Knowledgeable Leader with solid background in claims management and team supervision. Supervised claims processing, ensuring accuracy and compliance, while fostering a collaborative work environment. Demonstrated problem-solving skills and effective communication in resolving claims issues.
Overview
1
1
Certification
27
27
years of professional experience
Work History
Claim Supervisor
Gallagher Bassett
Remote
02.2022 - Current
Supervises a team of claims adjusters.
Managed adjuster workloads and performance to ensure efficient claims processing.
Uses various metric driven tools and other Claim Operation reports to evaluate performance and identify problem areas in advance of them becoming service issues.
Participate in compliance and best practice reporting.
Review tenders and contracts with the carrier for coverage decisions.
Evaluated performance using metric-driven tools and Claim Operation reports to proactively identify and address potential service issues.
Defines team goals and communicates those goals to assigned staff.
Motivated team members to achieve performance goals through effective communication and support.
Ensures receipt and maintenance of appropriate licenses and/or certifications for themselves and all assigned staff for all states in which states are being handled.
Communicate with clients, carriers and brokers in a professional, positive and proactive manner.
Works collaboratively with all internal departments.
Supported the recruitment process by participating in candidate interviews for potential new hire prospects.
Senior Resolution Manager
Gallagher Bassett
Remote
02.2022 - 02.2023
Conducted investigations, evaluations, dispositions, litigation, and settlements for claims.
Managed auto claims, commercial auto claims, and general liability claims.
Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
Coordinated with various parties involved in the claim process to facilitate timely resolutions.
Handles claims consistent with our clients and corporate policies, procedures and “Best Practices” and in accordance with any statutory, regulatory and ethics requirements.
Interacts extensively with various parties involved in the claim process.
Processed claims in alignment with client expectations, corporate policies, procedures, and best practices, ensuring compliance with statutory, regulatory, and ethical standards.
Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file.
Senior Marketing Representative – Mid Atlantic Region
Berkshire Hathaway Homestate Companies
Pennsylvania
03.2021 - 02.2022
Acts as marketing specialist visiting small to mid-sized agencies in the assigned territory.
Delivered marketing information to agents on product opportunities, transaction processes with Company, and responses to inquiries about placing various Property Casualty insurance products.
Participates in group agency meetings in various locations throughout the year to introduce new products and enhancements. Trains agents on new online product technologies and changes to existing online products.
Distributes regular agent communication regarding product changes and enhancements via e-mail or in person.
Initiated contact with prospective agencies to assess characteristics, qualifications, and interest levels in BHHC online products.
Created interest and established a clear understanding of the business processes with BHHC.
Communicates issues raised by individual agents as well as changes in the marketplace regarding competitors, coverage forms, pricing, and other items that may come up to management and company underwriters.
Compiled and updated reports for underwriters and managers detailing agency calls, individual agency submission activities, and product binding results.
National Claim Agent Advocate
Encompass Insurance
Remote
01.2016 - 11.2020
Assisted agents with policy-related inquiries and customer service issues to enhance service delivery
Facilitated communication between agents and claims department nationwide
Review and answer coverage questions
Educated and trained Claims team on agent-related questions and needs to improve response accuracy
Partner closely with the sales team to educate them on the policy in order to facilitate sales
Collaborated with sales team to provide policy education, facilitating informed sales discussions
Build relationships with Claim, Product, and Underwriting partners
Work independently with agents nationwide both telephonically and in person
Provided expert guidance on all Encompass policies to team members
Managed approximately 6,000 inquiries each year from customers
Field Agent Advocate (FAA)
Encompass Insurance
Remote
07.2012 - 12.2015
First FAA for Encompass Insurance
Cultivated strong relationships with agents through regular communication and support
Conducted in-person visits with agents nationwide to enhance communication and support
Attended in person sales/agency meetings to facilitate the sale of the policy by answering all policy and coverage questions
Conducted agency training
Facilitated policy sales by addressing agent inquiries during in-person sales and agency meetings
Effectively worked across department boundaries to answer agent concerns
Uninsured and Underinsured Complex Claim Specialist/General Liability Claim Specialist
Encompass Insurance
Reading Pa
07.2004 - 07.2012
Subject matter expert on uninsured and underinsured motorist claims
Settled high-value and litigated UM/UIM claims, ensuring favorable outcomes for clients
Educated Claim departments on identifying UM/UIM exposure to facilitate early resolution
Managed expenses through budget tracking and analysis.
Achieved membership in One Million Dollar Structures Settlement Club for exceptional claim settlements
Staff Claims Service Adjuster
Encompass Insurance
Reading Pa
12.2003 - 07.2004
Investigated, evaluated, reserved, negotiated, and resolved bodily injury claims to ensure fair settlements
Evaluated insurance coverage options
Reviewed coverage
Compiled and organized monthly reports for claims office and management teams to inform decision-making
Facilitated communication between agents, vendors, and customers
SCLA subject matter expert for the office
Featured in 2011 Encompass Newsletter for Outstanding Customer Service
Office Claims Representative
Westfield Insurance
Lancaster Pa
06.2002 - 12.2003
Resolved various claims including general liability, personal auto, commercial auto, homeowner, and farm claims to ensure client satisfaction
Conducted in-person meetings with customers to address inquiries
Nurtured business partnerships with agents to support collaboration
Claim Adjuster
Progressive Insurance
Lancaster
05.1999 - 06.2002
Processed auto claims efficiently
Assessed damages and determined compensation for auto and motorcycle claims, facilitating timely settlements
Conducted in-person meetings with customers
Education
Bachelor of Arts - Criminal Justice
Shippensburg University
Shippensburg, PA
05.1999
Widener University School of Law
Harrisburg, PA
Skills
Claims management
Claims analysis
Claims auditing
Performance management
Claims review
Team leadership
Team motivation
Affiliations
SCLA Gold Membership
Certification
Texas-Adjuster- Designated Home State Texas, Currently licensed in 37 states including New York and California
Timeline
Claim Supervisor
Gallagher Bassett
02.2022 - Current
Senior Resolution Manager
Gallagher Bassett
02.2022 - 02.2023
Senior Marketing Representative – Mid Atlantic Region
Berkshire Hathaway Homestate Companies
03.2021 - 02.2022
National Claim Agent Advocate
Encompass Insurance
01.2016 - 11.2020
Field Agent Advocate (FAA)
Encompass Insurance
07.2012 - 12.2015
Uninsured and Underinsured Complex Claim Specialist/General Liability Claim Specialist