Dawn Randle
Franklin,TN
Summary
Accomplished Claim Manager with a proven track record at Berkley Risk Administrators, adept in claims analysis and fostering team motivation. Spearheaded a training program enhancing claim resolution efficiency, achieving an audit rating of 95-100%. Skilled in policy interpretation and problem-solving, consistently improving organizational effectiveness and customer satisfaction.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Claim Manager
Brentwood Services Administrators
Brentwood, TN
07.2011 - Current
- Since starting Brentwood, has served as an adjuster in the One Beacon Occupational Accident unit for 1 year, Claim Specialists for TN claims for 7 years, supervisor for GA claim team for 3 years, and past 2 years as Branch Claim Manager.
- As Claim Manager, currently has 4 teams totaling 28-35 employees and approximately 40 clients.
- Designed and executed a comprehensive training program for the Fast Track Adjuster Team.
- Duties include managing all teams to ensure claims are handled according to client, Brentwood Services and appropriate state guidelines.
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
Branch Claim Manager
Berkley Risk Administrators, a W. R. Berkley
Nashville, TN
12.2002 - 07.2011
- During my time at Berkley Risk Administrators, I was responsible for the management of two claim units to include the Tennessee Workers' Compensation Insurance Plan (on behalf of AON Risk Management) and Tennessee Insurance Guarantee Association. This included assignment of new claims, period claim reviews, approval of reserves and settlement authority up to $100k, as well as proper reporting of large claims to the clients. Dealt closely with attorneys and other vendors, as well as with the Bureau of Workers' Compensation. Also oversaw an office staff of 9-12 people to include all phases of performance reviews, disciplinary actions, training, and other Human Resources items.
- During this period, regular audits were required by the Assigned Risk Plan. The office's overall rating was consistently in the 95-100% range. We also traveled with AON and the Bureau of Worker's Compensation all over the State of Tennessee to perform employer training.
Claims Manager
AmComp
Nashville, TN
02.2002 - 12.2002
- Supervised a staff of 3 professionals in the management of a workers' compensation claims department at a carrier company. Assigned claim responsibilities, offered guidance on incoming cases, performed routine evaluations, authorized reserves and settlements, as well as resolved any issues with vendors.
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
Claims Adjuster/Claim Manager
Berkshire Hathaway
Nashville, TN
06.2001 - 02.2002
- Originally hired as claim adjuster handling claims for TN, NC, SC, and CA. These included large and/or catastrophic claims.
- Handled all issues to include litigated and subrogated claims.
- Management position position included supervising staff of 3 employees and continued to handle claims for CA office.
Adjuster in Charge
Sun Employer/HCC Employers
Nashville, TN
09.1996 - 06.2001
- Supervised team of 6 adjusters and claim support staff.
- Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
Skills
- Claims analysis
- Claims investigation and research
- Policy Interpretation
- Investigation techniques
- Team motivation
- MS Office Suite
- Performance monitoring
- Problem-Solving
Affiliations
- Past President (2000) Mid-South Workers' Compensation Association
- Past Executive Vice President-Kid's Chance of Tennessee
Certification
- Associate in Claims (AIC) - The Institutes Risk & Insurance Knowledge Group.
Timeline
Claim Manager
Brentwood Services Administrators
07.2011 - Current
Branch Claim Manager
Berkley Risk Administrators, a W. R. Berkley
12.2002 - 07.2011
Claims Manager
AmComp
02.2002 - 12.2002
Claims Adjuster/Claim Manager
Berkshire Hathaway
06.2001 - 02.2002
Adjuster in Charge
Sun Employer/HCC Employers
09.1996 - 06.2001