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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Mariel Court Phone: PHONE NUMBER AVAILABLEDavenport, FL Street Address Email: EMAIL AVAILABLEOBJECTIVE:Results-driven, self-motivated insurance professional seeking a progressive organization that will utilize my managerial and leadership skills in a challenging position. Focusing on discovering an innovative environment that is defined by team players pursuing the same goal, who are mainly striving for only the best for the company. Areas of expertise and demonstrated accomplishments include client relations, risk management, operations, marketing, budgeting, and audit as well as product sales and improvement. PROFESSIONAL EXPERIENCE:MD Claims Management LLCCurrent Position Daily Claims Pre-Litigation Team Lead. Duties included overseeing 10 Desk Pre- Litigation Adjusters and quality of work. Regular internal claim reviews on large losses and reporting to client as needed. Assigning Field adjusters for reinspections.Attendance of weekly client meetings and reporting any trends or issues. Xactimate work product review and approval of all reports and vendor assignments. Training new Adjusters to handle pre-lit claimsDaily interaction of various claims to provide policy and handling guidance to the various desk adjusters to move the claims to closure.Claim discussions with various attorneys as needed to bring to resolution. Provide team with updated case law and changes to client servicing instructions. Pharos claim services 12-2017 to May 2021 due to receivership (Lighthouse Insurance)Position Daily Claim DirectorResponsible for oversight of all daily claim handling units and individual servicing of insured claims. Formulated claim handling guidelines as well as various protocols for daily claims handling. Also assisted in the internal handling of the first one hundred Cat claims for a given event.Created and worked with IT to formulate claims dashboard (Tableau) for Key performance indicators and analyzing desk examiners work product. Responsible for hiring and ensuring right sized staffing and retention on a regular basis for the enterprise.Strategize with executive team to better customer relations and improve our product as well as develop and schedule staff training initiatives. Responsible for handling mediations for our Louisiana jurisdictional claims that are attorney represented. Work to bring each claim to resolution through the Louisiana Voluntary Mediation program for all IDA Cat files. Oversight of all DOI and BBB responses to any customer service issues. Worked directly with SVP and VP of claims on various project and strategies to improve overall performance and KPIs for the enterprise.Multi State Daily Claims Manager- Promoted to daily claims manager position 1-1-19 Responsibilities include daily meetings with each of the five supervisor units on procedures, Training and claim handling duties.Continued oversight of our vendor TPAs and their work product. Worked closely with the claim managers from each TPA to ensure our handling requirements are met. Authority approvals and mediation attendance.Responsible for directly interviewing and hiring new staff as well as performance improvement plans and potential terminations in conjunction with our HR department. Accountable for all annual reviews and quarterly progress reviews. Present all Large loss claims monthly to the Enterprise executive team to include plan or resolution.Worked with VP and SVP directly on various claim projects. Litigation Supervisor Florida 12-2017Managed high volume of litigated claims. Worked with our defense attorneys to strategize and work to resolve disputed claim matters. Attended all Florida mediations. Vendor oversight- Responsible for claim handling procedures and audits of our two TPAs at the time. ROL and CCMS. Both reported directly up through me for all authority requests and staffing discussions.Gallagher Bassett Services, Orlando FloridaBranch Manager-June 2003 to PresentResponsible for overseeing all claim functions for the Orlando branch office; oversight of five supervisors and an office staff of 46 employees; serve as account manager for several local accounts; provide GB clients a broad range of risk management services; plan, organize and direct branch activity to meet client service needs and Corporate quality and expense goals; maintains and nurtures positive client, inter-departmental, intra-company and governmental relations; maintain high visibility and impact on client relations; extensive interaction at all levels or client hierarchy; substantial internal collaboration with Management, direct reports and area producers; plan, direct and monitor, staff assignments; responsible for quantity and quality of product; develops activity and financial plans; monitor and control Branch/Field operations resources; develop and recommend work and product improvement; perform staff functions for GB home office/AJGCo; effectively manage eight jurisdictions including Florida, Georgia, North Carolina, South Carolina, Alabama Louisiana and Mississippi claims; lines of coverage include Workers Compensation. Liability