Adept in analyzing complicated information; knowledge and understanding of concepts and principles applicable to business management; well versed in tort law and rules of civil procedure; technical proficiency to grasp quickly the difficulty and complexity of employment practices; proficient in computer-based technologies.

PROFESSIONAL EXPERIENCE

Cook County Government - 4/2014 to 9/2015
Claims Adjuster II

Managed workers’ compensation, lost time and medical only, claims from inception to conclusion; resolved inquiries and problems pertaining to administration of benefits; examined and summarized detailed reports/analysis; preserved sensitive and confidential information; collaborated with department managers, administrators, regulators, legal counsel, and others to manage, plan and coordinate processes; aggregated and maintained claim data; interpreted and communicated policies, procedures, and regulations; researched and prepared detailed reports, correspondence, and presentations; and performed special projects and ad-hoc reporting.

American International Group, Inc. - 12/2004 to 08/2013
Senior Claims Analyst

Handled multifaceted and critical professional, medical malpractice, and general liability claims against hospitals, health systems, ancillary care facilities, physicians, nurses, and others; performed lost exposure valuations; analyzed insurance coverage on primary, excess, umbrella, and reinsurance levels; drafted coverage position letters; retained and worked with legal counsel in litigation defense; negotiated complicated claims; attended trials, arbitrations, and depositions; participated in mediations and court settlement conferences; conducted claim audits; performed loss report reviews; developed custom analytical reports; and worked with third party administrators and self-insureds to administer claims within retention limits.

Pro Assurance Group - 07/2003 to 12/2004
Senior Claims Specialist

Examined, investigated, and concluded litigated and non-litigated healthcare professional and general liability claims; represented physicians, surgeons, and other healthcare providers; evaluated coverage/policies; prepared reservation of rights and disclaimer letters; set and maintained accurate reserves; assigned defense counsel; negotiated moderate to complex claims; attended trials, administrative proceedings, and depositions; and participated in mediations and court settlement conferences.

Travelers Insurance - 09/2000 to 07/2003
Senior Claims Representative

Handled professional, medical malpractice, and general liability claims through investigation, evaluation and disposition; determined applicable coverage under primary, umbrella, and excess policies and address diverse coverage issues; established and recommended reserves; negotiated complex claims; assigned and directed activities of legal counsel, private investigators, expert witnesses, and others; attended trials and depositions; participated in mediations and court settlement conferences; and worked with third party administrators and self-insureds to administer claims within retention limits.

CNA Insurance Companies - 03/1989 to 09/2000
Claims Consultant

Managed workers’ compensation, lost time and medical only, claims throughout loss development; coordinated activities to ensure claims were handled in accordance with established policies, procedures, and regulations; handled professional, medical malpractice and general liability claims against dentists, optometrists, and chiropractors; worked with legal counsel in investigation and defense of employment practices liability claims; and performed all aspects of claims administration.

EDUCATION - TRAINING

University of Wisconsin – Milwaukee, Bachelor of Business Administration
Insurance Institute of America, certificate program in management
Insurance School of Chicago, certificate program in risk management
American Educational Institute, Inc., certificate program in casualty claims law
DePaul University, certificate program in advanced dispute resolution

AFFILIATIONS

American Society for Healthcare Risk Management
Chicago Healthcare Risk Management
Fellow with the Council on Litigation Management
Professional Liability Defense Federation
Claims Association of Greater Chicago
Association of Workers’ Compensation Professionals
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