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Customer Service Sales

Location:
West Bend, WI, 53090
Posted:
April 28, 2010

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Resume:

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



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