Manager Insurance
Resume:
KATHLEEN S. KEYES
Upper St. Clair, PA 15241
724-***-**** (H)
412-***-**** (C)
CAREER GOAL
Seeking a challenging position that offers opportunity for advancement based upon ability and performance.
PROFESSIONAL EXPERIENCE
MARSH & MCLENNAN COMPANIES May 2008 - Present
Vice President, National Brokerage
Responsible for managing $1.5M book of property, casualty and executive risk insurance programs for multiple clients in the areas of manufacturing, technology, construction and hospitality & gaming.
Develops understanding of the clients’ business, strategic priorities, tolerance for risk and develops innovative approaches to solving unique client needs.
Keeps abreast of changing insurance market conditions and rates
Analyzes client insurance programs to assess for any coverage deficiencies or non-concurrency in layered programs
Negotiates with the insurance markets to obtain the most competitive insurance programs for clients while insuring that the appropriate coverage terms and conditions are in place
Evaluates benchmarking data of client versus peer industry groups
Claims management and advocacy for clients with insurance carriers
Evaluates loss data and assesses need for appropriate loss control
Conducts client vendor contract reviews to insure adequacy of coverage to best insulate the client from exposure
Contributes to client retention through effective risk solutions and excellence in service
WILLIS INSURANCE BROKERAGE February 2006 - May 2008
Middle Market Client Manager
Develops insurance program designs based on client objectives
Counsels clients on short and long term strategic planning
Makes recommendations for improving effectiveness of policies and practices
Communicates current trends and advances in each coverage area
Provides consistent client service and answers client policy and coverage questions
Develops and cultivates strong client relationships
Manages the insurance Renewal/Marketing Process
HIGHMARK CASUALTY INSURANCE COMPANY April 2002 - February 2006
Analyst
Managed client base of approximately $5million dollars in insured and self-insured workers compensation premium
Aggressively implemented action plan to reduce loss ratio of largest employer group from 126% down to 36% in three years
Management of referrals and costs associated with medical case management and legal vendors
Reporting of claims to Reinsurance and Excess Carriers
Quarterly meetings with clients and insurance brokers on claim activity and action plans to mitigate exposure
Work in conjunction with sales and underwriting on client service and renewal issues.
CIGNA GROUP INSURANCE COMPANY July 2000 - January 2002
Claims Manager/Team Leader
Proactive management of team of Case Managers and Registered Nurses responsible for the disability claims administration of self-insured national client covering 80,000 employees
Ensure team's compliance with company Best Practices, ERISA and client's disability plan
Recruitment, hiring and retention of personnel
Audit of team performance via quality file review with timely feedback to staff and executed action plans with clear direction for achievement of goals/objectives
Career and professional development of staff
Partnership with Underwriting, Legal and Sales departments to maintain/improve persistency
Track claim trends and make recommendations to client to decrease the duration and cost of disability program
FRANK GATES SERVICE COMPANY April 1999 - July 2000
Claims Supervisor
Supervised team of claims personnel administering the workers compensation program for the City of Pittsburgh
Assisted client with self-insurance renewal process
Collaborated with City Solicitor and defense counsel on high exposure/profile claims
Coached claims personnel on establishing appropriate file reserves and valuation of claims for settlement
Vendor cost containment
Prepared data and reports for presentation to City Council on status of program
Worked closely with City's Panel of Physicians for successful Modified Duty and Return to Work program
Prepared and delivered performance evaluations to staff
HERTZ CLAIM MANAGEMENT November 1991 - April 1999
National Account Manager
Ensured client satisfaction for $2 million dollars of national workers compensation business
Audited the performance of our field claims offices and provided recommendations to operations department to enhance service
Negotiated contract renewals with clients and vendors
Cross-selling of company services (managed care, medical bill repricing)
Trouble shooting client service issues
Quarterly presentations to CEO of client regarding high exposure/catastrophic claims
Functioned as Liaison between client and field claims offices to obtain settlement authority
Partnered with sales on presentations to prospective clients
Branch Claims Manager
Responsible for the overall operation and quality of the claim product in our Boston, Cleveland, Pittsburgh and Rockville offices
Provided technical expertise on catastrophic and high exposure claims
Managed, coached and evaluated the performance of staff claims personnel
Monitored compliance with client special handling instructions and multi-jurisdictional state requirements
Tracked reinsurance and subrogation recoveries
Negotiated claims settlements in excess of $1 million dollars
Marketed for business development
Recommended appropriate industrial hygiene/safety/ergonomic vendor services as appropriate to reduce likelihood of claims
FRED S. JAMES INSURANCE BROKERAGE March 1987 - November 1991
Claims Representative
Third party administration of workers compensation claims for self-insured clients in the jurisdictions of Pennsylvania, Ohio, West Virginia, Kentucky and Michigan
Medical/Legal Vendor Cost Containment
Assisted clients with the implementation of Physician Panels and light duty return to work programs
Resolution of claims via commutations and structured annuities
CERTIFICATION AND MEMBERSHIPS
Pennsylvania Property and Casualty Insurance Broker License
Executive Women's Council of Pittsburgh
American Association of University Women
Paramedic II License
References and education information available upon request.
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