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Manager Insurance

Location:
Lilburn, GA, 30047
Posted:
August 28, 2020

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Resume:

DAVID G. AUSTIN

*** **** **** ***** *******, Georgia 30047

Mobile 770-***-**** Email: ********@*****.***

SUMMARY

Over twenty years-experience in multi-line claims management, i.e., areas of general, professional and products liability, cargo claims, heavy equipment claims, trucking-lines, habitability, construction defect claims, limited environmental and investigation. Experienced in litigation management, complex case evaluation, coverage analysis and multi-tier settlement negotiations. Strong communication and writing skills, including extensive customer service/ case dispute and complaint resolutions, client management instructions, and heavy loss reporting.

Courteous, flexibility and adaptability skills required to work seamlessly under the multitude and intricacies of the work environment of competing demands, scheduling flexibility, managerial direction, while utilizing company tools and skill sets for consumer orientated optimization and effective communication (as best enhanced under today’s technology) to achieve company base insurance claims initiatives, with the experience required to provide diligent service to customers, demonstrate insurance and claims product knowledge, maintain the company presentation standards, and supervision required at all levels of claims activity and field investigations. PROFESSIONAL EXPERIENCE

The Best IRS/Gallagher Bassett, Premiere Parkway, Duluth GA 2019 – April 2020 Senior Resolution Manager, Evaluate, manage and resolve premises liability, general liability, multi-state, multi-account with comprehensive client reporting and specific client handling carrier reporting involving analysis of liability, reserves & settlement involving complex & technical matters and heavy litigation management to various Defense firms and clients account support directives. North American Risk Services, Altamonte Florida / Alpharetta GA 2019 Senior Claims Adjuster, handling of construction, restaurant, premises, general liability claim matters involving multi-state and multi-regional claims with litigation management from inception to discovery to trial phase with heavy client reporting and authority input involving complex case resolution strategies. SEDGWICK RISK MANAGEMENT, Perimeter Center, Atlanta GA 2014 – Feb. 2019 Current Litigation Consultant/ Prior Claims Examiner III / Senior Claims Representative Manage, analyze and process complex & technically difficult general liability high exposure claims involving litigation and rehabilitation. Manage various run-off lines of business to ensure adjudication of claims within service expectations, industry best practices and specific client service requirements, including mediation, and trial phase to negotiate settlements. Perform client heavy loss reporting, conduct liability case analysis and coverage evaluation to include various insurer reporting requirements, analysis of reserve adequacy per loss exposure, conduct agency and insured loss evaluation, and coordinate claim loss from inception of reporting throughout the life of the claim. Evaluate and implement timely & cost-effective claims resolution within designated authority, including claim recoveries, Second Injury Fund excess recoveries, and Medicare offsets. STATE FARM INSURANCE COMPANY, Atlanta, GA 2013 – Oct. 2014 Claims Associate

Responsible for automobile insurance claims from initial loss reporting to case conclusion, including accident investigation, liability evaluation, damage analysis and evaluation of settlement authority involving various states and jurisdictions.

INTERNATIONAL RISK RESOURCES, Perimeter Center, Atlanta GA 2007 – July 2013 Case Manager/Senior Claims Representative/ Final Position - Vice President Litigation Management Manage commercial claims from the inception to conclusion, with heavy loss reporting to home office, including coordination of liability investigation and resolution. Handle average case load of 250 per week. Case manage multi-line claims for various insurers, insurance agencies, Self-Insured Retention endorsements, owner controlled insurance program/OCIP for fortune 500 companies, and claims involving todays headline events, toxic mold, Chinese drywall, and various applications of immunity under contract and insuring agreements. Manage construction defect program for insurers and builders, including claims derived from heavy equipment, vibration, and property damage. Bridgeworks Commercial Management, 1728 Montreal Drive, Tucker GA 2003 - 2007 Senior Claims Representative

Manage commercial general liability, product liability, and trucking liability claims for contracted insurer programs NAS/ Quanta Insurance / Builders Insurance Group. Handle customer/client loss reporting construction defect claims for various states; with heavy loss reporting to home office, including coordination of liability investigation and resolution. Handle average case load of 250 per week. Initiate liability investigation, statements, assess negligence exposure. Provide coverage analysis, compose reservation of rights and disclaimer letters. Evaluate loss reserve exposure potential reinsurance reporting. Litigation management and affirmative defenses involving liability analysis to include case litigation budgeting. Evaluation of cases for alternative dispute resolution (ADR), mediation, and aggressive litigation management to facilitate cost-effective legal budget goals. FIREMAN’S FUND/INTERSTATE NATIONAL CORP. /JEFFERSON, Jersey City, NJ 2000 – 2002 Case Manager/Senior Claims Representative

Manage commercial claims from the inception to conclusion, with heavy loss reporting to home office, multi-line claims handling under various company entities (Jefferson Insurance Company of New York, Allianz, Monticello Insurance, Fireman’s Fund Insurance), including coordination of liability investigation and resolution. Handle average case load of 250 per week. Initiate liability investigation obtain statements and assess negligence exposure. Conduct coverage analysis, compose reservation of rights and disclaimer letters. Evaluate loss reserve exposure, determine hi-cost evaluation and exposure for reinsurance & excess reporting. Litigation management case defense involving liability analysis and proper litigation budgeting.

• Multi-state review of rules, statues, and court decisions with application to the company’s books of business.

EDUCATION

Upper Bound Engineering Program, New Jersey Institute Technology, Newark, NJ Computer Science, Rutgers, The State University, New Brunswick, NJ Property & Casualty Licensed Adjuster / Member of Atlanta Claims Association Attended Multiple Training Seminars / Application of Case Law, Case Defenses & Policy Application & Coverages



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