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Click here or scroll down to respond to this candidate1 P a g eCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLESUMMARYBusiness Professional demonstrating years of experience in the insurance and business consulting industry. Adept at leading management activities, in addition to building productive teams. Proven record of accomplishments relative to exceeding company goals and objectives. Extensive problem- solving skills in Personnel Management, Customer Service Relations, Directing Client Services and Discrepancy Management. Currently seeking a leadership opportunity that will leverage my technical and professional expertise.STRENGTHS Forecast & Projection Analysis Catastrophe Claims Handling Economic & Performance TrendIdentification Quality Control Cost of Operations Analysis Team Building / Leadership Data Compilation / Analysis Project Improvement Risk Management Claims Management PROFESSIONAL PROFILEPilot Adjusting Services, Inc May 2011 - PresentField Property Claims ConsultantExperienced professional that directs all facets of national property and casualty claims. Facilitate and coordinate claims with major insurance companies and policyholders. Re-inspect claim files and mitigate risks for the insurance company overall. Trusted professional in the insurance industry that motivates and encourages teams. Works in collaboration with senior management, middle management and other staff members in light of streamlining process and procedures relative to claims support and services. Proficient with IT systems, Excel, PowerPoint, Outlook, and Multiple Claim Systems Responsible for insuring service level agreements are achieve Facilitated on-sight training and leadership presence for assigned Independent Adjuster during Catastrophe Claims Operations. Served in the capacity of a Company Liaison to contracted insurance companies during deployment assignments. Field trained, managed and directed daily claims activity of independent staff to ensure the delivery of contracted service level agreements by Pilot Catastrophe Adjusters. ECS Power user training Dallas, Tx 12/2011CLC Group, Chicago, IL August 2013 - PresentVice President Economic Development and Strategic Planning/PM Effectively lead and manage all areas and aspects of Economic Strategic Planning, Client Services and Risk Management Operations Executive Leadership Consultant to the Board of Directors providing comprehensive economic market analysis and effective business strategy Propose methodology that reduced CRM workflow processes Create innovative economic market strategy that improve enterprise inefficiencies and gaps 2 P a g e Work extensively with statisticians and economic advisors relative to growing global enterprise revenues Applied comprehensive, analytical approach toward solving problem areas across the client enterpriseSenior Mediation and Arbitration ConsultantAnalyze complex property and casualty claims analytics Work collaboratively with legal and financial business units to reduce collection lag time and increase revenueAFTERMATH SERVICES, LLC Aurora, IL January 2012 August 2013 Director of Client Services Executive Leadership Consultant regarding active mediation, conflict resolution and policy interpretation to the insurance industry at large. Facilitate and execute all interaction with Insurance carriers during claims/job reconciliation. Provide estimating expertise and training to the organization on SME direction and Xactimate estimating. Work extensively with Xactware Corp on behalf of Aftermath Inc. to create new Remediation category for estimating. Manage and Mentor client services personnel relative to insurance policies and terminology. Worked to collaborate within the Insurance Industry and TPA environment with a focus on vendor relations that helped bridge the gap relative to the Biohazard Remediating Industry. Helped develop processes and procedures utilized by Aftermath when interacting with insurance carriers to reduce turnaround time for file closure.CLC GROUP, Chicago IL August 2009 - May 2011VP Economic Development/ Strategic PlanningEffectively lead and managed all areas and aspects of Economic Strategic Planning, Client Services and Risk Management Operations Executive Leadership Consultant to the Board of Directors providing comprehensive economic market analysis and effective business strategy Propose methodology that reduced CRM workflow processes Create innovative economic market strategy that improve enterprise inefficiencies and gaps Worked extensively with statisticians and economic advisors relative to growing global enterprise revenues Applied comprehensive, analytical approach toward solving problem areas across the client enterprise Superior knowledge of revenue growth operations, needs assessment, strategic planning, and project managementAAA / AUTO CLUB GROUP, Aurora, IL August 2006 August 2009 Regional Claims Manager / Property Claims ManagerLead claims operations for homeowners property claims in 8 Midwest states / markets which included IL, IN, WI, IA, MN, OH, KY and WV. This operation provided first line claims service to over 150,000 policyholders.Provided leadership direction to the property claims