John Gadd
Goodyear,AZ
Summary
Performance-driven Vice President with Number years of experience aligning systems with business requirements, policies and regulatory requirements. Passionate about applying excellent organization and communication skills to manage and lead teams. Results-oriented individual well-versed in interfacing and consulting on business processes to drive results based on sound overall business judgment.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Vice President of Workers Compenssation/ Workers Compensation Claims Analyst
Hub International
07.2017 - Current
- Provide technical Workers Comp
- Guidance to over 50-direct clients
- Aggressively strategize claims resolution with carriers/TPA with intent to lower Policy Holders Ex-Mod
- Maintained a strong working relationship with internal/external customers face/face and via virtual meetings
- Lead, develop, empower and coach a team of 8 individuals.
Workers Compensation Claims Consultant
Lockton Insurance, LLC
12.2016 - 07.2017
- Provide technical Workers Comp
- Guidance to over 45-direct clients
- Aggressively strategize prompt claims resolution with direct examiners
- Establish and maintain a strong working relationship with internal/external customers.
Unit Manager, Workers Compensation
York Risk Services Group
05.2016 - 12.2016
- Lead a team of 6 Senior Examiners and 2 Assistants
- Provided coaching and strategic planning to assist team goals
- Frequently communicated with members of dedicated account.
Claims Training Manager/Human Resources, Workers ’Compensation
Zenith Insurance Company
03.2013 - 05.2016
- Prepared and presented workers ’compensation staff with latest updates in industry
- Led 3 internal summer training programs that covered all aspects of workers ’ compensation and taught all material to a class of 10 to 15 students
- Traveled to various offices to conduct 1:1 and/or small group training on negotiations, litigation/mitigation, and day-to-day claims handling.
Senior Claims Examiner, Workers ’Compensation
Zenith Insurance Company
09.2011 - 02.2013
- Aggressively managed caseload consisting of 100 to 125 accepted, denied, and delayed claims with various accounts
- Proactively pursued settlement of cases in an attempt to reduce overall expenses and reduce caseload.
Technical Claims Specialist II, Workers ’Compensation
Liberty Mutual
08.2010 - 04.2011
- Analyzed complex catastrophic claims and negotiated favorable settlements with home office in an attempt to minimize exposure on multi-million dollar cases
- Conducted thorough reviews to determine if settlement of the case was in the best interest of Liberty Mutual
- Negotiated and resolved multiple claims in a collaborative effort with home office, various attorneys, and management on a caseload of 125 complex cases with a minimum of $225,000 total paid in benefits.
Senior Claims Examiner III, Workers ’Compensation Law Department
Southern California Edison
08.2005 - 08.2010
- Reviewed, analyzed, interpreted, and managed 100 to 125 delayed and denied litigated claims
- Determined injured workers ’eligibility for compensation
- Applied or denied benefits according to California workers ’compensation laws and company policies/procedures
- Conducted strategic investigations to determine if injury was work related and provided detailed reports to examining physician and/or management
- Communicated daily with claimants to resolve conflicts and ensure 100% customer satisfaction and compliance to company’s goals
- Performed quarterly quality control audits of each case to assure ongoing compliance.
Education
Masters Of Science In Leadership - Business Administration And Management
Grand Canyon University
Phoenix, AZ05.2024
B.S., Business Management -
Pepperdine University
Malibu, CA12.2008
Skills
- Team Leadership
- Empowering my staff to succeed
- Claims Management and Resolution
- Strategic planning
Designations
- California Department of Insurance License: 0M89288
- Self Insured Professional (SIP)
- Workers Compensation Claims Professional (WCCP)
Certification
- California P&C License: 0M89288
- California Self Insured Professional (SIP) license
- WCCP
- WCCA
Timeline
Vice President of Workers Compenssation/ Workers Compensation Claims Analyst
Hub International
07.2017 - Current
Workers Compensation Claims Consultant
Lockton Insurance, LLC
12.2016 - 07.2017
Unit Manager, Workers Compensation
York Risk Services Group
05.2016 - 12.2016
Claims Training Manager/Human Resources, Workers ’Compensation
Zenith Insurance Company
03.2013 - 05.2016
Senior Claims Examiner, Workers ’Compensation
Zenith Insurance Company
09.2011 - 02.2013
Technical Claims Specialist II, Workers ’Compensation
Liberty Mutual
08.2010 - 04.2011
Senior Claims Examiner III, Workers ’Compensation Law Department
Southern California Edison
08.2005 - 08.2010
Masters Of Science In Leadership - Business Administration And Management
Grand Canyon University
B.S., Business Management -
Pepperdine University
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