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Street Address Park Lane S, Apt 1709Jersey City, NJ Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEColonial Life1095 Morris AvenueSuite 410Union, NJ 07083May 1, 2023, to present - Licensed Life, Accident and Health Independent Agent in NJ, NY, TX specializing in selling Voluntary Employee Benefits.Realty Home Advisors International9174 Glades RoadBoca Raton, FL 33434September 2021 to April 2022 - Licensed Florida Realtor. License # SL3475655. Issued 8-25-2020, expired 3-31-2022Patrician Consultants10119 Ravenna WayBoynton Beach, FL 33437 January 2004 to April 202245 Park Lane South, Apartment 1709Jersey City NJ 07310 April 2022 to April 2023President - This consulting firm served as a resource in Workers Compensation (WC) Claim and Program Management to include Self-insured Employers, Third Party Administrators (TPA), Excess Carriers and Reinsurers. As experts in workers compensation claim and program management to include primary, domestic, international, excess, and reinsurance claim management, we received contracts and requests for various claims management services from among others a major international carrier and a reinsurer specializing in workers' compensation, in addition to working as a subcontractor to an Actuarial and Legal Support Consulting Firm in Boca Raton, Florida.
In our capacity as experts in workers compensation, we provided specialized claims related services. The contracts encompassed an array of claims management scenarios to include the identification of critical issues and analysis for our clients. Claim audits were conducted to assure the employer and/or their TPA were engaged in best practices of WC claim management. When audits of a TPA were conducted, concentrated attention was paid to the provisions of the special handling agreement to assure contract adherence. All of the contracts entered into with our clients contained confidentiality agreements.AEGIS Insurance Services, Inc.One Meadowlands PlazaEast Rutherford, NJ 07073March 1994 to December 31, 2003Vice President - Hired as Unit Claim Manager, Workers' Compensation. Promoted to Claims Officer, Workers' Compensation in September 1994 and to Vice President in November 1996. I reported to the Senior Vice President of Claims. My duties included: The management and staffing of this newly founded and created department. Developed, implemented, and managed the workers' compensation claim audit and operational and file review protocols. The initial review report served as the model for the Division's claim audits for other lines of business as far as documentation and format were concerned. Liaison with Underwriting Division on policy wording for the Workers' Compensation and Employers' Liability Policies. Analyzed reserve adequacy for the existing workers' compensation claims and established a pension reserve protocol in conjunction with consulting actuaries. Developed a database for establishing and tracking pension reserves.
Analyzed the existing reporting criteria for the policyholders and developed revised reporting criteria for reporting workers' compensation claims to AEGIS. Initially strengthened reserves by $106,000,000 on approximately 218 claims. Implemented "Rule of 90" reporting criteria for reinsurance reporting as the reinsurance treaties contained "sunset clauses". This resulted in policyholders reporting 600 previously unreported "aged" claims with an attendant AEGIS aggregate reserve of $54,000,000. Reported claims to Reinsurers via bordereaux and on an individual basis. Established criteria for proper documentation required of the policyholders for ongoing reimbursement under the indemnification contracts. Administratively managed the Claims Performance Evaluation (CPE) Process for each of my direct report claim professionals on a semi-annual basis. Delivered presentations to the Policyholders, Claims Committee and Board of Directors regarding the various programs being implemented. Planned and participated in Roundtable Programs on various Workers' Compensation Claims Management protocols and related topics. Managed a staff of four Claim Professionals and one support person.
Kept a shadow diary on the more complex cases assigned to the Claims Professionals.At the direction of the President and Board of Directors, spearheaded a feasibility study to determine if the purchase of a primary insurance carrier was financially advantageous to this Bermuda offshore captive excess carrier. Our task was to determine the adequacy/redundancy/deficiency of the existing primary case reserves on a workers' compensation book of business.The Workers' Compensation Reinsurance Bureau (WCRB)2 Hudson PlaceHoboken, NJ 07030December 1990 to February 1994Assistant Vice President Promoted to this position from Claim Director in May 1991. In addition to my duties as Claim Director, my duties had expanded to include all administrative responsibilities from employee benefits to management of the LOC's received from Reinsurers to complete administrative management of WCRB. In addition, I had become actively involved with the actuarial and reinsurance committees interfacing with these committees in light of the activities and concerns of the Claims Committee. Assisted in successfully achieving the Corporate Mission of WCRB. In the President's absence I oversaw the day-to-day operations of WCRB to include the actuarial and accounting functions.Claim Director In this newly created position which reported directly to the President, my duties included: Manage $850 million in outstanding case losses with an annual volume of $ 100 million in payments. Acted as staff liaison to claims committee which consisted of claims executives from Member Companies.
