Manager Customer Service

James Plazo

Email: abov22@r.postjobfree.com

Address: **** ******* **

City: Akron

State: OH

Zip: 44319

Country: USA

Phone: 678-***-****

Skill Level: Experienced

Salary Range: 50

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

CONTENTS

JAMES M. PLAZO

464 Bells Ferry Pl Acworth, GA

625 LaJoy Akron OH

678-***-****(cell)

email: abov22@r.postjobfree.com; abov22@r.postjobfree.com;

GOAL: To further my career in claims supervision or management. My skills and experience will contribute to corporate and company goals by drawing on a variety of insurance, civilian and educational experiences. I adapt quickly to new systems, ideas and situations.

EXPERIENCE:

CNA Recovery Operations - Current

- Defense Base Act, War Hazard Recovery (Longshore claims); Responsible as subject matter expert to advise/assist compensation adjusters and management on potential and development of overseas claims for best possible recovery from the Department of Labor. Responsible to review, audit, research, prepare and send these claims to Department of Labor for reimbursement under the war hazard provisions of the Defense Base Act. The claim value involves millions of dollars annually in benefits paid and recovered.

- Auto/ WC Subrogation & Arbitration Specialist responsibilities included: Filing Auto, Property and Special arbitration for CNA consolidated recovery operations with authority to settle of $100,000 per line; File counter-claims; Protect company from erroneous arbitration by filing affirmative defense; monitor and collect awards, monitor decisions and appeal administrative errors to Arbitration Forums; Track file quality and completeness to assist in training recovery specialists; Identify file trends and settle or close files without arbitration when warranted. Subject matter expert on arbitration matters.

When necessary, investigate, evaluate, resolve liability, and negotiate recovery of worker compensation, material damage, property and medical subrogation claims. Conduct liability and product investigations on commercial worker compensation claims and coordination with experts, compensation adjusters, liability adjusters, plaintiff attorneys, defense and subrogation counsel. Audit claims for recovery potential in consideration of comparative or contributory negligence statutes. Authority is $100,000.

- Multi-state experience.

- Sr. Claim Representative (AIG Claim Service, Inc.)

Investigate, evaluate, negotiate and resolve liability, material damage, property and bodily injury claims of moderate to severe nature within prescribed authority. Determine proper coverage. Establish, recommend and authorize adequate and appropriate reserves and claim payment up to policy limits. Maintain current knowledge of all insurance lines, court decisions, and changes in policy. Manage and supervise litigated files with staff and outside counsel. Multi-state experience included; LA, MS, GA, AR, TN, AL, and multiple states in northeast, mid-Atlantic and west coast. As senior claims representative in the office, my experience was utilized to assist training and mentoring of claim representatives. Used AIG automated claim systems and software such as Wrexpert biomechanical low impact analysis. Litigated files averaged 65-70% of pending.

- Associate Manager - Marketing & Training (NHCD)

Manage customer service, survey and marketing representatives working from home and office.

Interview, hire, train & manage phone survey and marketing representatives for my team.

I reviewed, recommended, and implemented marketing scripts and phone policies as needed.

My marketing team accounted for 50-70% of the Atlanta production each week.

Market and sell individual and group dental/optical savings plans.

Achieved top sales qualifications, consistently ranked in top ten producers nationwide.

- Claim Specialist a (Nationwide Insurance)

Handled and recommended settlement of attorney represented injury & property claims to policy limits.

Reviewed and completed liability investigations, conducted/requested scene investigations.

Compiled, researched, negotiated and recommended injury settlements (including structured).

Conducted litigation management with contract and company attorneys when required.

Applied comparative negligence according to appropriate state laws.

Multi-state experience primarily in OH and WV.

- Claims Representative - (Nationwide Insurance & Permanent General)

Investigated, evaluated, negotiated liability, material damage, property and bodily injury claims.

Assisted unit manager with claims training. Reviewed & authorized file settlement in manager absence.

Determined liability and applied comparative negligence when appropriate, filed arbitration.

