Management Insurance

RICHARD POPE

*** ********** ****

Williamsville, New York 14221

Home 716-***-****

Mobile 716-***-****

Email: ******@**********.***

SUMMARY

Claims and Risk Management Specialist with extensive experience in all

aspects of developing and implementing risk management, claims management,

and Third Party Administered Insurance programs. I have a solid background

in corporate claims management procedures, policies, compliance with state

and federal regulations, and with litigation management procedures in all

lines of insurance coverage.

PROFESSIONAL EXPERIENCE

Claims Manager/Claims Specialist

One Beacon Insurance Company Buffalo, NY

2003- 7/2011

. Managed staff of 50 technical and support with 5000+ open claims in

multiple jurisdictions. (Texas, New York, New Jersey, Illinois,

Pennsylvania, Louisiana)

. Developed internal policies to improve results and lead projects

that provided for a reduction in outstanding claims pending and

loss exposure.

. Performed office administrative functions in conjunction with

corporate model to include performance evaluations, professional

development for direct reports, and reductions in force

. Consistently achieved targeted personal goals and objectives

related to Management Models.

. Responsible for making high level coverage and settlement decisions

on claims in multiple jurisdictions at office authority of

$300,000.

. Quarterly presentations to Senior Management Executives

. Established and managed a department operating budget of $3.5

million

. Responsible for lines of business outstanding reserve of $450+

million

. Currently responsible for the coordination of ongoing run-off

settlement initiatives to reduce the department's Outstanding Loss

Reserves with an annual average of $3.2 million reserve salvage.

Current position utilizes multi-line claims knowledge and

negotiation standards in the resolution process.

. New York State Independent WC Adjusting License and continuing

education with AEI. WCLA designation.

. Created RFA standards for evaluating the vendors utilized in

medical management process.

Sr. Claim Consultant - Technical Services Group

Aon Risk Services, Houston, Texas

1999-2003

Claims Consultant for multi-line insurance programs of Fortune 1000

Clients

. Conducted audits and provided direction to carriers and TPA's for

the claims of large Self Insured clients with high retention or

high deductible programs on a Nation wide basis (Texas, California,

Pa., NJ, NY, & Florida were the predominant states of exposure for

these major clients with limited work in all remaining

jurisdictions and all lines of insurance

. Carriers/TPA's directed: AIG/Chartis; Zurich; ACE USA; Chubb;

Allianz; CNA; AIGCS; Gallagher Bassett; Sedgwick; Cambridge; RSKCO;

Liberty Mutual ; Travelers:

. Implement Risk Management Best Practices solutions ranging from

loss analysis to prevention recommendations in order to reduce the

cost of risk

. Managed third party claims administration companies in conjunction

with pre-established service guidelines. Creation of performance

incentives and/or gain-sharing agreements between clients and

vendors

. Assist in the marketing and selection of insurance coverage, after

extensive market research Submission and review of Request for

Proposals submitted on renewal business with emphasis on large self-

insurance or self-insured retention programs structured with

captive protection

. Negotiation and review of Portfolio transfer programs

. Consult and monitor risk programs for Venture Capitalist start up

companies

. Participate in Pre-Trial Settlement conferences

. Participate in Claims Consultations as requested for clients

outside of the Houston office.

Claims Manager - Risk Management Department

Fleming Companies, Inc., Oklahoma City, Oklahoma

1995-1998

. Regional management of the Risk Management program for a major food

wholesale and marketing company (with over 39,000 employees

nationwide), with direct responsibility for Claims Management of 23

wholesale locations encompassing 15 state jurisdictions in the

Southern portion of the country (Texas, Oklahoma, Kansas,

California, Florida, La., ). Annual sales of 5-6 billion and Cost

of Risk of up to $200 Million.

. Monitored and managed the handling of workers' compensation claims

and the self-administered liability, physical damage, cargo

property, general liability, Fleet liability and crime losses with

personal authority up to $100,000 per claim.

. Evaluated the quality of insurer claims administration and

integrity of reserves through gain-sharing audit process and daily

interaction.

. Maintained indirect supervision of 25-35 outsourced individuals.

. Managed benefits administration and allocation for Risk collection.

. Directed claims related to ADA Title I, termination,

discrimination, employment issues and labor contracts.

. Ensured implementation of reengineered claims handling occupational

health care procedures.

. Modified and implemented the Occupational Safety Management

program. Acted as liaison between insurer, operating unit and

safety specialist in the claims process.

. Reduced claims severity through aggressive coordinated management

of post injury activities of TPA, defense counsel, medical case

managers, vocational rehabilitation counselors, operating unit

personnel and safety specialists. Attend and testify at trials

arbitrations and participate in pre-trial settlement conferences.

. Served as Executive Committee Head of the Oklahoma Governor's

Workers' Compensation reform task group.

Claims Branch Manager - Third Party Administration Claims Office

Gallagher Bassett Services, Amherst, New York 1989-

1995

. Managed the administrative functions of a Third Party Claims

Administration group including daily claims operations,

supervision, budgeting, personnel, purchasing, and lease

coordination and planning.

. Managed the claims office for local and national accounts' multi-

line claims. (WC, AL, GL, Property, PIP, Fiduciary, other specialty

coverage exposures)

. Coordinated excess coverage in conjunction with self-insurance

programs.

. Heavily involved with litigation management by having direct

supervision of 850 claim files.

. Utilized aggressive file management - medical management techniques

to process WC, GL AL, PIP and Property claims to a cost-effective

conclusion.

. Assisted in marketing presentations of company services to

prospective clients.

Multi-Lined Claims Adjuster

Commercial Union Insurance Company, Inc. (One Beacon Insurance acquisition)

Buffalo, New York 1987-1989

. Conducted investigations of both coverage and liability to

determine same for all lines of insurance exposure.

EDUCATION

State University College of New York, Buffalo, New York

Bachelor of Science-Business Administration

Bachelor of Arts-Communications/Broadcasting

PROFESSIONAL AFFILIATIONS

FMI - Food Marketing Institute

RIMS - Risk Insurance Management Society

USA Hockey Official

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