Resume
PROFESSIONAL SUMMARY
Bodily Injury Supervisor with 14 years of experience in leading teams and resolving complex injury claims. Proficient in change management, compliance, and policy interpretation, with a proven track record in claims investigation and litigation support. Demonstrates strong analytical skills and expertise in claims reporting systems to include forecasting and results interpretation, to enhance efficiency and achieve top regional results.
EMPLOYMENT HISTORY
Third Party Bodily Injury Supervisor - GEICO
July 2019 - Present
Top-rated supervisor in 2023 for early settlements with demands and attorneys.
Resolve bodily injury claims through coaching effective negotiation, injury evaluation and rapport-building. Recognize opportunities for early settlements for pro-se and attorney represented parties.
Lead high-performing team of 6 in tort injury claims, consistently achieving top quartile results. Drive individual growth in file quality and productivity.
Manage claims across multiple states, adeptly handling contributory and comparative negligence for first and third-party bodily injury cases.
Pioneer new claims initiatives as subject matter expert. Leverage Guidewire System and Microsoft Office expertise to streamline processes and enhance efficiency.
Conduct thorough yet prompt coverage investigations, applying policy contracts and state statutes. Evaluate bodily injury claims for accurate injury assessment and value.
GET NUMBERS...HOW MUCH IN PAYOUTS, HOW MANY CLAIMS PER PERSON, PER TEAM, PER YEAR. HOW MUCH MONEY DID THE TEAM HANDLE IN BI? WHAT WAS THE SUIT CONVERSION RATE?
Coverage Supervisor - Special Investigation Unit - GEICO
February 2019 - July 2019
Led fraud investigations, saving $1.25M. Integrated Loss of Business claims into fraud unit, reducing payouts by $48K. Managed team of 7 for enhanced coverage and liability resolution.
Analyzed fraud indicators to optimize investigation processes. Implemented data-driven strategies, resulting in substantial cost savings and improved claim resolution efficiency.
Fostered teamwork among coverage and liability associates, enhancing fraud detection capabilities. Streamlined communication channels for swift claim processing and resolution.
Liability and First Party Injury Supervisor - GEICO
January 2016 - February 2019
Conducted complex coverage and liability investigations ensuring timely and precise resolution for a 6-member team.
Meticulously evaluate medical billing and records, guaranteeing accurate payments and maintaining high-quality standards.
Foster team synergy in processing comparative and contributory negligence cases, enhancing overall investigative outcomes.
Implement strategic improvements in liability investigation processes, significantly reducing resolution time and increasing accuracy.
Resolve liability disputes as a member of Arbitration Forum, ensuring a definitive resolution for liability and payment of claims for opposing carriers.
First Party Injury Transition and Compliance Supervisor - GEICO
January 2016 - February 2019
Integrate new associates into first party injury handling, ensuring smooth transitions and compliance.
Manage diverse teams, including First Party Medical, Call and File Quality Compliance, and new hires.
Revise and implement new associate transition models, enhancing onboarding efficiency.
Achieve top rankings in corporate file and call quality audits for direct handling and first party injury.
Roll out regional call monitoring for first and third party injury units, improving oversight and performance.
Led transition of new associates into injury handling, managing multi-discipline teams. Revised associate model, achieving top rankings in quality audits.
Spearheaded regional implementation of call monitoring for injury units. Redesigned transition processes, enhancing efficiency and performance metrics.
Drove excellence in file and call quality, securing countrywide top rankings. Optimized compliance procedures, elevating team performance standards.
Fostered seamless integration of diverse teams, including external and internal hires. Cultivated a cohesive work environment, boosting productivity.
Led transition of new associates into injury handling, managing multi-discipline teams. Implemented revised associate model, achieving top rankings in quality audits.
Spearheaded regional implementation of call monitoring for injury units. Redesigned transition processes, enhancing efficiency and performance metrics.
Catastrophic and Litigation Claims Examiner - GEICO
January 2016 - February 2019
Conducted coverage and liability investigations for claims involving serious and catastrophic injury for unrepresented and represented individuals for Tort/UM/UIM bodily injury
Evaluated, negotiated and settled claims within assigned authority both in litigation and those with potential for litigation
Guided and provided support to insureds as defendants in lawsuits
Attended depositions, mediations, arbitrations, settlement conferences, trials for matters in litigation with a focus on changes or alterations to settlement opportunities
Recommended, set, negotiated and maintained reserves within designated authority
Identified and processed property damage exposures within company and state guidelines
Investigate complex liability cases, negotiate settlements, and provide legal support, ensuring optimal claim resolutions and risk management.
Lead litigation processes, from depositions to trials, adapting strategies to maximize settlement opportunities and protect company interests.
Maintain meticulous file and call quality, adhering to company and state guidelines while staying current with evolving case law and insurance regulations for Tort/UM/UIM bodily injury claims.
Foster relationships with defense and plaintiff attorneys and industry peers, facilitating successful claim resolutions and enhancing inter-company cooperation.
Identify and implement risk management strategies, addressing potential exposures for claims, insureds, and the company proactively.
PRIOR CLAIMS HISTORY BEGINNING SEPTEMBER 2010 - GEICO
Direct Handling Claims Supervisor
Third Party Bodily Injury Claims Adjuster
First Party Injury and Liability Claims Adjuster
Direct Handling Claims Adjuster
PROFESSIONAL DEVELOPEMENT/EDUCATION:
BA Business Management University of Maryland University College, summa cum laude, 4.0 GPA
Sigma Station
SM18