Senior Workers' Comp Claims Compliance Leader
Resume:
Frisco, TX ***** 325-***-**** *******@*****.***
CONWAY JORDAN
Senior Claims Management professional with over 27 years of diverse experience in Insurance Operations, strategic leadership, and Regulatory Compliance. Expert in Workers Compensation frameworks and Caseload Management within the TX jurisdiction. Proven track record of harnessing team potential through Staff Training and Process Improvement to drive consistent service quality and operational efficiency. SUMMARY
SKILLS Core Claims Expertise:
Workers Compensation,
Claims Management,
Claims Auditing, Loss
Valuation, Damage
Assessment, Policy
Interpretation
●
Leadership & Operations:
Supervise, Staff Training,
Process Improvement,
Strategic Planning,
Caseload Management,
Insurance Operations
●
Compliance & Analysis:
Regulatory Compliance, TX
Insurance Licensing, Risk
Management, Financial
Analysis, Budget Creation
●
● Policy interpretation
● Insurance regulations
● Customer service
● Problem-solving
● Highly motivated
● Attention to detail
● Claims investigation
● Team collaboration
● Active listening
Verbal and written
communication
●
● Claims processing
● Caseload management
Advanced oral and written
communication skills
●
State name claims
adjuster license
●
● Conflict resolution
● Property valuation
● Risk assessment
● Workflow management
● Settlement negotiation
● Risk management
● Report writing
● Coverage assessments
● Policy investigations
● Casualty and property loss
Automobile claims
specialist
●
Insurance policy coverage
expertise
●
● Claims file documentation
● HAZMAT expert
● Automobile appraisals
● Property claims
Insurance policy
knowledge
●
● Property inspection
● Damage assessment
● Estimating costs
● Claims evaluation
CATASTROPHE INSURANCE ADJUSTER 03/2021 to 06/2023
Crawford and Eberls, Atlanta, Georgia
WORK EXPERIENCE
SALES AND SERVICE REPRESENTATIVE 03/2019 to 05/2023 Warren Cat, Midland, Texas
PRESIDENT AND OWNER 01/1996 to 03/2018
Red Star Fuels and Con-Wright Inc, Abilene, Texas
Managed complex Claims Management processes by collaborating with policyholders to ensure all Regulatory Compliance documentation was secured for accurate processing.
●
Evaluated property damage and performed detailed loss valuation through on-site inspections, ensuring adherence to Insurance Operations best practices.
●
Investigated questionable claims and conducted Claims Auditing to validate payment authorization, effectively mitigating financial losses.
●
Resolved high-stakes disputes between clients and providers, facilitating fair settlements while maintaining consistent service quality across a heavy caseload.
●
Drove business growth to 23 million within 18 months by implementing Strategic Planning for client account management.
●
Managed a portfolio of inactive accounts, utilizing Caseload Management techniques to revitalize revenue streams by 3 million annually.
●
Harnessed customer engagement data to develop new business strategies, improving overall operational performance and service delivery.
●
Reviewed financial statements and performance reports to evaluate productivity against key organizational goals and benchmarks.
●
Supervised daily business operations, including comprehensive Staff Training and hiring initiatives to build a high-performing workforce.
●
Established organizational policies that drove Process Improvement and enhanced operational efficiency across all departments.
●
Managed financial oversight via rigorous budget creation and expense tracking to ensure long-term fiscal responsibility and Regulatory Compliance.
●
Harnessed strategic marketing and business development plans to enhance brand loyalty and drive consistent organizational growth.
●
CERTIFICATIONS ● Texas Property adjusters license (TX Insurance Licensing) - Texas
● State Farm certified in Property and Auto - State Farm Texas Christian University, Fort Worth, TX
BBA, Marketing And Management, 05/1981
EDUCATION
● Played on the University Golf Team
● GPA: 3.53
Contact this candidate