Established the claims audit protocol when auditing Member Companies. Conducted seminars on catastrophic claims issues and WCRB reporting issues.
Reported the largest claims ceded to WCRB to reinsurers both individually and on a bordereax. Handled the documentation of claims with insolvent reinsurers. Implemented and managed WCRB training function. Participated in the marketing of prospective members. Voting representative to the Workers' Compensation Research Institute.The Continental CorporationOne Continental DriveCranbury, NJ 08570April 1987 to December 1990Corporate Claims Home Office Director Promoted from the International Division to the Corporate Claims Division in April 1990. My duties included: Supervision of four Branch Offices workers' compensation operations. Oversee Longshore Claims countrywide. Jones Act liaison with the Corporate Claims Liability Home Office. Conduct Home Office Review and Audits. Prepare monthly financial analysis of Branch Office results. Research various issues, e.g., bad faith, to prepare a comprehensive "white paper" used in training bulletins. Presentation of claims training seminars in the Branches.Workers' Compensation Supervisor - for the International Division of The ContinentalCorporation. The policies provided voluntary Workers' Compensation benefits andEmployers' Liability. In addition, I managed claims which presented exposure under the Jones Act, General Maritime Law, Oceanographic Research Vessels Act, and the Defense Base Act. My duties included: Investigation referrals and litigation management worldwide. Determination of benefits per policy provisions, local law, and/or employment contracts. Work with worldwide policies. Address coverage issues. Advise Reinsurers and Excess Carriers.Staten Island Operating, Inc.Staten Island, NY
November 1983 to November 1986Risk and Claim Manager -for Staten Island Operating, Inc, a wholly owned subsidiary of U.S. Lines, Inc. My duties included: Oversight of insurance carriers for various coverages. Implementation of Management/Union Safety program.EducationCity University of New York January 1975.Postgraduate courses, seminars, and awards Body, Heart and Mind Seminar, Industrial Claims Association, San Francisco, CA, 1980 Organized and lectured at the In-House Safety and Claims Conference for International Terminal Operating Co. 1980 and 1981. The New York Shipping Association Award for the greatest reduction in work-related accidents. 1984. Awarded the Continental International Project Excellence Award, 11-87. One day seminar on catastrophic injuries, Continental Insurance, 4-88. "Avoiding Bad Faith Claims" Seminar, Continental Insurance, 5-88. New Managers School, Continental Insurance, 4-89 Developed and presented USL&H and related seminars, Continental Insurance, 1989 and 1990. Developed and presented WCRB Claims Reporting Issues Seminar, WCRB, Newark Airport Marriott, 11-91. Developed and coordinated WCRB Catastrophic Claims Conference, Newark Airport Marriott, WCRB, 11-92. Presentation to S.E. Electric Exchange on "How to Manage your TPA", AEGIS. 5-95 Center for Creative Leadership, San Diego, CA. Graduate of the Leadership Development Program. AEGIS 1996 Roundtable on Medical Management Issues, AEGIS. 10-97 Conducted Workers' Compensation Reserve Training at Insured the Southern Companies, a Utility Company. AEGIS. 1996, 1997, 1998. Subcontractor to an actuarial consulting firm, PICC, Preferred Insurance Capital Consulting. 3-2007. Licensed by the State of Florida to teach Law and Ethics. Instructor ID 1339118. Licensed Florida Realtor License # SL3475655. Licensed Insurance Agent, Life, Accident & Health in NJ, NY, TX. NJ License # 3002506417. Expires 4-30-2025. NY License # LA-1793298. Expiresn 4-11-2024. TX License # 3029000. Expires 4-30-2025.Published Author Candidate's Name
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