Kimberly Plavchak
Venice,FL
Summary
Detail-oriented with 16 years of claim experience. Strong command of conflict resolution and negotiation, combined with excellent reporting and research skills. Thorough understanding of claims/litigation and management, focusing on General Liability and Druggist Liability.
Overview
17
17
years of professional experience
Work History
Claims Manager
Rite Aid Corporation
09.2018 - Current
- Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
- Supervises claim files handled by direct reports
- Performs an initial analysis of coverage, liability and damages on all claims assignments
- Reviews disclaimers and reservation of rights letters written by direct reports
- Delegate’s responsibility to assign claims to independent adjusters and to refer cases to defense attorneys
- Negotiates some settlements directly and provides oversight for direct reports, who conduct negotiations, mitigate damages and control expenses
- Oversees management of litigated files
- Maintains a high level of communication with leadership
- Works within authority limits and makes recommendations if higher authority is needed
- Guides and directs the handling of complex high exposure claims and suits
- Recognized as the key company claims contact within specialty area
- Assists the VP in managing the Claims Department
Litigation Specialist
Rite Aid Corporation
06.2013 - 09.2018
- Review pleadings, discovery requests, medical records and investigative materials to assist outside counsel in defending cases in litigation.
- Confer with outside counsel surrounding litigation strategy and expert retention.
- Review and investigate general liability and druggist liability lawsuits to minimize the corporations’ claim exposures.
- Open, close, and adjust reserves in accordance with industry practices to ensure actuarial adequacy.
- Interact with excess insurance carriers on complex litigation matters.
- Attend depositions, mediations, and court conferences, as required.
- Manage legal expenses by reviewing legal invoices for relevancy and accuracy.
- Maintain and update claim database with litigation related information to ensure integrity of claim handling and future actuarial needs.
- Participate in quarterly "Settlement Days" to facilitate file closures.
- Utilize internal and external resources (internet, other departments, store personnel, management, etc.) when appropriate in the handling and resolution of lawsuits.
Litigation Specialist
Pinnacle Risk Management
06.2007 - 06.2013
- Third Party Administrator for Rite Aid Corporation.
- Review pleadings, discovery requests, medical records and investigative materials to assist outside counsel in defending cases in litigation.
- Confer with outside counsel surrounding litigation strategy and expert retention.
- Review and investigate general liability and druggist liability lawsuits to minimize the corporations’ claim exposures.
- Timely reports to the client.
- Open, close, and adjust reserves in accordance with industry practices to ensure actuarial adequacy.
- Interact with excess insurance carriers on complex litigation matters.
- Attend depositions, mediations, and court conferences, as required.
- Manage legal expenses by reviewing legal invoices for relevancy and accuracy.
- Maintain and update claim database with litigation related information to ensure integrity of claim handling and future actuarial needs.
- Participate in quarterly "Settlement Days" to facilitate file closures.
- Utilize internal and external resources (internet, other departments, store personnel, management, etc.) when appropriate in the handling and resolution of lawsuits.
Education
Bachelor of Science - Criminal Justice
Shippensburg University of Pennsylvania
Shippensburg, PA05.1988
Skills
Claims investigation and research
Negotiation
Performance Monitoring
Expense Management
Pharmacy Malpractice
Litigation
Certification
Affiliations
- National Retail and Restaurant Defense Association
Timeline
Claims Manager
Rite Aid Corporation
09.2018 - Current
Litigation Specialist
Rite Aid Corporation
06.2013 - 09.2018
Litigation Specialist
Pinnacle Risk Management
06.2007 - 06.2013
Bachelor of Science - Criminal Justice
Shippensburg University of Pennsylvania
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