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Claims Specialist Production Supervisor

Location:
Winter Garden, FL
Salary:
87,500
Posted:
June 07, 2021

Contact this candidate

Resume:

WALTER T.PRICE JR.

C L A I M S P R O F E S S I O N A L

C O N T A C T

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

Winter Garden, Florida 34787

407-***-****

linkedin.com/in/walter-

price-b6b2114a

admzpz@r.postjobfree.com

A R E A S O F E X P E R T I S E & S K I L L S

General Liability

Construction Defect

Commercial Auto

Complex Injury

Customer Service

Slip & Fall

Premises Liability

Complex Litigation

Personal Auto

Commercial Trucking

E D U C A T I O N

Southern Illinois University at

Carbondale - May 1992

Bacheror's Degree in Industrial

Engineering

E X P E R I E N C E

Senior Resolution Manager- Gallagher Bassett

2019 - Present

Investigates, evaluates, disposes and settles the

most complex claims and highest exposures with

minimal supervision. Includes the investigation,

determination and evaluation of coverage, liability and damages, and the setting of proper reserves.

Models ethical behavior and executes job

responsibilities in accordance with Gallagher

Basset's Best practices, core values, ethics, and

information protection policies.

Reviews lawsuits and claim files and provide

recommendations for the handling of new law suits. Understands industry standards and assess the

potential effect on jury views and trial outcomes. Recognizes the potential deficiencies in a case and the need to a negotiate settlement as a potential

resolution.

Assists management with the creation of strategic

initiatives and the implementation of litigation

strategies.

Ability to interpret policy language and recognize potential ambiguities that could lead to potential adverse verdicts.

P R O F I L E

Visionary, dynamic, personable,

resourceful and experienced

insurance professional with over

27 years of extensive experience

in claims investigations, coaching

and operations. Detail-oriented

leader committed to results

through efficiency, precision and

innovation.

L I C E N S E S

Florida 620 All-Lines Adjuster's

License with reciprocal privelages in

the following states: Alabama,

Arkansas, Delaware, Georgia,

Indiana, Kentucky, Louisiana, Maine,

Minnesota, Mississippi, N.Carolina,

New Hampshire, Rhode Island, S.

Carolina, Vermont & W Virginia.

WALTER T.PRICE JR.

C L A I M S P R O F E S S I O N A L

C O N T A C T

15309 Honeybell Drive

Winter Garden, Florida 34787

407-***-****

linkedin.com/in/walter-

price-b6b2114a

admzpz@r.postjobfree.com

A R E A S O F E X P E R T I S E & S K I L L S

General Liability

Construction Defect

Commercial Auto

Complex Injury

Customer Service

Slip & Fall

Premises Liability

Complex Litigation

Personal Auto

E X P E R I E N C E

Senior Liability Adjuster III - AmTrust Financial

2017 - 2019

Licensed in 22 states to handle complex and

litigated Commercial General Liability claims

including slip & falls, Premises Liability, Construction Defect, Commercial Personal Auto Injury Claims

Specializes in the prompt resolution of claims up

to $1 million and beyond with extensive

discretionary authority per feature

Maintain close contact with plaintiff and defense

counsel and demonstrate an ability to reduce

claims litigation, improve claims resolution and

the defense of customer claims.

Prep files for mediations, present with defense

counsel and VP of Claims as necessary

Senior Commercial Liability Adjuster - North

American Risk Service 2016 - 2017

Managed the company's exposure to risks by

ensuring claims made against it and its clients

were thoroughly examined, investigated and

resolved to minimize financial loss and diminished reputation.

Handled a caseload of approximately 150 claims

which encompassed all levels of complexity.

P R O F I L E

Visionary, dynamic, personable,

resourceful and experienced

insurance professional with an

extensive background in claims

investigations, coaching and

operations. Detail-oriented

leader committed to results

through efficiency, precision and

innovation.

E D U C A T I O N

Southern Illinois University at

Carbondale - May 1992

Bacheror's Degree in Industrial

Engineering

L I C E N S E S

Florida 620 All-Lines Adjuster's

License with reciprocal privelages in

the following states: Alabama,

Arkansas, Delaware, Georgia,

Indiana, Kentucky, Louisiana, Maine,

Minnesota, Mississippi, N.Carolina,

New Hampshire, Rhode Island, S.

Carolina, Vermont & W Virginia.

WALTER T.PRICE JR.

C L A I M S P R O F E S S I O N A L

C O N T A C T

15309 Honeybell Drive

Winter Garden, Florida 34787

407-***-****

linkedin.com/in/walter-

price-b6b2114a

admzpz@r.postjobfree.com

E D U C A T I O N

Southern Illinois University at

Carbondale - May 1992

Bacheror's Degree in Industrial

Engineering

Required to establish facts of loss, coverage

analysis, investigation, liability/negligence

determination, coordination of medical care (as

appropriate), litigation management, damage

assessment, settlement negotiations, identifying

potential fraud and appropriate use of authorized

vendors.

Also included timely and appropriate reserve

analysis and report completion.

Ability to attend mediations, roundtable

presentations to senior level management,

conferences, client meetings, mentor other adjusters and assist management as requested.

All file handling was handled in accordance with all state statutes, Client Claims Handling Guidelines

and NARS Best Practices.

