Summary
Overview
Work History
Education
Skills
References
Timeline
Generic
Tonya Lafferty

Tonya Lafferty

Greenwood Village,CO

Summary

Major Case Specialist with extensive experience in managing high exposure claims and conducting strategic analyses. Proven ability to lead teams, enhance processing strategies, and deliver comprehensive coverage investigation and resolution analyses driving efficiency and compliance.

Overview

18
18
years of professional experience

Work History

Sr Account Executive/Major Case Specialist

Travelers Insurance
Centennial, Colorado
04.2017 - Current
  • Manage a highly volatile and evolving backlog of claims, including litigated cases, and matters not in suit (legacy SRG claims, as well as the newly acquired Abuse and Molestation dockets).
  • Conduct complex coverage analyses across numerous insurance lines; encompassing a variety of policy types, and insuring entities.
  • Develop strategies for processing complex cases efficiently and executed detailed evaluations of high-exposure claims.
  • Prepare for and participate in Claim File Review with CAE, insured representatives and internal business partners.
  • Collaborate with business partners such as legal, operations, actuary, underwriting and other claim offices to maximize claim handling efficiency and to provide department specific data.
  • Scrutinize and evaluate claim values, recoverable damages, and settlement values.
  • Prepare and conduct training presentations for colleagues to enhance departmental proficiency.
  • Provide detailed and timely updates and claim status to insureds, representatives, and claimants (when appropriate) in compliance with company standards and respective state requirements.
  • Research legal precedents to support claim decisions with respect to both coverage analyses, as well as litigation strategies.
  • Routinely present claim trends and other vital data to upper management for tracking and collaborative purposes.
  • Create and maintain organized records of claim activity and related documents.
  • Ensured compliance with state regulations governing insurance industry practices.
  • Assist in identifying opportunities for improvement in existing processes and procedures.
  • Account Coordinator-Field: 2016-present
  • Allied Signal
  • Participate in Reinsurance and Esoterics Reviews
  • Prepare reinsurance reports and analyses of same
  • Reviewed coverage positions and evaluated novel coverage issues
  • Liaison between field file handlers, insured and counsel
  • Ensured appropriate limits tracking and positions taken when necessary
  • Correspond with the insured’s agents and other Travelers representatives internally to respond to inquiries related to retroactive premiums calculated and collected.
  • Ongoing evaluation of defense and indemnity cost share allocations, appropriateness of same and compliance with controlling case law.
  • Supervising Sr. Account Executive (2019-2021)
  • provide guidance to junior adjusters on technical aspects of adjusting claims.

Account Executive

Travelers Insurance
Centennial, Colorado
07.2012 - 04.2017
  • Analyzed claim developments and monitored trends to pinpoint advantageous resolution opportunities.
  • Established long-term relationships with policyholders, attorneys, internal business partners, colleagues, co-carriers and other industry professionals.
  • Prepared detailed written reports of findings to document investigation results.
  • Collaborated with underwriting staff to clarify coverage issues and to alert business partners to emerging risks and claim trends for premium evaluation, renewal purposes.
  • Attended meetings with policyholders, attorneys, and other professionals regarding claim status, trends and docket handling strategies.
  • Attended numerous industry events (DRI + Perrin) to expand claim evaluation skills and build relationships with industry colleagues.

Associate Account Executive

Travelers Insurance
Centennial, Colorado
07.2008 - 07.2012
  • Managed day-to-day claim accounts, achieving high levels of resolution outcomes and customer satisfaction.
  • Continually engaged in training opportunities in order to incorporate new and emerging technologies in to claim handling activities, enhancing efficiency and accuracy.
  • Performed data entry tasks into company systems for tracking purposes.
  • Responded promptly to customer inquiries and complaints, maintaining positive relations.
  • Collaborated with other departments within the organization to ensure seamless operations.

Assistant Account Executive

Travelers Insurance
Centennial, Colorado
07.2007 - 07.2008
  • Communicated regularly with policyholders, claimants (when appropriate), and attorney representatives regarding updates on their claims.
  • Communicated regularly with policyholders, claimants (when appropriate) and attorney representatives regarding updates on their claims.
  • Obtained and kept current all adjusting licensing requirements.
  • Maintained up-to-date records of all accounts in accordance with departmental requirements.

Education

Bachelor of Arts - Integrative Physiology

University of Colorado At Boulder
Boulder, CO

Skills

  • Claims management
  • Coverage analysis
  • Legal research
  • Compliance tracking
  • Customer relationship management
  • Strategic process improvement
  • Risk assessment
  • Team collaboration
  • Effective communication
  • Problem solving
  • Training presentation
  • Attention to detail
  • Relationship building
  • Time management

References

References available upon request.

Timeline

Sr Account Executive/Major Case Specialist

Travelers Insurance
04.2017 - Current

Account Executive

Travelers Insurance
07.2012 - 04.2017

Associate Account Executive

Travelers Insurance
07.2008 - 07.2012

Assistant Account Executive

Travelers Insurance
07.2007 - 07.2008

Bachelor of Arts - Integrative Physiology

University of Colorado At Boulder

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