Stacey D. Lussi

Senior Commercial GL/Claims Manager

Third Party Administrators

Dallas, TX

01.2014 - Current

Managed a portfolio of over 100 complex property/casualty claims successfully resolving 95% within the 1st 30 days, exceeding company standards and reducing cycle times by 20%
Utilized advanced negotiation techniques to settle high-value claims, results in a 35% increase in settlement amounts and saving the company over $1,500,000 in potential payouts
Collaborated with internal teams to streamline claims processing procedures, leading to a 20% reduction in overall claim handling time and improving customer satisfaction ratings by 25%
Closely monitor large and complex claims (commercial and personal lines), while reporting status information through written or verbal communication to executive authority
Offer hands-on support, mentoring, training, and coaching to claims associates, while expertly managing escalated claims
Communicate with first and third-party customers, conduct investigation, make determination, and decide the next step whether to include litigation, arbitration, or coordination with legal counsel
Conduct comprehensive file reviews of claims for approval or denial, which includes reviewing Proof of Loss, issuing ROR, Denials, assigning the claims attorney and/or expert for opinion such as engineer, while managing field adjusters and vendors
Expertly handle medical and injury claims, statutory and non-statutory, and occupational and non-occupational claims through standard operating procedures to determine eligibility of benefits
Identify and pursue excess insurance recoveries, while clearly communicating action plan to move case to conclusion
Facilitate in-depth evaluation and gathering of statements, police reports, medical reports, wage loss statements, Bill of Lading, contracts, and leases; interview witnesses and identify possible suspicious claims, which include accident scene investigation, total loss, and review of ISO
Efficiently write estimates for property, HE, commercial (farm, industrial and specialized), and auto claims
Proactively perform commercial general liability, including scene investigation, contract and agreements review between parties to determine negligence and offer settlement as necessary
Key Achievements: Management of portfolio; Average claim closure 10 per day while maintaining 90% on quality review
Handling of various types of claims from Commercial General Liability, Catastrophes, Excess & Surplus, Construction Defect, Professional Liability, Bodily Injury, Property damage (auto & property) and Litigated claims