Manager Management

Robert E. Harris

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

Raleigh, NC 27603

Phone Numbers: 919-***-**** (Home) 919-***-**** (Cell)

Email: abm1go@r.postjobfree.com

Education: Saint Augustine's College, Raleigh, NC

B.S. Degree in Business Management

Experience: Key Risk Management Services, LLC - 3/5/01 thru

6/30/09

P. O. Box 49129

Greensboro, NC 27419

Phone: 800-***-****

Former Manager: Saundra Hartsfield

Job Title: Claims Supervisor

Job Duties/Responsibilities:

. Managed a team of eight (9) claim professionals that were

dedicated to managing the workers' compensation programs

for the Department of Public Instruction (DPI) and

Department of Corrections (DOC) clients located

throughout the State of North Carolina.

. I was responsible for my team effectively managing a

claim portfolio consisting of more than 1,000

compensation claims, 800 plus medical only claims and

over $50,000,000 in total incurred reserves.

. Effectively managed and utilized a reserving authority of

$500,000 and claim payment authority of $75,000 when

needed and justified.

. Reviewed cases on diary and provided jurisdictional,

investigative, procedural and technical guidance to the

claim professionals as needed.

. Reviewed and analyzed all reserve recommendations beyond

the claim professionals' authority levels to ensure

accuracy and approved same, if the recommendations were

accurate and represented the probable and ultimate

outcome for the exposure.

. Reviewed and analyzed all recommended claim denials to

ensure the denials were supported by facts and

defendable.

. Completed monthly claim audits to ensure compliance with

internal procedures, as well as adherence to all

contractual and statutory requirements.

. Planned and conducted monthly team meetings to discuss

team results, new developments, procedural changes,

issues as well as any team or individual concerns.

. Completed and administered annual performance reviews

with each team member and devised improvement plans, when

needed.

. Completed the annual team budget and monitored the

monthly expenditures within the team to ensure we

remained on target with the established budget.

. Monitored weekly and monthly management reports to track

established team goals and specific individual results to

ensure accomplishment of same.

. Reviewed and analyzed all settlement recommendations

beyond the claim professional's authority and approved

same for the client's consideration and approval, if the

facts of the case supported the professional's

recommendations.

. Planned, organized and participated in internal and

external claim reviews with clients to discuss claim

status, results and areas of improvement opportunity when

needed or requested.

. Served as the contact for the Insurance Section Chief of

the Department of Public Instruction (DPI) and various

Workers' Comp Administrators throughout the State when

there were specific claim issues, concerns or service

needs.

Reason for Leaving: My position was eliminated 6/30/09 due to the loss

of the aforementioned Department of Public Instruction

(DPI) and Department of Correction (DOC) contracts. The

elimination of my position was in no way a reflection of

my performance and can be substantiated by letter of

recommendation from the Senior Vice President of Human

Resources.

Prior Job Experience: Reliance Insurance Company - 10/86 thru 10/00

Job Title: Team Leader/Senior Claims

Account Specialist

Job Duties/Responsibilities:

. I was licensed and responsible for managing Workers

Compensation Claims in the Large Account Division for

accounts located in NC, SC, GA, AL and TN.

. Reviewed and assigned all workers' compensation claims

reported to the Large Account Workers' Compensation

Division and served as the primary liaison for targeted

clients within the Large Account Division.

. Investigated, evaluated and managed an assigned caseload

of complex workers compensation claims until resolution

and closure.

. Managed and provided direction to a team of four (4)

adjusters and three (3) administrative support staff

members in the Large Account Workers' Compensation Unit.

. Arranged and participated in claim review meetings with

policyholders, underwriters, agents, and loss control

representatives.

. Responsible for meeting with targeted policyholders after

policy inception to discuss claims management procedures

and requirements.

. Participated in collaborations with underwriting and loss

control representatives regarding renewals and

prospective policyholders.

. Demonstrated record of high performance standards

including attention to the needs of the external and

internal customers, schedules, deadline, and quality of

work.

Reason for Leaving: This position ended 10/13/00 due to closure of the

Durham, NC office and subsequent liquidation of the

company.

Licensure & Licensed Adjuster in the state of North Carolina

Additional (NC); earned the Workers' Compensation Law

Training/Educatio Specialist designation from the American Education

n: Institute, Inc., January 1996. Proficient in using

the computer as well as usage of Microsoft Office

Suite.

References: Provided upon request.

Hobbies: Reading, golf, tennis, and gardening.

Salary Required: Negotiable

Available for Immediately

Employment:

Contact this candidate