Escolar Documentos
Profissional Documentos
Cultura Documentos
I N S U R A NC E
Accomplished, assertive executive offering solid history of negotiating and mediating
complex, high profile claims. Career marked by consistently achieving high
settlements and closings ratio, saving millions of dollars through billing deductions
and settlements, and retaining major client accounts. Recognized as self-directed,
effective, and efficient leader with exemplary work ethic and proven ability to settle
highly complex, difficult cases. Optimistic, personable manager skilled in facilitating
best practices training and developing staff to meet corporate objectives and
individual career goals. Experienced in zoning, bodily injury, insurance, title search,
home inspection, appraiser, employment, architecture, engineers and construction
claims.
Areas of expertise include:
Account Management Employment / EEOC Claims Negotiations &
Mediations
Structured Claims Handling Best Executive Presentations
Settlements Practices
Team Leadership Management & Staff Litigation Management
Training
PROFESSIONAL EXPERIENCE
Appointed to manage high and low exposure claims while Senior Claims Attorney and
Claims Attorney were out on maternity leave. Managed litigated files and claim files;
supervised defense counsel, reviewed counsel billings, retrieved deductible payments,
negotiated competitive rates with non-panel firm and investigated coverage, liability,
and damage for Architectural, Engineers, Title Insurance and Agricultural Claims.
Key Achievements
Successfully obtained contribution from General Liability Insurance Carriers;
Successfully obtained contribution from Insureds for uncovered exposure;
Identified high exposure cases and presented to management the pros and cons
of the case on hand;
Provided management recommendation on claims handling procedure in relation
to billing and best practices;
Provided high cost to management on files;
Identified problem files and proposed resolution to management to resolve the
claims through best practices;
Proposed the use of leakage when auditing files to identify loss opportunity to
settle cases on files;
Appointed to manage high exposure complex excess claims through law firms and
analyzed defense counsel’s reports and expert reports and determined cost-effective
case resolution strategies. Assisted in formatting letters and developing procedures in
regard to deductible recoveries. Analyzed coverage on high exposure cases (in excess
of $1M). Analyzed exposure of litigated and non-litigated cases for property damage,
bodily injury, and construction defect claims under commercial general liability policies.
Submitted tenders on behalf of the Insured to various insurance carriers.
Key Achievements
Maintained success in having other insurance carriers pick up our tenders.
Maintained highest closing ratio throughout entire department.
Retrieved outstanding deductible payments.
Assisted management in providing claim training procedures for incoming
assistant;
Assisted management in providing deductible retrieval procedures;
Reviewed TPA’s claim file to ensure defense counsel and the TPA has complied
with Company procedure;
Reviewed documentation provided by TPA and proposed cost benefit analysis of
resolving claims;
Made recommendation to management on the use of specific firms and
implementing a procedure in the Guidelines that require the Law Firm to obtain
other insurance information early on;
EDUCATION
LICENSURE
SELECTED SEMINARS
The Art of Negotiation… Ethics… Laws and Regulations for Adjusters… Controversial
Claims Analysis… Current Trends in Insurance… Consumer Protection in Claims
Adjusting… Supreme Court Update…
Structured Settlements: The Defense Perspective… Mediation of Insurance Issues and
Ethical Consideration…
Full List Available Upon Request