Insurance Operations
Resume:
PHILIP MOORE
**** ******** ***, ******** *******, CO 80919
**********@***.***
ENTER TARGET POSITION TITLE
Business Operations and Administration Casualty Manager Risk Management Team Supervision Claims and Insurance Strategic Planning Client/Work Relations International Work Exposure
- Highly qualified professional offering 25+ years’ of diversified and in-depth experience in general management, risk analysis and management, insurance and claims operations, liability and coverage investigation/evaluation techniques, client relations, sales, business development, and employee supervision for various industries including oil and gas sector. Extensive field operations and highly effective in customer service.
- Effective leader with wealth of knowledge and proven ability to lead and effectively train, and manage motivated, culturally diverse, and success-driven teams of highly qualified personnel. Experience in conducting personnel assessments and managing personnel schedules.
- Highly developed public relations and communication skills; ability to relate well with individuals of any background or ethnicity; excellent oral and written communication abilities; problem solving.
- Works effectively and makes sound decisions under pressure in fast paced and unpredictable environments; efficient in multi-tasking and completion of projects well within deadlines.
- International exposure includes travel to countries like - Philippines, Taiwan, Spain, France, Hong Kong, Japan, Singapore, Portugal, Morocco, Germany, Italy, Canada, Mexico, England, Africa, Switzerland, Peru, Argentina, Holland. Lived in the Philippines, Taiwan and Spain for total of 8 years.
SKILLS & KNOWLEDGE
Field Operations/Strategic Business Operations Business Administration Office Management Planning and Coordination Risk/Threat Analysis Insurance and Claims Operations Liability and Coverage Investigations/Evaluations Techniques Customer/Business Needs Assessment Sales and Business Development Work and Public Relations Confidentiality Assurance Team Leadership Employee Training & Performance Management
Computer Skills: Word Perfect, MS Word, MS Excel, MS Outlook
PROFESSIONAL EXPERIENCE
Franchisee Owner/Proprietor5/2012 – 6/2013
- Responsible for finance, planning, and oversight of construction and build out of store; marketing and on site management of day to day operations; hiring and training of crew; payroll and scheduling; managing 401K plan.
USAA (UNITED SERVICE AUTOMOBILE ASSOCIATION) 1990 – 2012
Injury and Non-Injury Claims Manager
- Managed auto injury, Subrogation, and non-injury member service employees who were dedicated to knowing members, understanding their individual needs. Developed employees through regular coaching and feedback that led to sound business results. Managed performance and facilitated professional development and career progression.
- Proactively identified opportunities to improve operational effectiveness. Implemented and monitored processes and performance standards. Provided feedback for improvements to process and product owners.
- Managed specialized units with high indemnity states and litigation requirements.
- Achieved optimal productivity through managing workload volumes, staffing and training needs, and identifying and implementing appropriate solutions.
- Monitored and reviewed workload to ensure all compliance requirements were addressed appropriately, payments were accurate that there was a consistent execution of standardized automated processes, and properly managed the expenses associated with adjusting claims.
- Provided consistent coaching and guidance related to a variety of aspects associated to the claim including but not limited to investigation, evaluation, negotiation, settlement, and subrogation. Recognized and awarded 2010 USAA Claims Manager of the Year for the Colorado Regional Office.
Examiner
- Investigated, evaluated, negotiated and adjusted complex claims presented by or against our insured’s to confirm coverage, determine legal liability & equitably settle in compliance with regulatory requirements.
- Completed work assignments and problem resolution independently. Tasks included: Adjusting complex claims. Severity of claims work included demonstrable losses involving surgery, scarring, fatality and UIM. Serving as a resource to less experience team members on escalated issues of a unique nature.
- Field Examiner in Tucson, Arizona handling all catastrophic claims in the lower half of the state of Arizona for four years.
- Partnered and/or directing attorneys and vendors along with internal business partners to facilitate claims resolution. Contributing to business goals, performance metrics and effectively uses tools and technology. Supported workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.
TEXAS EMPLOYERS INSURANCE ASSOCIATION 1987 – 1990
Multi-Line Field Examiner
- Managed the largest territory in West Texas with the largest number of lawsuits requiring contract analysis.
- Prepared trial review and resolution. Handled TEIA with licenses for Homeowners, Automobile, Commercial Lines, Personal Lines and Worker’s Compensation. Conducted Workers Compensation Seminars for the city risk managers on claims investigation, coverage, policy and procedures.
- Worked in territory including Dallas, Fort Worth, Midland, Odessa and Arlington to service insured’s such as City Police, Fire, Government and City employees and self insured’s. Handled 5,000 General Motors Plant Workers under their Worker’s Compensation and Risk Management. Handled Oil companies in West Texas
SOUTHWESTERN PETROLEUM CORPORATION 1986 – 1987
Assistant Regional Manager
- Managed the region’s profit and sales plan, marketing strategies, sales promotions, training, communication and projection and budgets. Reviewed daily, weekly and monthly reports to analyze sales results to generate and meet sales volumes and projections.
- Responsible for planning, scheduling and executing all regional training sales seminars which involved coordinating travel schedules. Performed lectures programs to approximately 500 employees. Developed and supervised promotional contests.
- Responsible for the implementation and follow-up of contests which included the generation of ideas for the promotion, development of literature, scheduling of mailings to sales personnel in the field.
- Responsible for writing articles for monthly publication to sales force team about sales results, products and sales techniques. Responsible for sales of newly hired representatives and distributors.
- Planned and assisted in regional training seminars throughout the central United States
GENERAL DYNAMICS
Assistant Installation Ground Radar,
- Assisted with installation of heavy ground radar set in NW Spain.
- Assisted installation engineers with unpacking inventory, building preparation, equipment layout and cabinet installation, wave guide, cables and cooling duct and antenna assembly and installation.
EDUCATION
COLORADO TECHNICAL UNIVERSITY MBA, Masters of Science Management Logistics 1995
TEXAS CHRISTIAN UNIVERSITY Bachelors of Business Administration, Minor in Marketing 1986
SOUTHWEST HIGH SCHOOL 1982
PROFESSIONAL ASSOCIATIONS &CERTIFICATIONS
SCLA, American Educational Institute, 1999
Wyoming Licensed – (Yearly continuing education credit requirements) NICTA on-line course completion
IIA, AIC 30, INS 20 and INS 21
Legal Principles Claims Specialist
IIC Course completion – Interpreting Medical Reports
AIS 25 – Management Training Course
SM 18 and SM 19 – Essentials of Supervision
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