Assistant Vice President, Claims Operations resume example with 19+ years of experience
Top performing claims executive with leadership experience and a proven record of accomplishment in handling TNC, DNC, MGA program business on a multi-lined basis. Primary, excess experience in commercial, personal lines auto, and general liability. Committed to the creation of high-performing, productive, collaborative teams within a culture of excellence. Management of personnel and accounts on large exposure nation-wide commercial and general liability business. Excellent coverage analysis skills. Focus on data-driven decision-making, trends, and results. Oversight of nationwide litigation management, large-case settlements, trial monitoring, settlement conferences, mediations, depositions, on complex, large-loss claims up to $5,000,000. Best-practice compliance auditing. Employee management skills with results oriented closing ratios. Licensed insurance adjuster in TX (DHS), OK, CO, GA, FL, LA, NM, OR and SC. Outstanding communications, presentation, negotiation, and analytical skills. Review and evaluation of monthly loss runs and reports. Microsoft Office and proprietary claims systems experience including Guidewire. Consistent record of exceeding expectations.
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- Assisted chief claims officer in creating and prioritizing strategic initiatives.
- Worked with regulatory representatives to complete accurate filings and maintain compliance.
- Evaluated budget plans and current costs to project trends and recommend updates.
- Mitigated business risks by using industry leading technology and strong business relationships with vendors.
- Developed online first notice of loss portal and spearheaded implementation of new claim system-centered technology.
- Developed, evaluated, and executed vendor partner contracts.
- Claims leadership and oversight experience in 47 states nationwide.
- Coordinated, provided oversight, and responded to several successful market conduct examinations.
- Coordination and oversight of the commercial lines products, including commercial general liability, commercial and personal lines property and casualty auto liability.
- Created, cultivated, and lead of a team of claim managers.
- Lead the Guidewire transformation team to a successful system implementation.
- Established and oversaw vendor relationships.
- Implementation and monitoring of claim reserving predictive analytics model.
- Created and oversaw claims department metrics.
- Coordination and overnight of reinsurance audits.
- Managed a group of 25-30 adjusters and supervisors.
- Oversight, coordination, and supervision over commercial and personal lines claim teams.
- Regulatory compliance management and oversight to include department of insurance responses and several market conduct examinations.
- Established levels of settlement authority for adjusting staff based on their experience level and performance.
- Provided guidance and mentorship to supervisors in the review, evaluation, and handling of claims of complex or unusual issues and/or large exposures.
- Developed and managed relationships with defense counsel.
- Maintained high levels of communication with the AVP of Claims regarding the status of the claim department, claim staff, and claims of complex or unusual issues and/or large exposures.
- Supervised personal lines property and casualty claims with a staff of 8-10 adjusters.
- Specialized in the handling and investigation of claims involving extensive coverage matters including, unscheduled drivers, unscheduled vehicles, business use, and other various issues.
- Supervision of theft claims which involved working closely with the special investigation unit.
- Supervised and provided oversight over policy rescissions after the initial claim investigation revealed material misrepresentation.
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Resume Overview
School Attended
- CLM Claims College
- William Howard Taft High School
Job Titles Held:
- Assistant Vice President, Claims Operations
- Assistant Vice President, Claims Operations
- Casualty Claims Manager
- Personal Lines Auto Liability Claim Supervisor
Degrees
- C.C.P.
- High School Diploma
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