department by successfully ensuring the following: 3 P a g e Established the first in-office Regional Claims Staff that supported operations, diversified organization, decreased claims complaint ratio and increased customer service. Increased business efficiencies, productivity and claims accuracy that positively affected expense management. Developed statistical reports that monitored staffing, tracked production, productivity and accuracy for eight states and 22 claims personnel. Contributed to Auto Club Group committee meetings / company training programs, which improved technical proficiencies, accuracy, and production of claims department. Reviewed and evaluated claim education and training initiatives, in addition to coordinating corporate and agency training. As a result, documented improvements with open-to-close turnaround time and decreased claims handling cost occurred. Cultivated collaborative relationships and worked closely with departments within the organization such as Data Management, Regulatory and Compliance and Corporate Legal Departments to achieve company goals concerning, monitoring trends, ensuring corporate / industry compliance and responding to litigation issues.Lead properties claim unit of 10 specialist, monitored claims frequency, severity and cost in addition to, identifying performance trends relative to customer service goals and objectives. Continually improved work processes while ensuring high levels of productivity / quality from claims staff as monitored through monthly / quarterly leadership meetings ensuring delivery of just in time training and providing one on one staff mentoring and feedback. Developed and Mentored staff on property damage estimating accuracy, timely reporting and prompt resolution of all aspects in claim handling. As a result, claims cycles shortened, damage assessment accuracy increased, and customer service levels improved. STATE FARM INSURANCE, Bloomington, IL July 1997 July 2006 Catastrophe Services ReinspectorResponsible for guiding Re-inspection teams of 812 Quality Control inspectors while traveling nationwide during major catastrophic claims operations. Leadership responsibilities included providing critical focal point QC leadership during deployment operations. Also provided management with periodic and detailed fact-based analytical data on customer service and estimatic accuracy. Statistical data compiled by teams of quality control inspectors were tabulated and presented to management during and after major weather events. This data tracked estimatic abilities of claims staff, identify claim-handling trends, and helped ensure corporate goals and industry standards were achieved. As a result, claims staff experience levels, accuracy and proficiency increased as did inspection production.Casualty Claims Specialist/ Property Claims Specialist December 1986 July 1997 Interpreted complex policy coverage(s) and determined if coverages apply to claims submitted. Set reserves and authorized claim settlements within scope of authority, effectively settling claims in most cost-effective manner and ensuring timely issuance of disbursements. Coordinated and performed investigations and evaluated claims and suits through contact with insured's, claimants, witnesses and experts. Routinely identified potential fraud indictors and refers to SIU department. Utilized negotiation skills to develop settlement packages. Identified claims with third party recovery potential and coordinates with subrogation / salvage unit. Worked with attorneys, account representatives, agents, doctors, nurse case managers and insured's regarding the handling and / or disposition of more complex claims. Analyzed claims activities and prepared reports for management. Accepted responsibility for special projects and presentations on injury review, investigations and reporting. Provided guidance and assistance to other claims staff and functional areas. Kept current on state / territory regulations and issues as well as industry activity and trends. 4 P a g eEDUCATION AND TRAININGBA, Economics, Southern Illinois University, Carbondale, IL PCCLA Property & Casualty Claims Law Associate, American Educational Institute, Inc Insurance License: Texas Department of Insurance (All Lines Adjusters License) Florida Department of Insurance (All Lines Adjuster License) North Carolina Department of Insurance (All Lines Adjuster License) Minnesota Department of Insurance (All Lines Adjuster License) Arkansas Department of Insurance (All Lines Adjuster License) Certifications:Federal Emergency Management Administration Project Management Training PMP/CAPM Project Management Professional Certification, Microtrain Technology, Chicago, IL ITIL V3 Foundations Training, Microtrain Technology, Chicago, IL Industry Training:Biohazard Remediation Knowledge,Flood Disaster, Major Structural Disaster, Wind / Hail Disaster, Commercial Disaster Loss, Earthquake Training Program, Estimatic/Xactimate Usage, Catastrophe Trainer, Catastrophe Quality Control Inspector, Knowledge-Computer / Sys, Technical Support, Flood Claims, Catastrophe Claims, Classroom Facilitation, Fire Cause & Origin Training, Earthquake Claims, Homeowners Claims (Sec. I / II), Boat Owners Claims |
