Gail Stack
Holbrook
Summary
Dynamic claims management professional with extensive experience at SterlingRisk LLC, excelling in insurance analysis and risk assessment. Proven track record in negotiating favorable outcomes and delivering exceptional customer service. Proficient in Applied Epic software, effectively managing complex claims while maintaining a profitable loss ratio. Committed to driving results and enhancing client satisfaction.
Overview
30
30
years of professional experience
Work History
CLAIM CONSULTANT
STERLINGRISK LLC
Woodbury
09.2021 - Current
- Claims intake of first reports, submit the claim to the carriers, update file once a claim acknowledgement received.
- Obtain video footage, witness statements, lease agreements, COI's and/or contracts from the insured to review for risk transfer.
- Monitor and update claim files continuously through final payment or closure.
- Notify the Managing Director of Claims and Managing Director of Risk Management if a claim presented has the potential exposure to be a substantial loss, severe or fatal injury, or if a carrier has issued a reserve advisory alert.
- Provide claim summaries to the Marketing Dept and Account Managers prior to the Renewal Strategy Meeting.
- Conduct in-depth Claim Reviews with Insureds on a quarterly or bi-annual basis.
SENIOR CLAIMS SPECIALIST/CLIENT ADVOCATE
BORG & BORG INSURANCE
Huntington
09.2019 - 09.2021
- Currently manages all of the firm's personal and commercial line claims.
- Takes first reports, liaison between insured(s) and insurance company claims representatives.
- Maintain constant contact and direct claims thru settlement.
- Manage claim activities for the largest account which is a food franchise program for Dunkin Donuts.
- Prepare loss reports using Applied/EPIC systems.
SENIOR AGENCY/BROKER CLAIM SPECIALIST
INDUSTRIAL COVERAGE
Patchogue
03.2016 - 09.2019
- Reviewed personal and commercial insurance policies (homeowners, flood, disability, PFL, workers compensation, GL, property, inland marine, special event, crime, accident and sickness) to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Delivered exceptional customer service to policyholders by communicating important information and resolving all issues.
- Handled accounts that included construction, waste management, trucking, restaurants, real estate, condos & HOA's and schools.
- Followed up with customers on unresolved claims.
- Tracked progress of all outstanding insurance claims with insurance company claim representatives and assigned the claim.
WORKERS COMPENSATION WHOLESALE UNDERWRITER
CMS LLC
Melville
08.2002 - 02.2016
- Workers Compensation Account Manager responsible for a $15M book of business.
- Reviewed all incoming submissions for eligibility, marketed and quoted eligible accounts with multiple carriers.
- Released quotes and issued binders. Fully serviced each account by processing change requests and issued AP/RP Endorsements and AP/RP Audits.
- Direct bill and Agency bill accounts.
CLAIM MANAGER for MGA
RISK MANAGEMENT SPECIALISTS LLC
Hauppauge
09.1995 - 12.1998
- Managed an interactive department for an MGA Program for the Restaurant Industry.
- Oversaw claims reporting to the insurance companies, utilizing an aggressive approach in negotiating reserves with adjusters to ensure they reflected true liability and not industry standard.
- Bi-weekly reporting of claims acknowledgements and monthly year-to-date loss reports to insureds.
- Scheduled and attended Loss Control meetings with insureds, their employees and the insurance adjusters.
- Calculated on a monthly basis the loss ratios for the different books of business. This included breaking down loss ratios by various types of claims reported during the policy period.
- Maintained a profitable loss ratio to ensure retention.
- Tendered claims to suppliers.
- Directed contact with insureds and claimants.
Education
Property and Casualty Insurance Brokers License -
Insurance Institute of Long Island
Skills
- Insurance analysis and risk assessment
- Claims management and negotiation
- Customer service and support
- General liability, property, auto, D&O, and professional liability coverage expertise
- Cybersecurity and crime insurance understanding
- Workers' compensation management skills
- Lease agreements and contract oversight
- Proficiency in Microsoft Office suite
- Expertise in Applied Epic software
- AMS 360 system
- Agency interface coordination
Timeline
CLAIM CONSULTANT
STERLINGRISK LLC
09.2021 - Current
SENIOR CLAIMS SPECIALIST/CLIENT ADVOCATE
BORG & BORG INSURANCE
09.2019 - 09.2021
SENIOR AGENCY/BROKER CLAIM SPECIALIST
INDUSTRIAL COVERAGE
03.2016 - 09.2019
WORKERS COMPENSATION WHOLESALE UNDERWRITER
CMS LLC
08.2002 - 02.2016
CLAIM MANAGER for MGA
RISK MANAGEMENT SPECIALISTS LLC
09.1995 - 12.1998
Property and Casualty Insurance Brokers License -
Insurance Institute of Long Island
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