Performance-driven Vice President with 25+ 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.
Encompassed a broad spectrum of key duties.
Effectively managed a team of Executive Claims Managers,Supervisors, and Adjusters, assuming oversight of workflow, where my focus was on enhancing operational efficiencies and reducing inefficiencies.
Led initiatives for system and process improvements and closely
monitored and assessed Key Performance Indicators (KPIs).
Actively involved in Bordereau reporting and MI's Catastrophe modeling ensuring a proactive approach to Catastrophe response and implementation. Claims Operational Review and Management with Collaboration
Involved pioneering new strategies and business processes in claim handling procedures, and I took charge of managing all aspects of incoming and ongoing litigation, including civil remedies, suits, a notice of intent, mediation, and depositions within the authority of TPA/DCA.
Worked diligently to reduce staff turnover and played a pivotal role in the recruitment and onboarding process.
Conducted comprehensive Development Reviews and facilitated
developmental and skill-building opportunities for the team members.
Took the lead in managing the private flood and wildfire book of
business, ensuring that policy language was aligned with NFIP guidelines and that claims handling adhered to federal standards.
Effectively addressed and resolved customer issues, assigning them to the appropriate individuals for swift and satisfactory resolution.
Essential tasks were to establish and refine the operating characteristics of the claim management program, along with measurement criteria and meaningful metrics benchmarking goals.
Monitored the execution of reserving and settlement policies, ensuring their effectiveness.
Actively participated in and approved decisions regarding reserving and settlement, especially in cases that exceeded the authority of field claim managers, making the necessary entries for reserves or checks, especially in instances involving significant losses.
Conducting technical audits and Collaboration was also part of my role, as I planned, coordinated,and executed audits of field claim offices and third-party administrators to gauge their compliance with company procedures,
claim best practices and reserving and settlement policies.
Comprehensive approach allowed for the identification of areas for improvement and the implementation of best practices.
Involved in receiving claim assignments, verifying policy coverages, and overseeing the acknowledgment of claims.
Leveraged independent judgment to interpret and make decisions on moderately complex claims and policy coverages, assessing whether the coverages applied to the submitted claims.
Extended to conducting thorough investigations,evaluations, negotiations, and adjudications of both first-party and third-party claims, with the aim of establishing their validity and determining the extent of damage.
Engaged in telephone communication with clients, claimants, witnesses, and other relevant parties to gather essential information.
Comprehensive analysis of claims activity and prepared reports for clients, carriers, and management.
Held the position of overseeing a team of property claims directors within the National Property Claims unit, which managed claims on a global scale.
Managed a team of managers and claims professionals in handling the company's wind, mold, toxic tort, asbestos and environmental claims and litigation.
Provides direction, leadership, and consultation to department managers in relation risk evaluation, risk transfer, and risk financing with the objective of protecting the assets of the corporation. Acts as a key adviser in the areas of decision making, mitigating risks relating to insurance policies, and incident investigation.
Oversee all aspects of complete project / product development including; evaluating and establishing scope of work, conceptual estimating, establishment of budgets, contract negotiations, permit application and approval, processing of contractor invoices, draw request analysis, change orders, develop and manage construction schedules. Projects include both commercial and residential products, consisting of core and shell structures, tenant finish work, remodeling, land development as well as commercial build-outs.
Complete supervision of construction and support staff, client relations, contract closeout, and warranty. Coordination of owners, design team, Architects and Engineers.
Successfully managed and delivered 15 separate for-sale projects from inception to completion with an aggregate value of $76M+.
Developed and maintained strategic scheduling and operations parameters to ensure timely delivery of projects.
Achieved and maintained expected profit margins by strict adherence to project documents, developed budgets, cost containment and negotiation, draw request analysis and minimization of change orders.
Recruited and trained all construction management personnel regarding estimating, budgeting, contract negotiating, scheduling, client management and warranty fulfillment.
Managed and mentored all site personnel, field staff as well as office accounting and support staff through direct involvement and guidance.
Direct involvement with the sales force to ensure marketability of all products was maintained at a superior level.
Consistent achievement of superior client satisfaction during all phases of construction through delivery and warranty period.
Part of the Claims/ SIU Management Team with primary focus on Field and Investigation, FNOL Center and various carriers and during natural catastrophe. Key responsibilities include strategic and financial planning, development of departmental goals that align with Corporate Vision, process design and implementation, behavioral management, talent development, customer experience and project management while promoting and supporting a high-performance culture.
Performed field investigations to handle catastrophe claims.
Managed informal hearings, arbitrations and litigations for complex claims.
Conducted service trainings to Junior Adjusters.
Performed re-inspections to confirm damages.
Participated in focus audit activities.
Assisted and participated in discussions regarding development of quality insurance programs.
Investigate potential fraud, worker compensation claims, general liability, and fiduciary claims.
Maintained confidentiality on information regarding claims.
PROPERTY AND CASUALTY INSURANCE LICENSE
Florida Department of Financial Services 520- All-Lines Adjusters.
New York of Department of Financial Services All-lines Adjusters.
Texas Department of
Insurance
June 2003
License adjuster in 32 states
TWIA
Texas Windstorm Insurance
Association
May 2015
CA Earthquake Certified
Feb 2003- present
NFIP FLOOD
FEMA
Al-lines
April 2015- up to date
Certified Insurance Professional