Insurance Manager
Resume:
Daniel D. McGuire
Oklahoma City, OK 73142
918-***-**** Cell
**********@*****.***
Claim professional with extensive multi claim knowledge and experience. Highly
developed negotiation and estimating skills which have led to reduced loss exposure
and loss adjustment expense. Possess excellent oral, written and analytical
capabilities. Ability to display good judgment under difficult circumstances.
Have handled Prepared over 1,000 full Superior investigation
approximately 8,000 captioned reports skills
individual multi line
claims
Managed experts Unique ability to interpret Have handled multi line
(accountants, medical, medical records, policy claims in over 25 states
professional engineers, language, statute and case including mediation and
salvors, law enforcement) law appraisal claims
and defense attorneys
Prepared over 200 Exceptional writing skills Ability to get projects
Reservation of Rights completed
letters
Strong ability to settle all Knowledge of property Microsoft Certified
types of claims and auto estimating Professional & A+
platforms Designations
CLAIM EMPLOYMENT HISTORY:
2
Owner/General Adjuster 2010 Present
The Claim Station, LLC
Oklahoma City, OK
Handled claims for FIGA
•
Involved in the BP Deep Horizon claim project.
•
Handled claims for Liberty Mutual for Hurricane Irene
•
Handled claims for the Oklahoma School Risk Management Trust
•
Handled claims in New Orleans from Hurricane Isaac
•
Handled homeowners and commercial property losses from Storm Sandy in
•
NJ and NY.
Litigation Specialist (Company went into Insolvency) 2009 – 2010
Northern Capital Insurance Grp./Keystone Adjusters, Inc.
Keystone Adjusters, Inc./Northern Capital Insurance Company
Miami, FL
Handled first part homeowner’s litigation claims. Ongoing litigation
•
inventory was over 170
Devised a plan to separate litigated files that were based on disagreement on
•
the amount of damages verses denial of coverage. Unless company waived
their right to demand appraisal, I instructed my defense attorneys to move
the litigated claim that were based on damage disagreements to the appraisal
process in order to reduce both defense and plaintiff attorney costs
Gave handling instruction to defense attorney in regards to plan of action,
•
discovery process and settlement negotiations
Claim Supervisor (Contract) 2008 – 2009
Texas Wind Insurance Association
Austin, TX
Handled both commercial and residential property claims resulting from
•
Hurricanes Dolly and Ike, which included Extra Expense, Business
Interruption, and multi million dollar condominiums losses
Worked with commercial property and homeowners insured’s, or their public
•
adjusters and/or attorneys
3
Handled claims through conclusion (settlement or denial of the
•
claim)
Set the reserves, monitored IA and defense attorney activity
•
Determined coverage and liability on the claims
•
Worked with complex and regular claims
•
Had reserve and settlement authority up to $100,000
•
Owner/General Adjuster 2006 –2008
The Claim Station, LLC
Lafayette, Louisiana
Handled multi line claims for several insurers and third party
•
administrators.
Homeowner Property Claim Manager 2005 2006
Federated National Insurance Company
Lauderdale Lakes, FL
For Hurricane Wilma alone, approved claim payments of over $140 million,
•
before I delegated the responsibility to my supervisory staff
Responsible for assigning daily and catastrophe claims to individual
•
examiners
Revamped independent adjuster vendor program by terminating some vendor
•
relationships while employing new vendor relationships
Responsible for giving authority for mediation claims and assigning appraisal
•
claims to my chosen appraisers
Had full policy limits authority to settle any H.O. claims without approval of
•
higher claim management
Worked with defense firms on litigated claims to negotiate and determine
•
coverage and liability
Ensured timely financial transactions, including reserving and reviewing and
•
paying vendor bills
Determined coverage and liability
•
Trained and mentored claims staff
•
Handled litigation cases
•
Designed the system for the flow of claims from the field which included
•
setting the various unit pricing of building materials
Supervised a CAT field operations on behalf of insurer
•
4
Claim Supervisor & General Adjuster (Contract) 2004 2005
Burton Claim Service
Ft. Lauderdale, FL
Managed claims during Hurricanes Charley, Frances, Ivan, and Jeanne
•
Supervised up to sixty field adjusters all across the state of Florida
•
Made sure field adjusters adhered to timely reporting, reviewing field
•
adjuster’s estimates/reports for accuracy
Served as the liaison individual with insurers and insured’s
•
Responsible for policy interpretation for the claim unit
•
Provided technical advice for property estimating programs in addition to
•
general PC technical advice
Worked with commercial property, homeowner, and condo claims
•
Investigated complex and high exposure liability claims for a major
•
commercial insurer
Negotiated claims through conclusion
•
Handled commercial and residential mediation and appraisal claims for
•
Florida’s largest insurer along with other smaller insurers
Senior Adjuster (Position eliminated due to CIA purchase) 2002 2004
American Wide Administrators/Custard Insurance Adjusters
Scottsdale, AZ
Handled litigated construction defect claims (complex claims)
•
Performed claims investigations
•
Determined coverage and liability of claims
•
Negotiated claims through conclusion usually via court ordered settlement
•
conferences
Worked in the office primarily but conducted field re inspections of litigated
•
properties
Claim Reviewer (Contract) 2001 2002
GAB Robins
Los Alamos, NM
5
Handled commercial and residential third party claims resulting
•
from the Cerro Grande Fire as contracted through FEMA
Negotiated claims through conclusion per FEMA guidelines
•
Handled Business Interruption claims
•
V.P. & General Adjuster 1995 2001
Tri State Claim Service, Inc.
