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Manager Insurance

Location:
Torrance, California, United States
Salary:
Open to negotiation
Posted:
January 24, 2018

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Todd L. Augustine, WCCA, WCCP

Torrance, CA ***** 818-***-**** or ac359e@r.postjobfree.com

OBJECTIVE

To secure a position with a stable, service oriented organization that will benefit from my unique skills and experience while providing potential for growth and advancement. With over 20 years of experience, I have had the unique opportunity to blend both a strong claims background with an excellent understanding of most elements and challenges affecting an employer’s bottom line insurance costs. I have a strong understanding of the rules and regulations that fall under the California Experience Rating Plan and Unit Statistical Plan, including classification assignments and rules pertaining to ownership changes, as well as a good working knowledge of the NCCI rules (Scopes) and regulations governing interstate policies. The clientele placed under my supervision included guaranteed cost, fully self-insured, large and small deductible programs, retrospectively rated policies, & PEOs.

WORK EXPERIENCE

RT Specialty

Account Manager – April 2016 to January 2017

I was responsible for a high volume desk for all post-binding service related issues which included but was not limited to; endorsement requests, final audit disputes, negotiating payment plans, loss control and claims coordination, WOS requests, AB2883 implementation, experience rating issues, and policy cancellations & reinstatements. I was given the opportunity to work independently with a variety of retail agencies that varied in size and sophistication and included both the small independent agents as well as the larger multinational agencies.

JAMES P. BENNETT & COMPANY

Workers’ Compensation Specialist/Account Executive, March 2001 to September 2012

I was responsible for managing all service related issues for the agency’s VIP workers’ compensation clientele. Duties included:

Effective claims management.

Conducting formal face to face claim review meetings.

Performing point-of sales calls promoting the service in support of the sales staff.

Negotiating reserves.

Developing actions plan that have the insured’s concerns/interests in mind.

Tracking Exmod revisions allowed for under the CA Unit Statistical plan as well as other jurisdictions.

Developing and monitoring incentive programs.

Developing and/or refining return-to-work programs.

Developing and/or refining accident investigations plans/procedures.

Ensuring that fraud is investigated thoroughly including tracking any SIU referrals.

Todd L. Augustine, WCCA, WCCP

Torrance, CA 90504 818-***-**** or ac359e@r.postjobfree.com

JAMES P. BENNETT & COMPANY (continued)

Performing experience modification projections for both California insured’s and interstate policies that fall under rules established by NCCI as well as those states that have developed their own independent rating systems.

Projecting and monitoring the costs associated with large and small deductible plans and retrospectively rated plans using Excel.

Classification assignment and review.

Informing clients of changes in market conditions, numerous reforms (SB899/SB863), changes in classification assignment, and rules governing the USRP and ERP plans.

Coordination of loss control activities.

OSHA 300 log record keeping.

Keeping insured’s apprised of current case law.

Medical Provider Network implementation, including clinic selection.

SCANLON, GUERRA, JACOBSON INSURANCE BROKERS

Workers’ Compensation Specialist May 1999 to March 2001

M.H. ROSS/DOUD INSURANCE BROKERS

Workers’ Compensation Manager, July 1991 to May 1999

EDUCTATION

Pierce College

Associate’s Degree awarded in 1992.

Insurance Educational Association

WCCA – awarded in April 1994

Requirements of the program; CA-10 Workers’ Compensation Claims, CA-11 Advanced Claims, CA-12 Medical Coordination of Claims, CA-13 Permanent Disability Rating, and CA-14 Rehabilitation.

WCCP – awarded in July 1997

Requirements of the program; CA-15 Advanced Permanent Disability Rating, CA-17 Labor Code and Current Case Law, and CA-20 Advanced Issues in Workers’ Compensation.

Other Courses Completed: CPCU 552 - Commercial Risk Management & Insurance, ARM 56 – Risk Financing, CIC Life & Health.

LICENSES: Fire & Casualty Agent since October 1991

Todd L. Augustine, WCCA, WCCP

Torrance, CA 90504 818-***-**** or ac359e@r.postjobfree.com

COMPUTER SKILLS

Word, Excel, Outlook, SmartComp, Applied, Vision, AMS, AIM & ImageRight

A FEW NOTABLE ACCOMPLISHMENTS

I was proud to aid a struggling hobby toy manufacturer in restructuring their manufacturing/assembly process which enabled them to move the majority of their employee’s payroll to a lower rated classification resulting in considerable long-term savings. This required working closely with the WCIRB’s Policy Holder Ombudsman to sign off on the changes as construction progressed to ensure the appropriate physical separations were made while still allowing needed egress between departments where allowed in accordance to the Multiple Enterprise Rule under the California Unit Statistical Reporting Plan. This was significant accomplishment as this client is unique in that they are the only employer in California involved in this particular manufacturing and assembly process. Thus, it was new territory for all parties involved as there is no other insured employer in California with a similar operation to compare it to.

One of my greatest challenges was aiding a newly retained insured who were struggling with run off claims triggered by plant closures involving multiple expired high deductible plans that were severely cutting into their profitability. After an enormous effort, I was able to identify several cases that, in my opinion, could have been handled more aggressively by their insurance carrier. In persuading their defense counsel into pursuing additional discovery, we were able to secure favorable trial outcomes for several cases involving multiple jurisdictions that resulted in significant savings to this client.

I was able to convince a very reluctant National Insurance Carrier who had dismantled their once capable Loss Control Department into conducting multiple Industrial Hygiene services for an insured thus saving our client considerable expense. The studies performed identified the need for both Hearing Conservation Program as well as an Ergonomics program which were promptly instituted and aided in reducing their frequency.

I was also granted settlement authority from national carriers in which I screened any settlement offers or demands for several key accounts before any final action was taken.

REFERENCES

Diana Woods – Personal (31 years)

Guarantee Escrow

424-***-****

Erika Olmedo – Work Reference (15years)

Commercial Lines Supervisor

James P Bennett & Company

323-***-****

Marian Jocz – Personal/Work/Professional (30 years)

United Chambers of Commerce – San Fernando Valley Region 818-***-****



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