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| Desired Industry: Insurance |
SpiderID: 21929 |
| Desired Job Location: Baltimore, Maryland |
Date Posted: 8/1/2008 |
| Type of Position: Full-Time Permanent |
Availability Date: 08/01/08 |
| Desired Wage: 60,000 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: Yes, 25-50% |
| Highest Degree Attained: High School/Equivalent |
Willing to Relocate: Undecided |
Objective:
To obtain a challenging position in insurance claims handling/management.
Experience:
ZURICH NORTH AMERICA, BALTIMORE, MD 1998-2008
ZURICH NORTH AMERICA
Home Office Quality Assurance Auditor 2002 - 2008
Conducted closed and open file audits for general liability, APD, property, pollution and specialties lines of business. The audit process included working with the offices from the pre-review process, through the actual file audits, rebuttals and production of a final report.
„P Provided assistance and input to the audited group for the creation of action plans.
„P Development, introduction, orientation and instruction of the audit process.
„P Calibrated both inside and outside the audit team to insure consistent interpretation of Best Practices.
„P Trained and coached individuals both inside and outside the audit group in the use of the audit system.
UNIVERSAL UNDERWRITERS (DIRECT UNDERWRITERS)
Quality Control Auditor 1999 - 2002
Performed claim audits on closed and open property and general liability claim files for automobile dealerships and related after market companies.
„P Audited 1st and 3rd party property and physical damage claims, first and third party injury claims and litigation claims.
„P Conducted rebuttals and prepared management reports.
„P Assisted in the formulation of action plans for improvement based on audit findings.
Liability Specialist 1998 - 1999
Management of first and third party claims that contain of pollution and/ or environmental exposure.
Managed all files from receipt of claim through resolution focusing on reduced claims expenses.
Provided excellent customer service to all producers, policyholders, claimants and all other business contacts.
Directed counsel in the handling and resolution of all litigated files.
Reported on all files where appropriate.
UNITED STATES FIDELITY AND GUARANTY, BALTIMORE, MD 1992-1998
Home Office Liability Consultant
Case management and consultative services to Branch Office personnel on major liability cases with values in excess of $150,000; providing settlement authority on cases in excess of Branch Office authority; investigation, coverage determination and negotiation on all assigned cases. Settlement authority of $500,000.
„P Taught, coached and mentored on a daily basis to develop claim staff in assigned offices.
„P Worked with and directed staff and panel counsel to appropriately resolve major litigation on high exposure cases, in accordance with litigation management procedures. Participation in interviewing of prospective panel counsel.
„P Trial and settlement conference attendance, where appropriate.
„P Liaised on-site with field office personnel to assist in Major Case Presentations.
„P Semiannual participation in on-site Operational Reviews to measure performance, compliance with quality control standards and monitor leakage and customer service issues.
„P Presented Major Cases to Corporate Officers and various claims staff prior to major trials and/or negotiations.
„P Created a program to reduce litigation expense countrywide, and participated in the implementation process in various Field offices.
CIGNA COMPANIES, Columbia, MD 1985-1992
Claim Supervisor (1985-1992)
Directed the activities of up to six claim professionals, both in-house and remote, in the investigation and settlement of claims; established initial reserves and monitored reserving practices; reviewed the applicability of coverage and policy interpretation.
Recruited, hired, trained and developed the fullest potential in each representative and addressed all related human resource issues.
Directed the activities of in-house and panel counsel in multiple jurisdictions.
Created, developed and delivered several major workshop and training programs.
Claim settlements consistently below targets, and excellent success rate in trial outcomes.
Senior Claim Representative (1985)
Investigated and concluded major liability claims including toxic torts, professional liability, medical and legal malpractice, construction defects and complex coverage issues.
Promoted in three months.
Education:
Currently a senior at U. of MD, although not currently enrolled
Skills:
Please see experience
Reference:
Will furnish on request
Candidate Contact Information:
This candidate has chosen not to make contact information available on this page.
Click "Contact Candidate" to send this candidate a response. |
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