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Claim Specialist Risk Management

Location:
Stamford, CT, 06902
Posted:
January 12, 2024

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Resume:

John Crowell

203-***-**** ad2ppj@r.postjobfree.com linkedin profile 91 Strawberry Hill Avenue, Apt. 633 Stamford CT 06902

GLOBAL REINSURANCE EXPERT AND ATTORNEY WHO MINIMIZES YOUR SEVERE CLAIM EXPOSURES — QUICKLY AND EFFICIENTLY.

20+ Years Of Experience Driving Complex Claim Exposure Analysis — Identified & recovered $27M+ of previously unknown and hidden reinsurance claims – recognized by CEO - won Chairman’s Award.

Lead Broad Spectrum Of High-Exposure & Sophisticated Claims — Managed settlement and

reporting of 200+ bad faith claims to the company’s reinsurers (totaling $50M+). Presented results regularly with senior leadership.

Rare Breed in The Reinsurance Industry — Licensed Attorney (CT Bar, Federal), willing to relocate throughout the East Coast.

PROFESSIONAL EXPERIENCE

Armour Risk Management Co./Alan Gray Management 2018 to present

Senior Assumed Claim Specialist

Leading third party claim administrator

•Analyzed and approved broad spectrum of legacy claim types for numerous ceding companies for historical policies; some dating back seven decades.

•Provided analysis for the defense of declaratory judgement files.

•Conducted mediation and settlement conferences to support direct file handlers

Starr Insurance Company — New York, NY 2015 to 2018

Reinsurance Claim Manager

Top-tier insurer with over $4B in premiums throughout the world.

•Responsible for oversight and reporting of reinsurance claims for both quota share and excess of loss treaties including excess lines, workers compensation, aviation, financial lines and general liability claims.

Developed and delivered training for identification of reportable claims to TPA adjusters and company claim managers.

•Lead Executive Claim Summary committee; resulting in reserve recommendations to Chairman & CEO for all claim types.

•Responsible for documentation of all “cash call” billings. Draft responses to inquiries from many reinsurers.

•Assist with the preparation of material for treaty and facultative claim audits and renewal submissions.

Crum & Forster Insurance Company — Morristown, NJ 2013 to 2015

Bad Faith Claim Director/Oversight Claim Director

$18B insurer who provides specialty and standard commercial line insurance products.

•Responsible for management, settlement and reporting of all bad faith claims to the company’s

•reinsurers. Recurring interface with senior leadership regarding reserves and case strategy of claims. Also, supervised construction bond portfolio.

•Served as oversight director to ensure appropriate litigation and reserve management by adjusters for approximately 50% of insureds’ claims. Prepared adjusters for large loss committee presentations on a company- wide basis.

•Created and delivered training on litigation specific issues such as risk transfer, proper excess lines reporting and bad faith claim avoidance.

Transatlantic Re-Insurance Company — New York, NY 2004

to 2012

Senior Claim Consultant

•Conducted ceding company (direct insurer) claim audits to authenticate and approve individual

billings, validate claim file handling procedures, evaluate individual claim reserves and ensure

existence of proper controls.

•Analyzed, investigated and resolved claims involving automobile, general liability, professional

liability, property and asbestos/environmental claims for both excess of loss and pro rata treaties.

Managed 800-1,000 claim portfolio.

•Evaluated liability and damages to establish reserves for new and current business in the United

States and Bermuda.

•Established termination liabilities in support of treaty commutation pricing proposals.

•Evaluated and approved individual “cash call” billings up to $10 million on excess of loss treaties.

•Investigated reinsurance loss notices, confirming and analyzing coverage for treaty and facultative

reinsurance contracts and reinsured policies leading to issuance of payments.

XL Re-Insurance Company — Stamford, CT 2002 to 2004

Senior Claim Consultant

•Investigated and resolved reinsurance claims involving over 30 ceding companies for numerous

•casualty and third-party property claims including asbestos, hazardous waste/toxic tort, latex glove and lead paint exposures.

•Conducted exposure analysis and claim reviews for existing treaties and for prospective treaties in order to support underwriters’ pricing on prospective business.

•Led single & multi-location claim audit teams of high-exposure and excess GL claims of large casualty carriers to support underwriting treaty pricing decisions.

•Performed “retrocessional” reporting (re-reinsurance) and billing for “pre 1985” asbestos and environmental claims.

•Authored & published articles (external & company internal) involving emerging exposures, current statutory and case law developments regarding lead paint and asbestos legal developments.

Munich Re (American Re-Insurance Co.) — Princeton, NJ 1997 to 2002 Senior Claim Consultant

•Investigated, analyzed and resolved underlying insurance policy and reinsurance treaty issues for high-severity, complex and sophisticated exposures. Claims included a broad spectrum of risk; such as: traditional

asbestos, pollution and emerging torts. Settled declaratory judgment (DJ) files for the company’s excess policies.

•Determined and presented reserve recommendations up to $30 million to company leadership; subsequently managing claims to resolution and final payment.

•Performed due diligence reviews for acquisition targets to determine future claim exposure and reserve adequacy.

•Led team to analyze & quantify exposure for Fen-Phen claims to assist in reinsurance treaty pricing.

•Trained new and junior staff as member of company’s Negotiating Skills program training team.

USF&G Insurance Company — Baltimore, MD 1993 to 1997 Claim Specialist/Reinsurance Coordinator

•Responsible for investigation, management and negotiation of large and complex exposures; including covered financial institution bond claims and declaratory judgment (DJ) files. Exposures included environmental accounts, lead paint, asbestos, silica, chemical & DES and sick building claims.

•Identified & recovered $27+ million of previously unknown reinsurance claims – specifically recognized by CEO for work.

•Coordinated the preparation of status updates for all "long-term exposure" reinsurance claims.

•Analyzed & quantified exposure to tobacco litigation to determine and justify IBNR reserve strategy.

Royal Insurance Company — Charlotte, NC 1991 to 1993 Associate Attorney/Claim Examiner

•Led management of 100+ asbestos, chemical and lead paint claim files; aggregating $50+ million. Led all aspects, and oversight of defense counsel. Reduced settlement costs through expedited claim resolutions and generated defense cost savings in excess of $1 million.

•Supervised complex and high exposure asbestos litigation and negotiated cost sharing agreements with other carriers.

•Formulated discovery responses to declaratory judgment litigation files to ensure consistent approach to multi-jurisdictional lawsuits involving a broad spectrum of exposures; including: underground storage tank (UST),

hazardous waste and asbestos related. Responsible for preparing technical staff for deposition and for all claim denials.

•Researched and briefed senior management on company’s exposure to medical implant litigation used as underwriting tool to price risks for related insureds.

EDUCATION

•Oklahoma City University, College of Law - Juris Doctor,

•University of Tennessee - Bachelor of Science

LICENSES, MEMBERSHIPS & AWARDS

•Licensed Attorney

•Member of the Oklahoma Bar (Federal & State)

•USF&G Chairman’s Club Award Winner



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