Delmos McCall, Jr
Livingston,NJ
Summary
Retired in 2020 to care for aged father who lived with me. Now returning to work force for remote or part-time claims/subrogation or Premium Audit functions. Special projects also handled outside of the above disciplines .
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
42
42
years of professional experience
Work History
Premium Audit Consultant
CNA Insurance
09.1999 - 07.2020
- Specialized in large Risk Management work comp, liability and any other lines of insurance per state rules.
- Assigned high profile audit issues and testified in court on audit legal cases.
- Premium Audit Fraud investigation
- Examination of insureds records and operations to determine correct earned premium and class coding. Scheduling audits from home office.
Operations and Claims Supervisor
CNA Insurance
09.1994 - 08.1999
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Implemented first auto-call system for claim call intake unit(CCU).
- Left position as claims office closed for new regional location.
SIU Claims Coord, Subro/Salvage Rep, Sr Claims Rep
CNA Insurance
10.1982 - 09.1994
- Became first Special Investigations Unit (SIU) Coordinator in country for CNA. Court Expert for NYC claims.
- Heard Subrogation cases as Industry Arbitrator. Took over Subro/Salvage Unit and raised win percentage from 25% to over 70% in one year.
- Managed claims, subrogation, liability reserve setting, negotiating and liability litigation support.
Senior Claims Representative
CNA Insurance
05.1981 - 10.1982
- Worked productively in fast-moving work environment to process large volumes of claims.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
Claims Adjuster
Allstate Insurance Co
10.1978 - 09.1980
Education
Bachelor of Science - Business Management
Skidmore College
Saratoga Springs, NYSkills
- Ability to Listen and determine follow-up actions
- Critical Thinking and Analysis
- Fraud Detection
- Negotiation and Conflict Resolution
- Microsoft Office
- Plain English explanations to clients with detailed technical backup
Timeline
Premium Audit Consultant
CNA Insurance
09.1999 - 07.2020
Operations and Claims Supervisor
CNA Insurance
09.1994 - 08.1999
SIU Claims Coord, Subro/Salvage Rep, Sr Claims Rep
CNA Insurance
10.1982 - 09.1994
Senior Claims Representative
CNA Insurance
05.1981 - 10.1982
Claims Adjuster
Allstate Insurance Co
10.1978 - 09.1980
Bachelor of Science - Business Management
Skidmore College