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Insurance Management

Location:
Raritan, NJ, 08822
Posted:
May 29, 2020

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Resume:

KEVIN R. GALLAGHER, JD, ARM, CPCU

Flemington, NJ 08822

908-***-**** (Office)

addho8@r.postjobfree.com

908-***-**** (Cell)

CLAIMS PROFESSIONAL

Controlling Risk Improving Operational Performance Increasing Profitability

Experience includes expertise in claims including GL, W/C, Property, Environmental, Asbestos, Toxic Tort, Professional Liability, Product, Auto, D&O, and Risk Management. Enthusiastic and motivated, hardworking, entrepreneurial drive and proven leadership talents including training of personnel. Problem solving skills and proven ability to identify evaluate and implement productive solutions for operational innovation and efficiencies.

Experience:

Claims Audits Environmental Litigation Mgmt. Coverage Evaluations Claim Presentations Reserve Management Contract Reviews Settlement Negotiations

Compliance Reviews GL, W/C, Property, etc. TPA & Carrier Audits Midland Re Runoff

EDUCATION

NJ Producer License Life, Health, Accident, Property and Casualty

CPCU, ARM Insurance Institute of America

Juris Doctor O. W. Coburn School of Law, Oral Roberts University Tulsa, OK

BA Richard Stockton State University; Pomona, NJ

AFFILIATIONS / LICENSES / PUBLICATIONS

NJ, PA and DC Bar Associations; NJ Producer License; Risk Mgmt. Association; NJ CPCU Society

CPCU, ARM – Insurance Institute of America, excellent written communication skills

Various publications in Public Risk Magazine, National Underwriter, Business Insurance and The Self - Insurer.

Selected Accomplishments:

Vice President Claims for Chiltington International, Vice President for QBE Insurance Company.

Claims Supervisor for Crum & Forster with 8 direct reports.

Director of Compliance and Audit for Everest National Insurance Company.

Worked with Risk Managers and TPA’s to close and settle 650+ AIG claims, saving millions in settlements.

Assisted risk retention groups with their claims management resulting in substantial savings.

Provided insurance and claims management assistance on large pharmaceutical manufacturing action cases.

Directed a $5,000,000 18 month claims management project involving over 370 large corporations. Developed and trained teams. Analyzed risk, claims, legal and coverage issues. Client received millions in reinsurance.

Multi-million dollar claims settlement expertise (Reinsurance, GL, Environmental, W/C, Personal, Toxic etc.)

Conducted Insurance Claims Cost Benefit Audit resulting in 52% savings recommendations on operations.

PROFESSIONAL EXPERIENCE

Consultant: 2017 to Present

Performing TPA claim reviews for FTI’s clients. Transactional premium audits for PRO IS’s clients. Worked for MetLife reviewing and auditing international compliance teams handling 40 countries. Handling Property and GL audits for AEGIS insurance co. Worked as an independent consultant developing marketing materials for underwriting group and legal analysis work. Worked on a financial data collection project for a large TPA.

QBE Insurance Company: Vice President - Multi-Discipline Audit Team 8/15 – 4/17

In charge of Multi-Discipline Team (MDA). Managed the MDA team consisting of 6 seasoned professionals working with Claims, Loss Control, Compliance and Underwriting to perform quality audits of programs, specialty lines and Discontinued Operations. Audited claim TPA’s and Program business. Provided monthly reports to senior executives. identify trends and tracked recommendations made for compliance with audit findings.

Independent Claims and Compliance Consultant: Principal 3/10 – 8/15

Compliance consultant to AIG preparing their various divisions for Federal Compliance reporting. Consulting project for American Express protecting the financial assets and formulating cost saving initiatives. This project involved the evaluation all credit card services and associated insurance and claim programs. Addressed issues involving claims, privacy, advertising, licensing, filings and risk assessment for their insurance division. Provided recommendations and procedures to reduce client’s costs and regulatory fines. Performed audits of TPA’s.

