I am a leader in insurance claims with over 13 years of experience. I have extensive experience in the handling of general liability, excess, and commercial and personal auto property damage and bodily injury claims. I have experience with extensive claim audit processes. I have managed teams of up to 10 direct reports and have a proven track record overseeing and resolving complex insurance claims. I hold licenses in the majority of the United States.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Sr. Claims Specialist
National Claim Services
01.2021 - Current
Handle 125 litigated and non-litigated general liability and excess claims, ensuring appropriate and timely actions are taken with each file, for the benefit of the insured and carrier
Evaluate risk transfer opportunities on each claim
Address additional insured and contractual indemnity tenders
Direct defense counsel regarding litigated matters, leading to cost efficient resolutions that benefit the carrier and insured
Participate in mediations and trial oversight, taking action with settlement authority to produce effective resolution when appropriate
Draft accurate and timely reservation of rights and coverage disclaimers
Prepare underwriting alerts to ensure the underwriting department is aware of potentially inappropriate actions being taken by the insured within a claim
Deliver exceptional claim service to exceed metrics, including closing ratio, with minimal supervisory oversight
Recommend reserve changes to upper management via Large Loss Reports and Claim Alerts, leading to timely and economical resolutions
Direct FNOL large loss investigations through retained experts and defense counsel when applicable, yielding informative and effective foundations for appropriately handled claim files
Maintain a high level of customer service by promptly addressing claim inquiries and providing clear explanations of the claim process
Evaluated and settled complex insurance claims in strict timeframes
Identified insurance coverage limitations with thorough examinations of claims documentation and related records
Associate Agent
Rollo Insurance
06.2020 - 01.2021
Marketed and procured personal and commercial insurance business
Actively prospected potential clients via referral and marketing methods
Serviced clients during policy period
Supervised account manager to ensure daily activities are completed timely
Commercial Claims Director
Hallmark Financial Services
11.2018 - 06.2020
Managed and supported 9 adjusters who handled litigated and high exposure claims
Completed quarterly audits to ensure 100% SOX compliance for all claims handled by my team
Participated in settlement meetings with plaintiff attorneys, resulting in lower settlements of high exposure claims
Supervised 900 commercial claims up to $1M of exposure
Reviewed claim files and input direction every 60-90 days, allowing adjusters to take effective routes toward resolution of their claim files
Ensured authority requests are thorough and submitted timely, resulting in efficient and economical settlements
Handled and resolved complaints from contacts within a claim file
Conducted meetings with defense attorneys to allocate settlement authority
Attended mediations and monitored trials, taking action with authority to produce effective resolution when appropriate
Streamlined workflows to enhance efficiency and reduce claim lifespan
Handled and resolved internal conflicts within the claims team
Developed and delivered training for claims staff on new procedures
Maintained clear communication with upper management regarding claim trends
Commercial Claims Supervisor
Great West Casualty Company
09.2015 - 11.2018
Oversaw the files of 6 adjusters; initial 'go-to' for claim related questions and issues
Examined up to 575 files every 30-60 days, encompassing approximately $30,000,000.00 in injury reserves
Resolved complaints from customers and contacts within claim files and established amicable relationships which led to fair resolutions for all parties involved
Attended mediations for adjusters when scheduling conflicts arose, resulting in favorable settlements for the insured and carrier
Controlled 'Supervisor on-call' schedule, and dispatched and directed adjusters and attorneys when a serious loss occurred
Presented lectures to agents regarding mediation/alternative dispute resolution
Participated as an active member of Customer Service Committee
Participated in Leadership Development Programs
Education
Bachelor of Arts - English
University of North Texas
Denton, TX
12.
Skills
Investigation and Resolution-Focused
Leadership and Team Management
Customer Service & Communication
Regulatory Knowledge
Technical Skills
Public Speaking
Focused on long term business relationships
Certification
SCLA - American Educational Institute
Certificate in Technical Communication - University of North Texas
MT, AL, AZ, AR, CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, NV, NH, NM, NC, OK, OR, RI, SC, TX, UT, VT, WA, WV, WY
Timeline
Sr. Claims Specialist
National Claim Services
01.2021 - Current
Associate Agent
Rollo Insurance
06.2020 - 01.2021
Commercial Claims Director
Hallmark Financial Services
11.2018 - 06.2020
Commercial Claims Supervisor
Great West Casualty Company
09.2015 - 11.2018
SCLA - American Educational Institute
Certificate in Technical Communication - University of North Texas
MT, AL, AZ, AR, CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, NV, NH, NM, NC, OK, OR, RI, SC, TX, UT, VT, WA, WV, WY
Bachelor of Arts - English
University of North Texas
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