Kansas City, MO
Handled multi line claims in the states of Missouri and Kansas from multiple
•
insurers and TPA’s (liability, property and auto)
Practically all claims were field losses
•
Worked with up to 60 pending files at a time
•
Involved in many wind and hail catastrophe claims
•
Handled the standard administrative duties of running an independent claim
•
office
Major Loss Supervisor 1994
1995
Universal Underwriters Insurance Company
Overland Park, KS
I had unlimited draft authority to settle any auto dealership loss.
•
I was involved in the early stages of PDR estimating
•
I would estimate that I've probably been involved in preparing repair
•
estimates and total loss evaluations on over 7,500 auto dealership vehicles
I worked auto claims in 48 states involving wind, hail, flood, earthquake and
•
fire
Claims included not only feet auto, but buildings losses, business
•
interruption, Extra Expense, Employee Dishonesty and business personal
property (parts inventory, employee tool, etc.)
Regional General Adjuster (Position eliminated after AIAC was dissolved)
American International Adjustment Company (AIG) 1987
1994
Parsippany, NJ
As an employee of the largest commercial property insurer in the U.S., I
•
routinely handled large commercial losses. Commercial structure included
6
apartment complexes, shopping malls, office buildings, high rises, farm
and ranch operations, and specialty operations
I had heavy interaction with experts, engineering firms, and defense
•
attorneys
Handled auto liability, general and product liability, governmental tort
•
liability, insurer breach of contract and bad faith liability, and first party auto
and property litigated claims. As a result of handling these types of litigated
claims, I've been exposed to managing both expert and defense attorney costs
in order to achieve the best results in resolving a litigated claim
Also, I had extensive experience in attending and resolving litigated claims in
•
court ordered mediation and settlement conferences. I have personally
testified as an expert witness in insurer breach of contract and bad faith
litigation
Senior Field BI Claim Representative 1983 1987
Farmers Insurance Exchange
Los Angeles, CA
Trained as a bodily injury field adjuster
•
Top 60 day BI claim closure for three years
•
Handled the most serious of bodily injury exposure claims including
•
permanent injury and fatality claims
Worked extensively with accident reconstruction experts, medical providers
•
and both plaintiff and defense attorneys
These claims have consisted of personal and commercial auto liability claims,
•
commercial and product liability claims, contractual and bad faith claims,
garage liability, and inland marine liability claims
Worked with cases that involved subrogation, insurance fraud, and
•
disposition of salvage
EDUCATION:
BA Political Science May 1983
Minors: Accountancy
7
Psychology
University of Oklahoma, Norman, OK
CLAIMS EDUCATION:
•Commercial Property Damage Estimating Vale National
•Residential Building Damage Estimating Vale National
•Auto Physical Damage Estimating Vale National
•ADP, Mitchell & CCC Estimating Programs
•Xactimate, IntegriClaim, Simsol & Power Claim Estimating Programs
•Mediation Appraisal Trial Experience
ADJUSTER LICENSES:
•Texas Property and Casualty Adjuster License #: 1227527
•Florida Non Resident All Lines Independent Adjuster License #: A172926
•LA Property & Casualty License #: 484302
•Arkansas Non Resident P & C License #: 350759
•Oklahoma Resident All Lines #111284
•NFIP All Losses License #: 07040140
Contact this candidate