Mark Patton
Arlington Heights,IL
Summary
Claims professional well-versed in intricacies of claim management and resolution. Known for strategic approach to resolving disputes and ensuring compliance with industry standards. Reliable team collaborator with focus on achieving optimal outcomes and adapting to changing requirements. Skilled in negotiation and critical thinking.
Experienced with analyzing and processing diverse claims accurately and efficiently. Utilizes strong investigative skills and attention to detail to ensure fair settlements. Track record of maintaining compliance with industry regulations and providing excellent customer service.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Complex Claims Specialist
AmTrust Financial Services, Inc, AFSI
05.2024 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Claims Litigation Specialist
Berkley Human Services (a Berkley Company)
10.2017 - Current
- Manage all aspects of investigative activity on complex claims for social service agencies, and nonprofit organizations.
- Proficient in analyzing coverage, determining liability, and evaluating damages for Commercial General Liability, Abuse and Molestation, Professional Liability and Commercial Excess Liability Coverages.
- Work Independently within assigned authority levels to settle claims promptly and equitably.
- Timely draft coverage correspondence consisting of reservation of rights and declination letters.
- Manage all aspects of litigated claims, assignment of counsel, development of resolution strategy, action plans.
- Attend mediations, settlement conferences, trials, via zoom or in person when appropriate.
- October 2017 - Present (6 years 6 months)
Risk Analyst
Ventas, Inc.
03.2015 - 10.2017
- Assist with the administration of Ventas, Inc.'s property & casualty insurance programs.
- Compare contractual insurance requirements of lease agreements of newly acquired assets.
- Served as liaison between property managers and insurance broker for issuance of Certificate of Insurance.
- Managed renewal of FEMA insurance policies.
- March 2015 - October 2017 (2 years 8 months)
Professional Liability Claim Specialist
Fireman's Fund Insurance Company
10.2014 - 02.2015
- Direct handling of errors and omission claims for insurance agents.
- October 2014 - February 2015 (5 months)
Medical Malpractice Claim Specialist
CNA Insurance
03.2009 - 06.2013
- Expertise in handling complicated and significant medical malpractice claims involving individual nurses; allied health professionals; assisted living facilities and skilled nursing facilities.
- Recognize coverage issues and draft coverage correspondence, including reservation of rights and coverage disclaimers. Managed claims in multi-state jurisdictions and maintain appropriate adjuster licenses.
- March 2009 - June 2013 (4 years 4 months)
Commercial Claim Adjuster
ESIS, Inc.
03.2006 - 03.2009
- Technical claim handling of general liability, product liability and commercial auto liability in the role as a Third-Party Administrator, (TPA).
- Provided superior customer service to a diverse client segment, including food service organizations, commercial transportation, and general liability.
- Managed a large volume of litigated and non-litigated files from claim inception to final resolution.
- Timely recognize. and reported claims of high severity and complicated coverage issues to the appropriate carrier.
- March 2006 - March 2009 (3 years 1 month)
Professional Liability Claim Adjuster
GE Insurance Solutions
09.2002 - 08.2005
- Manage all aspects of investigative activity on municipal liability claims, including law enforcement liability, educators' legal liability and employers' legal liability errors and omissions (E&O).
- Six Sigma Green Belt Training
- Demonstrated proficiency in analyzing coverage, determining liability, and evaluating damages.
- September 2002 - August 2005 (3 years)
Claims Adjuster
Fireman's Fund Insurance Company
09.2001 - 09.2002
- Conducted liability investigations to resolve personal and commercial automobile claims.
- September 2001 - September 2002 (1 year 1 month)
Casualty Claims Unit Manager
Safeco Insurance
05.1996 - 09.2001
- Train, mentor, and supervise claims unit staff, ensuring customer service excellence, file quality and staff productivity.
- Conduct regular quality audits and implement coaching and training for continuous improvement.
- May 1996 - September 2001 (5 years 5 months)
Education
Bachelor of Science (BS) - Economics
Illinois State University
01.1995
Skills
- Report writing and presentation skills
- Negotiating settlement resolutions
- In-depth understanding of claims management
Certification
- Associates In Claims (AIC) and Associate in Risk Management (ARM) - The Institutes Knowledge Group
- Paralegal Certificate - Roosevelt University
Military
- Specialist E4; Army National Guard Aug 1988 - Aug 1994 (6 years 1 month)
- Earned the rank of E-4, Specialist - Honorable discharge. - Business Administration / 71L MOS Education
Timeline
Complex Claims Specialist
AmTrust Financial Services, Inc, AFSI
05.2024 - Current
Claims Litigation Specialist
Berkley Human Services (a Berkley Company)
10.2017 - Current
Risk Analyst
Ventas, Inc.
03.2015 - 10.2017
Professional Liability Claim Specialist
Fireman's Fund Insurance Company
10.2014 - 02.2015
Medical Malpractice Claim Specialist
CNA Insurance
03.2009 - 06.2013
Commercial Claim Adjuster
ESIS, Inc.
03.2006 - 03.2009
Professional Liability Claim Adjuster
GE Insurance Solutions
09.2002 - 08.2005
Claims Adjuster
Fireman's Fund Insurance Company
09.2001 - 09.2002
Casualty Claims Unit Manager
Safeco Insurance
05.1996 - 09.2001
Bachelor of Science (BS) - Economics
Illinois State University
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