Los Angeles Risk Management
Resume:
Los Angeles,CA,
PHONE 858-***-****
E-MAIL:
************@*****.***
KALE EVANS, CPCU
Objective
Highly motivated individual looking for a challenge, opportunity, and growth potential. I am execution-driven, customer-focused and team-oriented. Experience 2024 Morris & Garritano Los Angeles, CA Commercial Insurance Broker
● Tenaciously solicit new business with drive and initiative by cold calling, networking, referrals, and other lead sources.
● Advise clients on appropriate Property & Casualty coverages.
● Mitigate client’s risk and insurance exposures through creating proactive standard operating procedures.
● Successfully manage the full sales cycle including: Lead generation, Prospecting/Outreach, Negotiating, Proposing coverage, Closing with C-Suite level executives, Renewal process
● Create trusted partnerships with business owners and executives, aiding them in implementing risk management practices to bolster success of their firms.
2022-2024 Newfront Los Angeles, CA
Occupational Health & Safety Consultant & DEI Advocate
● Independently provide consultation and solutions regarding holistic risk management to external Executive and Director level stakeholders.
● Create and deliver strategic Occupational Health and Safety (OH&S) service plan(s) and solution(s) by collaborating with Newfront internal account teams.
● Participate in prospect, renewal, and stewardship meetings.
● Travel to clients to strengthen business relations as well as provide consultative strategies to mitigate exposure regarding OH&S.
● Provide technical workers’ compensation expertise and advocacy to external clients in terms of OH&S services.
● Conduct client walkthroughs with the Risk Control team and manage client relationships for retention.
● Present strategic claim reviews, focused on financial management of claims, appropriate reserving, timely delivery of benefits, quality of medical care, medical cost containment and defined claim resolution plans with analytical reports with aggregated claim and financial data.
● Diversity, Equity and Inclusion Council Member. This role entails assisting in the creation and implementation of equitable practices for all employees and clients.
2021-2022 Gallagher Bassett Portland, OR
Resolution Manager
● Successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.
● Demonstrate complete knowledge of the claims file process through presentation of actions and responses to client questions and claim’s reviews.
● Able to recognize and pursue excess insurance recoveries.
● Create cost benefit analysis and direct the defense attorney’s actions on claims to mitigate the exposure on files.
● Manages subrogation and recovery of claims.
● Ensures task based action from third party referrals are alleviating the file rather than incurring cost with no results.
● Maintain rapport with key individuals such as doctors, claimant’s attorneys, defense attorneys, brokers, account managers, and carriers. 2018-2021 Sedgwick Claims Portland, OR
Claims Adjuster
● Manages workers' compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with the state agency.
● Oversee high profile national programs such as Fedex Ground and Amazon.
● Develops and manages workers' compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
● Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
● Manages subrogation of claims and negotiates settlements.
● Communicates claim action with claimant and client.
● Ensures claim files are properly documented and claims coding is correct.
● Processes complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
● Maintains professional client relationships.
2016-2018 Soccerkids San Diego, CA
Project Manager
● Coordinate 265+ per quarter registrants for sports programs in various locations in the San Diego greater area
● Confirm contract rentals with Parks and Recreation Department
● Contact individual registrants to receive payment
● Execute On-field instructional duties with participants
● Manage and lead assistant’s
● Conduct interviews and hire various assistant’s
● Market the program on various social platforms
● Provide customer service to registrants in a timely manner
● Maintained sales above 120,000 per year
Education 2012-2016 University of Oregon Eugene, OR
● Degree - Business and Applied Economics
2008-2012 Cathedral Catholic High School San Diego, CA Awards &
Certifications
CPCU
CA Property & Casualty Broker-Agent license
Oregon Workers compensation certified
Industry advancement placement graduate
Certified Coverage program certificate recipient
San Diego Union Tribune - 2012 Student Athlete Award
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