ROBERT E. HAGGERTY *** Roup Avenue, PA ***** 412-***-**** adq6y0@r.postjobfree.com

Compliance investigation and compensation manager with success conducting special investigations for insurance companies, establishing/managing reserves, medical case management, supervisory, high exposure claims, claim reviews, depositions, litigation and settlement. Expertise in worker’s compensation, auto, disability, property, liability, corporate and bank fraud. Extensive experience conducting interviews, compiling and analyzing operations and account records to report suspected fraud to corporate investigative units. Strong knowledge of corporate auditing practices, accounting principles, general liability, auto liability functions and procedures, including state and regulatory guidelines. Extensive interpersonal, presentation, verbal and written communication skills to effectively influence and interact with internal and external business partners. Solid analytical and problem-solving skills.

PROFESSIONAL EXPERIENCE Nov 16, 2021-Present Davies Insurance/Sheetz Senior Workers Compensation Consultant

• Manage all aspects of worker’s compensation claims for Sheetz

Command Investigations Jan 2020-Oct 2021 SIU Specialist

• Conducts special investigations for high exposure cases for insurance companies and employers of all sizes

• Case types include fatal work and auto accidents, worker’s compensation, disability, property, auto, liability, corporate fraud and bank fraud.

• Assist with expert judgment in handling complex cases to make effective compliance decisions with federal agencies, OSHA, TSA, Homeland Security, local and state police, insurance commission, district attorneys, State Attorney General, local magistrates, corporate owners, president and vice president of companies, human resource departments, managers, supervisors, claimants, doctors, attorneys, risk managers, friends and family members of claimants.

• Completes objectives needed for obtaining facts, determining claim decisions, filing fraud charges, contributing to depositions and providing testimony when necessary.

• Investigates and prepares report on industrial accidents for insurance carriers.

• Investigates, evaluates and settles claims applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

• Collaborates with claimants, doctors, medical specialists and employers.

• Presents cases and participates in discussions at claim committee meetings.

• Provides excellent customer service, report writing and action plans.

Ethos Risk Services/Delta Investigations Jan 2018- Oct 2021 SIU Specialist

• Conducts special investigations for high exposure cases for insurance companies and employers of all sizes.

• Case types include fatal work and auto accidents, worker’s compensation, disability, property, auto, liability, corporate fraud and bank fraud.

• Assist with expert judgment in handling complex cases to make effective compliance decisions with federal agencies, OSHA, TSA, Homeland Security, local and state police, insurance commission, district attorneys, State Attorney General, local magistrates, corporate owners, president and vice president of companies, human resource departments, managers, supervisors, claimants, doctors, attorneys, risk managers, friends and family members of claimants.

• Completes objectives needed for obtaining facts, determining claim decisions, filing fraud charges, contributing to depositions and providing testimony when necessary.

• Investigates and prepares report on industrial accidents for insurance carriers.

• Investigates, evaluates and settles claims applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

• Collaborates with claimants, doctors, medical specialists and employers.

• Presents cases and participates in discussions at claim committee meetings.

• Provides excellent customer service, report writing and action plans.

GS4 2013-2017 SIU Specialist

• Conducted special investigations for high exposure cases for insurance companies and employers of all sizes.

• Case types included fatal work and auto accidents, worker’s compensation, disability, property, auto, liability, corporate fraud and bank fraud.

• Assist with expert judgment in handling complex cases to make effective compliance decisions with federal agencies, OSHA, TSA, Homeland Security, local and state police, insurance commission, district attorneys, State Attorney General, local magistrates, corporate owners, president and vice president of companies, human resource departments, managers, supervisors, claimants, doctors, attorneys, risk managers, friends and family members of claimants.

• Completed objectives needed for obtaining facts, determining claim decisions, filing fraud charges, contributing to depositions and providing testimony when necessary.

• Provided excellent customer service, report writing and action plans.