Other miscellaneous duties as assigned, which at

times included travel.

Attorney Represented Claims Specialist -

Progressive Insurance Company - 2015-2016

Managed a case load of 220+ attorney

represented injury claims of various degrees of

exposure and complexity.

Required to establish facts of loss, coverage

analysis, investigation, liability/negligence

determination, coordination of medical care (as

appropriate), litigation management, damage

assessment, settlement negotiations, identifying

potential fraud and appropriate use of authorized

vendors.

Ability to attend mediations, conferences, mentor

other adjusters and assist management as

requested.

P R O F I L E

Visionary, dynamic, personable,

resourceful and experienced

insurance professional with an

extensive background in claims

investigations, coaching and

operations. Detail-oriented

leader committed to results

through efficiency, precision and

innovation.

L I C E N S E S

Florida 620 All-Lines Adjuster's

License with reciprocal privelages in

the following states: Alabama,

Arkansas, Delaware, Georgia,

Indiana, Kentucky, Louisiana, Maine,

Minnesota, Mississippi, N.Carolina,

New Hampshire, Rhode Island, S.

Carolina, Vermont & W Virginia.

WALTER T.PRICE JR.

C L A I M S P R O F E S S I O N A L

C O N T A C T

15309 Honeybell Drive

Winter Garden, Florida 34787

407-***-****

linkedin.com/in/walter-

price-b6b2114a

admzpz@r.postjobfree.com

E D U C A T I O N

Southern Illinois University at

Carbondale - May 1992

Bacheror's Degree in Industrial

Engineering

Senior Claims Specialist - State Farm Insurance

Company - 1993-2015

Ensured timely, high quality investigations while

fostering a high performance work environment.

Responsible for fraud detection and deterrence,

utilizing appropriate investigative techniques and strategies in all lines of insurance.

Required to establish facts of loss, coverage

analysis, investigation, liability/negligence

determination, coordination of medical care (as

appropriate), litigation management, damage

assessment, settlement negotiations, identifying

potential fraud and appropriate use of authorized

vendors.

Also included timely and appropriate reserve

analysis and report completion.

Ability to attend mediations, conferences, client

meetings, mentor other adjusters and assist

management as requested.

Participated with senior staff in the corporate

claims strategic initiative micro-test to help re- establish best practices within an ever changing

claims industry. The scope of this initiative

impacted our entire claims department.

Production Supervisor - Sigma Chemical Company -

1992-1993

Accomplished manufacturing staff results by

communicating job expectations; planning,

monitoring, and appraising job results; coaching,

counseling, and disciplining employees; initiating, coordinating, and enforcing systems, policies, and procedures.

P R O F I L E

Visionary, dynamic, personable,

resourceful and experienced

insurance professional with an

extensive background in claims

investigations, coaching and

operations. Detail-oriented

leader committed to results

through efficiency, precision and

innovation.

L I C E N S E S

Florida 620 All-Lines Adjuster's

License with reciprocal privelages in

the following states: Alabama,

Arkansas, Delaware, Georgia,

Indiana, Kentucky, Louisiana, Maine,

Minnesota, Mississippi, N.Carolina,

New Hampshire, Rhode Island, S.

Carolina, Vermont & W Virginia.

WALTER T.PRICE JR.

C L A I M S P R O F E S S I O N A L

C O N T A C T

15309 Honeybell Drive

Winter Garden, Florida 34787

407-***-****

linkedin.com/in/walter-

price-b6b2114a

admzpz@r.postjobfree.com

E D U C A T I O N

Southern Illinois University at

Carbondale - May 1992

Bacheror's Degree in Industrial

Engineering

Maintained staff by recruiting, selecting,

orienting, and training employees; developing

personal growth opportunities.

Maintained work flow by monitoring steps of the

process; setting processing variables; observing

control points and equipment; monitoring

personnel and resources; studying methods;

implementing cost reductions; developing

reporting procedures and systems; facilitating

corrections to malfunctions within process control points; initiating and fostering a spirit of

cooperation within and between departments.

Completed production plan by scheduling and

assigning personnel; accomplishing work results;

establishing priorities; monitoring progress;

revising schedules; resolving problems; reporting

results of the processing flow on shift production summaries.

Maintained quality service by establishing and

enforcing organization standards.

Ensured operation of equipment by calling for

repairs; evaluating new equipment and

techniques.

Maintained safe and clean work environment by

educating and directing personnel on the use of

all control points, equipment, and resources;

maintaining compliance with established policies

and procedures.

Resolved personnel problems by analyzing data;

investigating issues; identifying solutions;

recommending action.

Contributed to team effort by accomplishing

related results as needed.

P R O F I L E

Visionary, dynamic, personable,

resourceful and experienced

insurance professional with an

extensive background in claims

investigations, coaching and

operations. Detail-oriented

leader committed to results

through efficiency, precision and

innovation.

L I C E N S E S

Florida 620 All-Lines Adjuster's

License with reciprocal privelages in

the following states: Alabama,

Arkansas, Delaware, Georgia,

Indiana, Kentucky, Louisiana, Maine,

Minnesota, Mississippi, N.Carolina,

New Hampshire, Rhode Island, S.

Carolina, Vermont & W Virginia.



Contact this candidate