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Sr. VP Avant Specialty Claims
Avant Insurance, Division of Specialty Program Group, LLCSr. VP Avant Specialty Claims
Apr. 2022 - Dec. 2024Nashville Metropolitan Area
Sr Vice President, Avant Specialty Claims
Avant Specialty ClaimsSr Vice President, Avant Specialty Claims
Dec. 2019Tennessee, United States
Vice President Claims
Avant Specialty InsuranceVice President Claims
Jul. 2019 - Dec. 2024
Vice President
Avant Specialty ClaimsVice President
Jul. 2019 - Dec. 2024
Vice President Head of Claims NA
JLT Re NAVice President Head of Claims NA
Sep. 2017 - Dec. 2024Greater Philadelphia AreaOversee the North American Claims Operations to insure production, efficiency, quality, service, and cost effective management of resources. Lead, guide direct and evaluate the work of Claim team on and offshore including Assistant VP and Claim Managers. Review activity and production reports to determine progress and status in attaining objectives and plans in accordance with current conditions. Evaluate process and claim technical quality to monitor opportunities for improvement and area of success. Work collaboratively with cross functional teams to develop synergies and improve process to create a better customer experience.
Consultant, CLM Advisors
Dillon & AssociatesConsultant, CLM Advisors
Jun. 2013 - Sep. 2017Philadelphia,PADevelop Claims Audit Programs for Carriers, TPAs and Self Insured entity. Review and develop SLAs, SOPs, Reports, Training materials for TPAs. Premium Audits Workers Compensations and General Liability. Develop Best Practices and Measurement Protocols Evaluation of operational process recommend process improvements Data analysis and Claims Metrics development for TPA Management Travel to Client (TPA, Self Insured) Locations to provide training and guidance on Claims Handling, Litigation Management, Time Management, and Early Case Assessment. Salvage and Subrogation Reviews Temporary Short Term Claim Handling Assignments Large Loss Claims Evaluations Leakage Studies Meditations and Arbitrations Leakage Studies Trial Monitoring
AVP, Global Claims Adminstration/Audit
The Navigators Group, Inc.AVP, Global Claims Adminstration/Audit
Aug. 2012 - Aug. 2013One Penn Plaza NY NYDeveloped and implement audit strategy, protocols and guidelines for in-house claims and TPAs in both the US and UK. Conduct audits provide feedback on data and develop training programs to improve file quality Develop Metrics program to analyze claim development and behaviors. Produce analyze and present findings for Senior Management regarding reserve development, ALAE, claim pendings, timeliness of reserves etc. Develop and impliment ALAE reduction strategies across all lines in the US and UK.
Manager TPA Relations/Manager Claim File Quality
PMA Insurance GroupManager TPA Relations/Manager Claim File Quality
Jul. 2009 - Aug. 2012Manage flow of data from TPAs into and out of the Insurance Company. Oversee Operations of TPAs throughout the country. Schedule and perform claims quality audits as well as operational and sarbox reviews. Manage the internal Claims Quality process and team performing audits throught the organization.
Director, Claims Quality
Legion InsuranceDirector, Claims Quality
Jan. 2007 - Dec. 2009Develped and implimented process, procedures,strategies and data bases to monitor the claims handling quality of the TPAs and Guarantee Associations handling the files for the Legion Estate.
Audit Manager
ACE USAAudit Manager
Jan. 2005 - Dec. 2009Developed polices porcedures and databases for use internally on all ACE claims from Aviation to Workers Compensation. Develop and lead a Team of Auditors in Claims Quality, Operational and Vendor issues for all TPAs. COnducted Claim Quality audits of all TPAs, All lines of ACE handled claims but in USA and internationally.

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