Regulatory Compliance Account Manager
Resume:
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Acworth, GA *****
********@*****.***
EDUCATION
Bachelor of Arts
Public Administration
Kean University, Union, NJ
May 1988
JAMES P. HEALY
SUMMARY
Dynamic claims management expert with over 30 years of experience, specializing in regulatory compliance and negotiation strategies. SKILLS
• Claims management
• Regulatory compliance
• Xactimate estimating
• Negotiation techniques
• Litigation management
• Customer service
EXPERIENCE
ACCOUNT MANAGER
Sedgwick Delegated Authority January 2016 - Current
• Manage commercial property claims for American Coastal Insurance, including townhome communities across Florida, construction defects, and sinkhole claims.
• Worked on Catastrophe Teams adjusting high-end commercial properties in Florida during Hurricanes Irma, Ian, Michael, and Idalia.
• Coordinate with contractors, subcontractors, manufacturers, agents, and insureds to ensure timely claims processing in line with Florida's compliance laws.
FIELD CLAIMS REPRESENTATIVE
Auto Owners Insurance Kennesaw, USA January 2011 - January 2016
• Managed homeowner, commercial general liability, auto, and commercial property claims in Northwest Georgia, including construction defect claims. Trained in Xactimate estimating, handling medium to large litigated files, and attending mediations, depositions, and trials. Collaborated with contractors, subcontractors, and manufacturers to determine the cause of loss.
CONTRACTED CLAIMS PROFESSIONAL
Claims Solution Atlanta, USA January 2009 - January 2011
• Hired by multiple claims managers in Atlanta to reduce pending files, working on both commercial and personal lines, including litigated and fast-track claims. Worked for Assurance America, Omni, Gab Robins, and Chartis Insurance, handling commercial property claims.
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SR. CLAIMS REPRESENTATIVE
Bennett International McDonough, USA January 2004 - January 2009
• Managed the investigation, negotiation, and settlement of first- and third-party property damage and bodily injury claims for a self-insured trucking company, including manufactured housing, liability, and RV cargo claims. Collaborated with terminal managers, drivers, and account managers to develop proactive strategies for early claim resolution. Handled litigated files, attended mediations, and trials, covering both the U.S., and Canada.
SR. LIABILITY/LITIGATION ADJUSTER
CRAWFORD & COMPANY Atlanta, USA January 2003 - January 2004
• Managed liability claims for a national trucking company. Focused and used appropriate cost containment techniques to reduce overall cost of claim for the client. Claims handling included refrigerated cargo and all types of liability claims. Handled litigated files also. Territory included continental United States and Canada.
SR. CLAIMS ADJUSTER
MONTGOMERY INSURANCE Duluth, USA January 1999 - January 2003
• Handled personal automobile homeowner and general liability claims at an advance casualty level including construction defect claims. Reviewed and analyzed financial impact of loss exposure through reserves and settlement. Consistently exceeded quality control standards for company with overall customer satisfaction. Attended Liberty Mutual school of estimate review.
QUALIFICATIONS SUMMARY
A highly skilled, goal-oriented claims professional with 30+ years of experience in general liability, commercial, auto, property, homeowner, and automobile insurance claims. Well-organized, with strong communication skills, a solid work ethic, and a commitment to excellence. CERTIFICATIONS
• Legal Principles Claims Specialist Certification
• Georgia Claims Adjuster License
REFERENCES
References available upon request.
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