Everest National Insurance Company: Director 4/07 – 3/10

Directed the Audit & Control Department. Developed departmental policies and procedures to ensure compliance with state regulators. Designed monthly/quarterly management reports for business units and executive management. Developed budgets, reviewed TPA claim audits for cost savings.

Managed SOX audits involving all program insurance operations (Claims, Underwriting, Loss Control, Systems, Operations, Accounting, and Premium Audit) and performed audits of the auditors.

Developed guidelines and audit checklists. Involved with underwriting, compliance, State Compliance issues, Program and TPA contract reviews. Managed staff.

Elite Risk and Insurance Consultants: Principal 3/06 to 4/07. Completed a large assumed reinsurance claims project for the NY Liquidator. Assisted Navigant Consulting on various claim projects as an outside consultant. Handled property claims for residential clients. 6/02 to 2/03, provided risk management reviews, insurance audits, coverage and claim review audits. Provided insurance specifications for broker marketing of insurance carriers. Worked on large construction litigation case.

Chiltington International Inc.: Vice President Claims 2/03 to 3/06. Reviewed claims and operations of self-insured programs and recommend process improvement and workflow management. Handled claims for international reinsurance company with US business. Global Claims experience. Performed TPA and claims audits. Oversaw insurance and reinsurance contracts, coverage, and claim activity for international reinsurance clients with run-off business (environmental, asbestos, toxic tort and general liability). Managed staff and handled claims, account management, marketing and business development.

American International Group Technical Services: Claims Specialists III 11/98 to 6/02. Involved with fronting arrangements, pooling groups, indemnification contracts (alternative risk financing) for AIG Risk Management Group involving long tail claims. Supervise and instructed various counsel and TPA’s across the country. Excess Claims Unit handling $1 million plus GL and Property claims 11/00 to 6/02.

Independent Claims Consultant: 2/97 – 11/98. Assisted various insurers and corporations in evaluation of their claim liabilities. Managed audit teams for a Prudential insurance credit and disability reconciliation project. Assisted United Insurance Consultants risk management team as an independent Risk Management Consultant handling domestic and international clients and their claims. Handled Declaratory Judgment actions for Envision Claims Management. Additional consulting projects:

Due Diligence meetings with brokers to arrange cost effective insurance programs for clients.

Drafting Claims and Risk Mgmt. checklists, Loss Control checklists, and manuscript policies.

Coopers & Lybrand (C&L): 6/93 – 1/97. Senior Claims Consultant/Manager. Provided general liability, environmental, toxic tort claims consulting and due diligence services with an emphasis on reserves and litigation management. Performed loss, reserve and cost benefit analysis for clients. Additional consulting projects included:

Long tail analysis claim reviews (Breast implants, Environmental, Property, DES, Products, etc.).

Aetna/Travelers merger involving pharmaceutical and large loss claims.

Dear Sir,

My background includes insurance, reinsurance, claims, and risk management. I have managed claim units including TPA and insurance claims teams. Previous to Coopers & Lybrand I managed a team of 8 Claims specialists at Crum & Forster involving GL and Property claims. I have worked with producers, MGA’s and TPA’s in addition to underwriters, claims professionals and senior management. I have worked at AIG in their Excess Casualty unit handling and settling multi-million dollar claims. I have also worked in Environmental, Asbestos, Toxic Tort, Property, Auto and other claim units. I have handled primary, umbrella, excess and reinsurance claims. I also have worked with risk managers on difficult claims and have extensive settlement and negotiation expertise.

I have experience with various systems for claims and risk management. Additionally, I have worked with several insurance carriers and consulting firms. I am an attorney and also a licensed Insurance Producer. I have my Associate in Risk Management (ARM), and Charter Property Casualty Underwriter (CPCU) designations. I have published many insurance related articles in various industry publications.

I am very interested in working with your organization and I am sure I would be a great asset to your team.

Please review my resume and feel free to contact me to discuss my qualifications and how I can benefit your company. I can be reached at 908-***-****.

Very truly yours,

Kevin R. Gallagher JD, ARM, CPCU



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