Carol L. Fordyce

** ******** *****

Boonton Twp. NJ 07005

973-***-****

Work Experience

**** - ******* **** ****/******** Parsippany, NJ

Casualty Team Lead

Supervise the operations team of examiners and for general liability claims and auto claims for clients; monitors colleagues' workloads, provide training, and monitors individual claim activities; provides technical/jurisdictional direction to examiner reports on claims adjudication; maintains a diary on claims in the teams including frequent diaries on complex or high exposure claims

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.

Provides technical/jurisdictional direction to examiner reports on claims adjudication.

Compiles reviews and analyzes management reports and takes appropriate action.

Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.

Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.

Reviews reserve amounts on high-cost claims and claims over the authority of the individual examiner.

Monitors third party claims; maintains periodical review of litigated claims, questionable claims and sensitive claims as determined by client.

Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.

Assures that direct reports are properly licensed in the jurisdictions serviced.

Ensures claims files are coded correctly and adequate documentation is made by claims examiner

1997-2005 Crum and Forster Morristown, NJ

Home Office Liability Claims Examiner

Handle Crum and Forster Specialty general liability claims for insureds located through-out the entire country.

Receive claim assignments. Verify and determine applicability of coverage.

Determine the method and extent of investigation for each claim as required by company claims handling manual and procedures.

Evaluate and adjusts claims with higher dollar exposure within authority.

Report directly on technical matters to Home Office personnel as required.

Evaluate and manage litigated claim, determine future course of handling and proper method of disposition. Consult with the claim supervisor on those claims in which assistance and consultation is needed as well as on those claims which exceed assigned authority.

Assess recovery potential and is responsible for the development of information required to successfully pursue recovery. Responsible for providing superior customer service to all agents, insureds, and others encountered during the claims handling process.

Field Claims Representative

Position required 70% travel within New Jersey.

Conduct field investigations that include obtaining photographs, measurements and personal statements from witnesses.

Analyze data collected from field examinations and prepare detailed reports for internal associates.

Resolve coverage issues for commercial general liability and automobile losses and handling claims involving construction cases, completed operations, product liability, premises and automobile liability claims.

Responsible for inspecting client’s premises and completing action reports in risk management database for review by loss control.

Serve as claim liaison to clients, which requires periodic personal visits for client education and establishment review.

Determine appropriate resolution of claims through negotiations, mediation and defense.

1994 – 1997 First Trenton Indemnity Parsippany, NJ

Auto and Liability Representative

Handled all aspects of claim management including communication with first and third party clients, vendors, and attorneys to investigate and settle property damage and bodily injury claims.

Identified and prevented fraud for property damage and theft claims. Served as a consultant to the Special Investigations Unit.

Developed and implemented training program for all new employees in the customer service and auto damage units.

Designed and drafted training manual for auto damage unit.

Education Rutgers University, Rutgers College New Brunswick, NJ

B.A.- Journalism, May 1993

County College of Morris Randolph, NJ

A.A.- Humanities, May 1991

Activities: Intercollegiate softball and basketball

Honors: Garden State Athletic Conference All-Region Academic Team

SKILLS Thorough knowledge of claims management processes and

procedure for multiple product lines

Excellent oral and written communication

PC literate, including Microsoft products

Leadership/management/motivational skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Ability to work in a team environment

LICENSES Currently hold and maintain licenses in NM GA ME NV MI VT NC AL FL

TX MN MS LA WA NY RI AR IN DE CT SC and CA Home state is NY

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