Negotiated settlements for property damage, collision, and bodily injury with all parties.

Initiated class on subrogation and comparative negligence principles to new adjusters.

Processed initial subrogation notice and collection of monies once investigation was complete.

- U.S. Military Service: (Current Status - Retired Reserve; Rank - Major)

Prioritized and monitored training from individual to multi-level unit tasks for 600-person unit.

Coordinated training calendars and events for six separate units across the state of Ohio.

Commanded 150-person unit, for training, logistics, & administration; exceeded standards.

Passed two Dept of Army/Pentagon inspections in training, logistics, administration, & security.

Interviewed and evaluated potential candidates for ROTC and academic scholarship applicants.

Academic advisor for all scholarship students and sophomore ROTC class, mentored students.

Developed and presented classroom outlines and materials for assigned university classes.

EDUCATION:

CCLA/ FCLA - American Educational Institute (Casualty Claim/ Fraud Claim Law Associate)

U.S. ARMY COMBINED ARMS SCHOOL (CAS3)

UNIVERSITY OF AKRON B.A. - POLITICAL SCIENCE

Only one course left to earn the SCLA (SENIOR CLAIM LAW ASSOCIATE) designation.

WORK HISTORY:

1/8/2002 to Present

CNA Insurance 5565 Glenridge Connector, Suite 600 Atlanta, GA 30342-8317

404-***-**** Current Unit manager, Ginger Glass (770

404-***-**** Vance Woods (former manager) cell678-463-5652

404-***-**** Jeanne Alpers (former manager)

404-***-**** Louis Tuccito co-worker

(Per company guidelines; the current manager is unable to provide recommendations. Some however will if they are contacted as a personal reference a Mr. Woods & Ms. Alpers both will reply if contacted as a personal reference but not if called to speak on behalf of the company.

5/2000 - 12/31/2001

AIG Claim Service Inc. a Personal Lines (this office relocated out of state)

Sr. Claim Representative/Specialist;

3655 North Pointe Pkwy Alpharetta, GA 30005

* 770-***-**** or 770-***-**** Becky Popson, Manager (abov22@r.postjobfree.com)

* 678-***-**** Cynthia Gawrys

10/1995 - 5/2000

NHCD Associate Manager

Marketing/Telemarketing/Supervision

3300 Buckeye Rd. Ste 480 Atlanta, GA 30102

(Mr. Curtis will respond to inquiries)

* 770-***-**** William Curtis III, Regional Manager

1993-95 PGAC Claim Representative

3355 Richmond Rd Ste 250 Beachwood, Oh 44122 216-***-****

1395 S. Marietta Pkwy Marietta, GA, 30067 770-***-****

1992-1993 SELF EMPLOYED - Marketing

Environmental water & air products

(Business operated from residence) Akron, Ohio 44319/44301

Nationwide Insurance - Claim Representative

1000 Market St N., Canton, Ohio; 330-***-****

11/1988 to 3/1992

US Army / University of Akron

Assistant Professor of Military Science Army ROTC Akron, Ohio

330-***-**** - Office Administrator

American History Instructor, Marketing Officer, Army Nurse Recruiter,

Academic Advisor for Scholarships & Sophomore class

Ohio Army National Guard & Active Duty Positions (Current status Retired Reserve)

1/134 Field Artillery Battalion (last assigned unit)

4094 Sullivant Ave, Columbus, Ohio

Primary positions included;

- 1/134 Field Artillery, Battalion Operations Officer

- 37th Armored Brigade Fire Support Officer,

- State of Ohio Artillery Transition Officer,

- 107th Armored Cavalry Regiment Fire Support Off.

- Assistant Professor of Military Science, Army ROTC (3yrs)

- 2nd Squadron, 107th Armored Cavalry Regiment Fire Support Officer

- 2nd Squadron, 107th Cavalry - Howitzer Battery Commander; Executive Officer (5yrs)

- 3rd Brigade, 9th Inf. Div Air Defense Artillery Liaison Officer & Platoon Leader (3yrs)

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