Sedgwick 2012-2013 Senior Worker’s Compensation, Personal and Commercial Property and Casualty, Auto Claims Manager

• Investigated, evaluated and settled claims, applying technical knowledge and human relation skills to effect fair and prompt disposal of case contributing to a reduced loss ratio.

• Adjusted reserves providing recommendations to ensure that reserve activities were consistent with corporate policies.

• Resolved complex, severe exposure claims, using high service-oriented file handling.

• Examined questionable claims investigated by insurance adjusters to determine authorization of payments.

• Conferred with legal counsel regarding claims requiring litigation.

• Contacted and/or interviewed claimants, doctors, medical specialists and employers for additional information.

• Maintained claim files such as records of settled claims and inventories of claims requiring detailed analysis.

• Presented case information and participated in claim committee meeting discussions.

• Conducted detailed bill reviews to implement sound litigation management and expense control.

• Implemented modified duty program with company owner, risk manager, and counsel while confronted with strong opposition from the employees’ union.

Dick’s Sporting Goods 2011-2012 Risk Manager of Worker’s Compensation, Personal and Commercial Property Claims, Auto Claims

• Documented and ensured communication of key risks.

• Maintained risk management systems.

• Identified key risk and mitigating factors of potential investments, such as asst types and values, legal and ownership structures, professional reputations, customer bases, or industry segments.

• Developed or implemented risk assessment models or methodologies.

• Developed contingency plans for emergencies.

• Resolved complex, severe exposure claims, using high service-oriented file handling.

• Examined questionable claims investigated by insurance adjusters to determine authorization of payments.

• Conferred with legal counsel regarding claims requiring litigation.

• Communicated with insurance brokers.

• Maintained claim files such as records of settled claims and inventories of claims requiring detailed analysis.

• Supervised claims adjusters to ensure property methods were implemented.

Pitt Ohio Express 2009-2010 Worker’s Compensation, Property and Auto Manager

• Served as an effective link between management and employees, addressing and resolving issues and administering contracts.

• Studied trends and established competitive programs to ensure compliance with legal requirements.

• Administered compensation, benefits and performance management systems and safety and recreation programs.

• Analyzed training needs to design employee development, language training and health and safety programs.

• Investigated and reported on industrial accidents for insurance carriers.

• Ensured company compliance with federal and state laws, including reporting requirements.

• Researched employee benefit and health and safety practices and recommended changes or modifications to existing policies.

Met Life 2009 Senior Benefits Consultant

• Evaluated job positions, determined classifications, exempt or non-exempt status and salary.

• Prepared occupational classifications, job exemptions and salary scales.

• Managed hiring process of candidates.

• Advised managers and employees on state and federal employment regulations, collective agreements, benefit and compensation policies, personnel procedures and classification programs.

• Researched job requirements, structural and functional relationships among occupations, occupational trends.

• Planned and developed curricula and materials for training programs.

• Consulted with or served as technical liaison between business, industry, government and union officials.

• Evaluated job performance developed action plan, issued verbal and written warnings, processed terminations, and conducted exit interviews.

Sun Life Financial 2004 – 2009 Senior Benefits Consultant

• Performed difficult staffing duties: understaffing; handled disputes; administered disciplinary actions; terminations.

• Planned and conducted new employee orientation to foster a positive attitude toward organizational objectives. Identified and filled staff vacancies.

• Represented organization at personnel-related hearings and investigations.

• Provided current and prospective employees with information regarding policies, job duties, working conditions, wages and opportunities for advancement and employee benefits.

• Maintained records and compiled statistical reports.

• Investigated and prepared report on industrial accidents for insurance carriers.

• Developed, administered and evaluated applicant tests.

• Conducted background checks, communicated with new hires.

• Conferred with management to develop or implement personnel policies and procedures.

• Investigated, evaluated and settled claims applying technical knowledge and human relation skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

• Collaborated with claimants, doctors, medical specialists and employers.

• Presented cases and participated in discussions at claim committee meetings.

• Supervised claims adjusters.

EDUCATION

Bachelor of Science In Accounting

LaRoche College, Pittsburgh, PA

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