and property claims. Key Achievements:Successfully passed internal product line audit with a score of 92.5; this is the first time this branch has passed since 1998.Successfully passed all major client and carrier audits for 2004 to present.Maintained a 98% client retention rate for 2004 to presentOrlando branch is the flagship branch for Captive Client handling.Opened new Liability office 6-2016 and hired all current staffing.Branch passed XL carrier audit with scoring at 95%Zero errors or Omissions for 2016 and 2017Gallagher Basset Southeast service award of excellence for the top branch in the southeast zone 2016. Presented 4-2017Cunningham Lindsey, Nashville, TennesseeOffice Manager/Regional Manager - CMS Division, 1997 to 2003 Responsible for all aspects of managing a claims office, including, but not limited to: Budgeting and profitability; management and staffing of 30 to 45 employees, insuring that all accounts are serviced in a professional manner; provided quality service for all workers compensation and liability accounts, as well as implementing and insuring all staff adhere to proper claims handling procedures; responsible for marketing new business within the state of Tennessee, including the management of Southeast Region offices in Georgia and Florida.Key Achievements:Successfully turned around a failing Nashville office within six months and maintained profitability for over five years; accomplished a similar objective with the Atlanta office.Awarded most profitable office of the year 2000-2001.Maintained a consistent 100% plus closing ratio per month.Promoted to regional manager within one year of hire.Successfully conducted file and staff audits of the Charlotte, Louisville, and Atlanta offices.Assigned to quality control audit team for the Southeast.Recognized for improving internal claims managing procedures which became policy nationwide.Maintained a successful internal audit record for the past five years.Winner of the 4 Keys Award for first quarter of 2002 Zurich American, Nashville TennesseeSenior Workers Compensation Specialist, 1996 to 1997 Designated office construction specialist; responsible for all national construction accounts; aided regional vice president in assisting and helping to organize claims staff to improve efficiency.Key Achievements:Maintained 100% closing ratio each month.Successfully completed Zurich Claims and Construction Claims training programs. Alexsis Inc., Hartford Connecticut/Nashville, Tennessee Unit Manager, 1991 to 1996Responsible for all aspects of workers compensation claims for forty national accounts; managed 15 to 20 employees; serviced accounts and insured that proper claim handling procedures are adhered to; assisted in marketing and securing new business. Key Achievements:Promoted to unit manager within three months of hire.Given additional responsibilities of overseeing in-house nursing staff.Designated medical bill audit coordinator between Alexsis and Corvel.Instrumental in developing and implementing Connecticuts first statewide PPO network for state employees.Hosted several instructional claims managing seminars for both medical providers and state employees.EDUCATION AND DESIGNATIONS:Central Connecticut State University, New Britain, Connecticut, 1981-1983University of Bridgeport, Bridgeport, Connecticut, 1983 -1984, Major: Marketing; Minor: MusicCurrently studying for ARM designationPROFESSIONAL ORGANIZATIONS:RIMS, Mid-South Workers Compensation Association.FIGAOrlando claims associationREFERENCES: Outstanding references available upon request. Licensing Florida-6-20 All lines license. Currently licensed in, NC, SC, LA, and TX Designations- Flow Certified professional 8-20215545 South Orange Avenue, Orlando, FL 32809 Phone: PHONE NUMBER AVAILABLE Fax: PHONE NUMBER AVAILABLE www.pharos.claims April 27, 2022I worked with Candidate's Name from December 18, 2017, through April 11, 2022. Both of Pharos Claim Services clients were placed in Receivership by the Louisiana Department of Insurance causing layoffs that included Keith.Keith was initially hired to adjust litigated homeowner claims. He was effective in this role and received promotions to Claim Supervisor, Claim Manager, Claim Director, and member of the Pharos Executive Leadership Team during his time at Pharos. In his most recent role, he was responsible for the claim escalation unit that resolved disputes arising from the 2021 Cat season. In this role he developed processes and procedures, provided claims handling training, and completed employee reviews. Keith is an effective leader who genuinely cares about his direct reports, is self-motivated, and works well without needing oversight.Keith led an initiative our Voice of the Employee initiative that he designed to obtain feedback from our employees and recommendations for areas of improvement. As a result, we implemented additional communication opportunities for employees including a quarterly town hall meeting and weekly supervisor meetings.Keith would still be employed if the insurance carriers were not placed in Receivership, and I would hire him again.Michael DurovicExecutive Vice PresidentPHONE NUMBER AVAILABLE/pre> |
