Account Executive Marketing Manager
Resume:
Francine Jeffries
708-***-**** adljah@r.postjobfree.com
Summary
Insurance Claims Professional with over 25 years of expertise handling claims management and review as well as supervision of claims staff for a series of highly-respected regional and national insurance firms. Proven ability to accurately assess claim risk, conduct investigations, analyze data, and determine appropriate courses of action that create positive results both in terms of customer satisfaction—as well as the corporate bottom-line.
Key Skills & Qualifications
Claims Management/Adjustment
Staff Hiring, Training & Supervision,Multi-Line & Workers Comp Expertise
Risk Management & Loss Control
Claim Review, Analysis & Documentation
Outstanding Customer Service Skills
Presentation & Negotiation Skills
Underwriting Processes/Procedures
Collaboration with Outside Counsel
Business Development & Prospecting
Employment History
Senior Claims Examiner BARTECH- FORD MOTOR COMPANY
Chicago, IL: 2015 – present
Responsible for investigating the validity of all claims.
Attend and present findings at all client claim reviews with the Union, Labor Relations and the Medical Department
Organized settlement meetings with plaintiff counsel to settle all litigated cases.
Responsible for worker’s compensation training to adjusters
Senior Claims Examiner l Q-TEMPS- DIAMOND INSURANCE/BERKLEY ASSIGNED RISK
Responsible for settlement of aged litigated claims Chicago, IL: 2014- 2015
Claims Supervisor TRISTAR RISK MANAGEMENT Chicago, IL: 2013 - 2014
Instrumental in organizing the start-up the State of Illinois worker’s compensation program.
Supervise a staff of up to ten adjusters and assuring the implementation of Client Instructions as well as Corporate Claims Handling Instructions.
Assuring compliance of SOC1 compliance.
Responsible for investigation of claims for compensability
Senior Claims Examiner PROFESSIONAL STAFFING Chicago, IL: 2011 -2013
Performed risk management duties
Responsible for on-site investigation of catastrophic lost time claims and other duties assigned
Contractual assignments
Senior Claims Examiner SeaBright Insurance Chicago, IL: 2007 - 2011
Responsible for on-site investigations of all third party claims and EL suits filed.
Conducted Installation meetings for all newly assigned clients.
Facilitated all Worker’s Compensation claim reviews with the broker and the client.
Investigated the validity of catastrophic, litigated, lost-time claims from cradle to grave.
Attended trials and status hearings on behalf of the client.
Senior Claims Examiner Sedgwick CMS Chicago, IL: 2005 - 2007
Investigated the validity of catastrophic, litigated, lost-time claims from cradle to grave.
Attend and present findings at all client claim reviews.
Manage multi-state claim jurisdiction territory that included IL, WI, IA, IN, and NE.
Senior Claims Examiner Crawford & Company Schaumburg, IL: 2002 - 2005
Responsible for investigating the validity of catastrophic, litigated, lost-time claims.
Attend and present findings at all client claim reviews.
Manage multi-state claim jurisdiction territory that included IL, WI, and IA.
Senior Claims Examiner Fireman’s Fund Insurance Chicago, IL: 2000 - 2002
Responsible for investigating the validity of catastrophic, litigated, lost-time claims.
Attend and present findings at all client claim reviews.
Organized settlement meetings at the Illinois Industrial Commission with plaintiff counsel.
Prepared training material for Wisconsin jurisdiction.
Manage multi-state claim jurisdiction territory that included IL, MI, WI, MO, and IN.
Sr. Account Executive Risk Management Solutions of America Chicago, IL: 1999 - 2000
Wholesale broker for non-profit organizations.
Responsible for new business and contract negotiations.
Led growth of a guaranteed cost program from $700,000 to $2.2 million in standard premium.
Marketing Manager Hinz Claim Management Chicago, IL: 1998 - 1999
Duties included the development of a new department, including sales protocol, marketing materials, and a new customer prospecting database.
Responsible for designing and implementing direct marketing campaigns to potentially standalone accounts, as well as alternative market programs for all lines.
Led training and development of the Workers Compensation Adjuster team for the company’s Chicago and Springfield offices.
Various Roles Cannon Cochran Management Services St. Louis, MO: 1991 - 1997
Sr. Account Executive / Risk Management Consultant
Handled direct marketing for Self-Insured Trust Programs and Standalone accounts for Alternative Market placement in Captives.
Responsible for risk management of all Standalone accounts.
Negotiated new business contracts, including creation of special bonus incentive programs.
Account Manager
Led a 12-member Client Service team consisting of several Workers Compensation Adjusters as well as a Loss Control Consultant, Underwriter, and Clerical Assistant.
Performed all standard managerial functions in role overseeing the above team, including hiring, training, performance reviews, promotional recommendations, and a constant monitoring of the team’s success in customer satisfaction.
Managed self-funded Workers Compensation Trust with combined standard premiums in excess of $15 million; ensured yearly dividends for members of the Trust.
Monitored and analyzed client financial statements, presenting results to Board of Directors.
Developed and negotiated contracts on renewal business, as well as new business.
Controlled risk acceptance, improvement, declination, cancellation, rate administration, premium development, and premium collection.
Workers Compensation Claims Supervisor
Supervised a Workers Comp claims staff of 12 adjusters.
Instrumental in implementing the “Client Service Team” concept to ensure consistently highly levels of production and customer satisfaction
Education & Licensure
A.S. Degree, Kishwaukee College, Malta, IL
B.S. Degree, Southern Illinois University, Carbondale, IL
Licensed Property & Casualty Broker (State of IL)
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