Experience
****-**/** **** **** Mutual Insurance Co West Bend WI
Field Claims Manager
Manage and supervise remote field claims reps handling commercial and personal
line claims. Set objectives and goals for the staff. Monitor performance and
handle salary evaluations. Experienced in BOP, CP, Inland Marine, Professional
Liability, and Auto Dealership commercial coverage forms. Catastrophe handling
and management. Conduct training sessions and seminars. Conduct market visits
with the sales staff. Overseeing the development of a preferred contractor
network. Over see and supervise an individual development of a customer service
programs. Over see and train claims reps on alternative dispute resolutions.
Train and manage personnel on subrogation opportunities. Work closely with
systems in developing tools for the claims staff to assist them in handling
claims in a timely and cost effective manner. Empower claims staff to take on
projects to conclusion. Extensive experience in handling and managing GL, BI, UM,
UIM, litigation management, and umbrella claims. Construction defect claims with
multiple parties on large construction projects. Previous claims experience in
handling toxic mold tort claims. Past experience in handling fuel leak liability
claims and pollution coverages. Working with reinsurance companies on reporting
of claims per the reinsurance treaty.
Resident/Regional Claims Specialist
Extensive external contact with customers. Adjust Personal and Commercial
casualty claims within West Bend Mutual Insurance CO's guidelines. Subrogate
recoverable losses. Arbitrate recoverable losses when necessary. Appraise auto
and building damage. Monitor reserves and make changes when appropriate. Evaluate
insurance to value and risk. Assist outside legal counsel. Evaluate complex
coverage issues.
1990-1997 The Principal Financial Grp. Des Moines IA
Analyst and Product Manager - New Business Development, Long Term Care Services
Marketing responsibilities include illustrations and competition intelligence
contact for the field force. Experienced in presenting complex contractual
information to the sales force and company employees. Extensive contact with
sales force and external customers. Broad based experience with both group and
individual products. Provided assistance on the development of marketing
materials to be used by the sales force. Claims responsibilities included
analyzing, adjudicating, and administering long-term Care insurance claims in a
prompt, equitable, and cost effective manner. Managing the claims dept for
Long-Term Care Insurance. Create and evaluate reports and measures on claims
experience. Developed a claims computer processing system. Experienced in
workflow technology, imaging and project management. Involved in the sale of the
Long-Term Care Insurance book of business to Blue Cross & Blue Shield of New
York.
Casualty Claims Specialist
Extensive external contact with customers. Investigate, evaluate, and negotiate
casualty claims consistent with in Principal Casualty's guidelines. Request and
supervise necessary support activity from independent and staff appraisers.
Establish and monitor reserves and input claim data accurately and promptly.
Arbitrate and mediate claims when necessary. Work with outside legal counsel.
1987-1990 Farmers Casualty Insurance Company Des Moines IA
Claims Representative
Extensive internal and external customer service. Adjust selected casualty claim
files to conclusion. Work with outside legal counsel on concluding legal actions
and litigated files. Subrogate recoverable claims.
Education
Completed AIC 2003. Bachelors of Science/ Criminal Justice. 1981-1985 Northeast
Missouri State (Truman State) Kirksville MO.
References available upon request