Experienced Risk Manager specializing in casualty claims. Particularly skilled with risk assessment, investigations, value assessment and negotiating fair settlements. Continually improve processes and case manager effectiveness. Consistently lowered claims, costs, back logs, lawsuits and reserves. Hired, trained and developed resources. Collaborated with other areas to lower administrative and claims cost.
Friends University 1978
Walmart Stores, Inc. 2007 - Present
Provided third party administration for world’s largest retailer with over 120 million weekly visitors. Grew from Case Manager serving two states to Claims Manager serving sixteen states. Responsible for overseeing claims processing, meeting production goals and assisting case managers. Highlights: • Effectively investigated and analyzed claims under applicable state laws, accurately assessed values and negotiated fair settlements. • Trained case managers to apply these claims handling policies, procedures and techniques for appropriate resolutions. • Reduced claims backlog 21%, total claims payment 23%, reserves 13.5% and lawsuits 13%. Time frame 8 months. • Consolidated two offices, taking in and reducing large case load to meet goals while reducing claims costs. • Collaborated with operations more effectively to transfer snow and ice related claims to vendor insurance carriers. Carrier acceptance increased 30%; therefore reducing administrative time 30 – 60 minutes per file and the company liabilities.
Central Research, Inc. 2007 - 2001
Developed Case Manager capability of new company. Highlights: • Trained full time recovery specialists. • Developed reporting to monitor collection progress and areas needing assistance. • Weekly income increased by 150% within 90 days.
Progressive Insurance 2000 - 2006
Managed large bodily injury claims assessment, settlement and collaborated with legal counsel when needed. Highlights: • Investigated, assessed and resolved auto accident claims • Recognized appropriate times to submit subrogate claims. • Attended depositions, mediations, arbitration hearings and trials. • Met production goals
GUIDEONE Insurance Group 1996 - 2000
Home-based auto and property claims representative. Evaluated claims to ensure validity, determine liability, and negotiate fair settlement value. Highlights: • Accurately wrote agreed price estimates for auto repairs and handling total losses to completion • Consistently achieved monthly closing goal of 110% • Recognized appropriate times to submit and successfully process/negotiate subrogation claims. • Designated as top claims representative for reduction of pending and file quality for two consecutive years.