Insurance Claims

DANIEL R. GRIFFITHS MBA, CPCU, AIC

Tacoma, WA. **422

Phone: 253-***-****

Claims Administration and Risk Management Professional:

Broad experience in multi-line commercial, professional and personal lines

property and casualty claims administration. Managed field and office staff

in all aspects of claims coverage assessment and adjudication. Designed and

managed corporate property and liability programs to maximize the company's

insurance program benefits.

Medical Professional Liability - HPL, MD & DO, DPM, OD, Pharmacy, DVM

Commercial Lines Property and Casualty (CGL, BOP, CP, BA & Umbrella forms)

Personal Lines Property and Casualty (Auto, Homeowners, Umbrella,

Watercraft)

Inland Marine, Physical Damage and Heavy Equipment

Specialty Lines (Agriculture, Church, Errors and Omissions, Professional

Liability)

Litigation management experience on all lines

Career Accomplishments:

Managed corporate property insurance claims program ($4.9 Billion in

covered property)

Managed corporate General and Auto Liability programs (2,500 branches -

50,000 employees).

Reduced GL claims pending 16% by aggressively tendering defense to

responsible parties.

Designed and implemented property subrogation program

Supervised claims payments of $20 Million per year

EXPERIENCE:

Catholic Health Initiatives Sr. Claims Coordinator 2010 to present

Investigated and resolved Hospital Professional and General Liability

claims from initial report through final resolution. Collaborated with risk

managers and attorneys in the defense of claims. Identified loss prevention

and risk management opportunities and provided alternative solutions.

Washington Mutual Inc. Insurance Claims Analyst 2008 - 2009

Responsible for the strategic management of the General Liability,

Automobile Liability and Corporate Property insurance programs. Duties

included contract analysis, vendor management, RIMS systems analysis and

reporting, data driven decision making, strategic collaboration with

internal and external stakeholders, identifying loss-drivers and develop

programs to transfer or mitigate those exposures. Reviewed contracts and

master service agreements to interpret risk transfer provisions. Analyzed

insurance contracts and participated in the selection of insurance broker

and claims administrators. Consulted on workers compensation program

management and claims.

Mutual of Enumclaw Litigation Analyst and Reserve Caseload Examiner 2003

- 2008

Technical consultant and manager for ten multi-line field adjusters.

Supervised claims on a wide variety of policies to include: farm; church;

professional liability; personal auto liability and homeowner property and

liability claims; commercial general liability (CGL); commercial auto;

commercial property and liability and umbrella forms. Audited files for

service, quality and reserve adequacy. Managed litigated files on the above

lines. Coordinated vendor services within assigned territory.

Safeco Insurance. Co. Commercial Liability Claims Examiner 2002 - 2003

Adjusted complex umbrella, commercial automobile, property and general

liability (CGL) claims. Directed defense attorneys in the management of

litigated files. Evaluated coverage, liability and damage issues and

negotiated settlements.

USAA Insurance Co. Various managerial and technical roles 1989 - 2002

Supervised attorneys, experts, staff and independent adjusters in the

management and settlement of catastrophic injuries and litigated files.

Drafted settlement documents and interpreted contract language. Represented

USAA at arbitration and mediations. Provided guidance and professional

training to young adjusters in a high volume Personal Injury Protection (

PIP ), property damage and bodily injury unit. Responsible for work

distribution, promotions, performance measurement, quality control and

customer service. Responded to Department of Insurance inquiries and

executive level complaints.

Safeco Insurance Co. Multi-Line Claims Adjuster 1984 -1989

Investigated coverage, determined liability and negotiated settlements on

I.S.O. standard form policies. Experienced with commercial liability,

automobile, garage keepers, premises, products, completed operations and

professional malpractice claims. Adjusted personal lines liability claims

arising from auto, homeowner and umbrella policies. Drafted settlement

documents and interpreted contract language. Effected settlements using

structured settlements and alternative dispute resolutions. Adjusted first

party medical and disability claims. Wrote repair specifications on

mechanical and body components of cars, trucks, motorcycles, watercraft and

some heavy equipment.

EDUCATION:

Masters of Business Administration (MBA) University of Idaho

Chartered Property Casualty Underwriter (CPCU)

Associate in Claims (AIC)

Certificate in General Insurance (INS)

Professional Membership: CPCU Society and RIMS Society.

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