques
  • Mentor junior medical staff on independent duties and responsibilities
  • Maintain a yearly budget of medical and dental supplies including pharmaceuticals and equipment & inventory quarterly, approximately sixty thousand dollar yearly budget
  • Accounting, funding & record keeping of medical & dental supplies for greater than

Chief Health Services Technician - Medical/ Dental Instructor

U. S. Coast Guard Medical Training Center
06.2006 - 06.2009
  • Graduated 480 entry-level medical students within 3-year timeframe
  • Provided intensive instruction on anatomy & physiology, laboratory demonstrations, practical exercises and sick call scenarios, patient examination, evaluation, diagnosis & treatment, pharmacology, minor surgical procedures using aseptic techniques, sterilization techniques advanced first aid etc
  • Managed & mentored 96 students total in 4 year span in study halls resulting in above average test scores and resulted in no failures and their completion & title as a Health Services Technician
  • Trained students on proper use and maintenance of medical equipment such as: Armed Forces Vision Tester for visual acuity, EKG machine, spirometers, Ishihara color tests, CLIA waived tests, slit lamp tonometer's, woods lamps, intraocular pressure machines such as the NCT Topcon CT80
  • Trained 70 dental chair side assistants
  • Provided training on prepping patient, suction devices, sterilization & disinfect instruments and equipment, prepare materials for dental impressions and restorations, exposing patients to radiographs and processing dental x-rays as per dentist orders

Lead Recruiter in Northern California

U. S. Coast Guard Recruiter
06.2002 - 06.2006
  • Exceeded staffing objectives with overall percentage of 55% all 4 years of a 4-member office
  • Recruited & evaluated job candidates for elite positions in the Coast Guard seeking the most highly qualified intelligent men & women for entry
  • Created innovative recruiting techniques gain applicant interest resulting in an overall increase of 30% in applications and increase of 13% accessions
  • Managed & planned speaking engagements at educational institutes giving history & knowledge about Coast Guard with enthusiasm & generating interest in highly political and anti government region resulting in Recruiting Office ranking within top 10 in California

Medical invoice processor/ Audit Analyst & Approving Official (AO)

U. S. Coast Guard Health Safety Work life
06.1998 - 06.2002
  • Researched Tax identification numbers (TIDs), addresses & phone numbers of medical & dental facilities providing medical & dental care to active duty, retired and reserve military members
  • Data Entry of this information into an access based excel spreadsheet for further review by higher levels of the Quality Assurance teams
  • Cross referenced eligibility of members with DEERS (Defense Eligibility Enrollment retrieval system) & other military databases to ensure proper pre & post care have been performed as per state and federal regulations pertaining to TRICARE

Medical Assistant to Physician/ Medical Records Technician

U. S. Coast Guard Clinic Miami Beach
06.1994 - 06.1998
  • Performed CLIA waived Laboratory procedures, packaging minor surgery specimen for shipping to larger laboratory Smith Klein
  • Performed phlebotomy & intravenous therapies, administered vaccinations including allergy injections/shots
  • Triaged incoming patients performing vitals and conducting screenings using standard S.O.A.P writeups, performing exams (excluding Genital/Urinary exams) including ENT, Abdominal, muscular- skeletal, neurology exams including other body systems
  • Completed Assessment and Plan/Prognosis for patient and received signoff from Physician to fill prescriptions and inform/ teach patient home care instructions
  • Performed simple radiographic procedures AP, PA, lateral views, processed films in dark room and sent out for official readings and interpretations
  • Ordered, inventoried, managed clinic medical and dental supplies and equipment valued at over eighty thousand dollars
  • Performed patient scheduling & rescheduling of medical appointments, answering inquiries, using multi-line phone system to transfer patients to different departments within clinic and to specific physicians
  • Data Entry of patient data into electronic health record systems

Education

Bachelor Of Health Science - Business Administration And Management

Excelsior College
Albany, NY

Skills

  • Keen focus on Budgeting
  • Project manager
  • Leadership
  • Customer Service
  • Conflict Management
  • Xactimate
  • Excellent communication
  • Detail-oriented
  • Expertise in Microsoft Office suite
  • General office administrative experience
  • Proactive
  • Team player

Skillsets

  • Highly organized with excellent communication and presentation skills
  • Detail-oriented with expertise in Microsoft Office suite, including Excel, Word, email, and Internet
  • 20+ years of general office administrative experience
  • Proactive and a team player as shown in my military career and other positions in civilian employment

Military Training And Personal Awards And Honors

Provided upon request

Timeline

Household CEO

Self Employed
07.2022 - Current

Property Adjuster. 2 - Lisc all lines of Business

USAA
09.2016 - 07.2022

Audit Analyst- Administrative Law Judge Team

Lincare Holdings Inc.
04.2015 - 07.2016

Assistant Manager-Sales-Motorcycle Apparel and parts

Cycle Gear
03.2014 - 04.2015

Senior Health Services Technician -Executive Management position

United States Coast Guard
07.2011 - 09.2014

Chief Health Services Technician -Independent Health Care provider

U. S. Coast Guard Cutter Boutwell (WHEC-719)
06.2009 - 05.2011

Chief Health Services Technician - Medical/ Dental Instructor

U. S. Coast Guard Medical Training Center
06.2006 - 06.2009

Lead Recruiter in Northern California

U. S. Coast Guard Recruiter
06.2002 - 06.2006

Medical invoice processor/ Audit Analyst & Approving Official (AO)

U. S. Coast Guard Health Safety Work life
06.1998 - 06.2002

Medical Assistant to Physician/ Medical Records Technician

U. S. Coast Guard Clinic Miami Beach
06.1994 - 06.1998

Bachelor Of Health Science - Business Administration And Management

Excelsior College

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