Candace Duncan, M.A., CPCU, CLU, AIC, AINS, ACS, API

Claims Director at Security First Insurance
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Contact Information
us****@****om
(386) 825-5501
Location
Ormond Beach, Florida, United States, US

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Experience

    • United States
    • Insurance
    • 200 - 300 Employee
    • Claims Director
      • Jul 2021 - Present

      United States The Director of Claims is responsible for all daily claim operations Provide leadership and guidance to claim staff in assigned operational areas Design claim procedures and guidelines to execute SFIC services to policyholders on all claim-related matters Oversee anti-fraud investigations and approve dispositions in accordance with the guidelines established by SFIC management Conduct internal audit review of claim operations for compliance with established… Show more The Director of Claims is responsible for all daily claim operations Provide leadership and guidance to claim staff in assigned operational areas Design claim procedures and guidelines to execute SFIC services to policyholders on all claim-related matters Oversee anti-fraud investigations and approve dispositions in accordance with the guidelines established by SFIC management Conduct internal audit review of claim operations for compliance with established guidelines and opportunities for improvement Monitor claim system initiatives and design changes, provide input for system changes related to claim data and claim workflows Provide input to VP of Claims for claim-related decisions and initiatives Perform claim management analysis to monitor claim department performance, risk analysis, and claim trends Participate with the SFIC management team in corporate analysis and decisions as requested Provide SFIC executive management with claim expertise and assistance as requested; participate with the SFIC management team in corporate decisions as needed Represent SFIC in claim-related industry activities Assist SFIC executive management with legislative analysis as it relates to claim trends for input on appropriate insurance legislative reform

    • Claims Manager
      • May 2021 - Jul 2021

      United States Supervises and manages a team of claims examiners to ensure proper claim handling and compliance with claim guidelines Conducts initial reviews of property claims and equitably assigns them to staff as required Evaluates all claims, provides guidance and settlement authority Effectively manages loss, loss adjustment expenses and loss reserves for claims assigned within the unit Analyzes reports to identify trends and proposes appropriate strategies Refers… Show more Supervises and manages a team of claims examiners to ensure proper claim handling and compliance with claim guidelines Conducts initial reviews of property claims and equitably assigns them to staff as required Evaluates all claims, provides guidance and settlement authority Effectively manages loss, loss adjustment expenses and loss reserves for claims assigned within the unit Analyzes reports to identify trends and proposes appropriate strategies Refers claims to the complex unit and/or litigation as necessary Builds relationships with external business partners and exercises independent judgement in transactions Performs training to internal staff members as required Participates in training and mentoring of external business partners Conducts claim file reviews for department Performs claims examiner duties as required Attends mediations, settlements and legal proceedings as required Other duties as assigned, with or without accommodation Present a professional and helpful appearance Assist in other areas of department or other departments as required

    • Claim Supervisor
      • Oct 2019 - May 2021

      Ormond Beach Supervises a team of Claims Examiners to ensure proper claim handling and compliance with Security First Insurance (SFI) claim guidelines Conducts initial reviews of property claims and assigns them to staff Evaluates all claims, provides guidance and settlement authority Effectively manages loss, loss adjustment expenses and loss reserves for claims assigned within the unit Analyzes reports to identify trends and proposes appropriate… Show more Supervises a team of Claims Examiners to ensure proper claim handling and compliance with Security First Insurance (SFI) claim guidelines Conducts initial reviews of property claims and assigns them to staff Evaluates all claims, provides guidance and settlement authority Effectively manages loss, loss adjustment expenses and loss reserves for claims assigned within the unit Analyzes reports to identify trends and proposes appropriate strategies Identifies complex claims/develops strategies and settlement solutions Builds relationships with external business partners and exercises independent judgement in dealings Performs training to internal staff members as required Participates in training and mentoring of external business partners Conducts claim file reviews for department Performs claims examiner duties as required Attends mediations, settlements and legal proceedings as required Other duties as assigned, with or without accommodation Present a professional and helpful appearance Assist in other areas of department or other departments as required

    • United States
    • Insurance
    • 100 - 200 Employee
    • Property Claim Supervisor
      • Feb 2019 - Oct 2019

      Jacksonville, Florida Supervise Claims Staff Review the performace of direct reports Identify any training needs and conduct training. Coach and mentor staff. Provide individual feedback. Coordinate communication between customers and Claims Examiner should escalation be required. Provide weekly/monthly reports to Claims Manager regarding statistics and staff performance. Participate in staff recruiting. Complete annual performance reviews for staff, with contributions from Claims… Show more Supervise Claims Staff Review the performace of direct reports Identify any training needs and conduct training. Coach and mentor staff. Provide individual feedback. Coordinate communication between customers and Claims Examiner should escalation be required. Provide weekly/monthly reports to Claims Manager regarding statistics and staff performance. Participate in staff recruiting. Complete annual performance reviews for staff, with contributions from Claims Manager. Approve weekly time cards for direct reports. Approve time off requests for direct reports and insuring sufficient coverage is available to meet the needs of the business. Show less

    • United States
    • Insurance
    • 700 & Above Employee
    • State Farm Payment Plan Supervisor
      • Apr 2018 - Feb 2019

      Jacksonville, Florida Supervises first line employees Broad understanding of SFPP policy and procedures Demonstrates successful administration of company policies/procedures (e.g., performance management, employee development, and expense management, and Human Resources policies/procedures and employment practices) Anticipates problems and future needs of department Proactively prepares management reports necessary to improve performance of process Ensures department goals are aligned with company… Show more Supervises first line employees Broad understanding of SFPP policy and procedures Demonstrates successful administration of company policies/procedures (e.g., performance management, employee development, and expense management, and Human Resources policies/procedures and employment practices) Anticipates problems and future needs of department Proactively prepares management reports necessary to improve performance of process Ensures department goals are aligned with company goals; determining alternative plans/solutions, as necessary Develops, analyzes, and manages unit budget Leverages technical expertise of SFPP employees to solve complex issues Identifies problems and creates solutions; establishing a network within the organization to quickly facilitate resolution and manage everyday work issues Leads special committees/projects Provides peer to peer mentoring Uses knowledge of technical procedures and elements of the processes they supervise in daily activities/projects May be required to testify in court on behalf of State Farm Show less

    • United States
    • Individual and Family Services
    • 300 - 400 Employee
    • Customer Response Center Supervisor
      • Nov 2013 - Apr 2018

      Jacksonville, Florida Leading and coaching employees, provides vision for improvement; sets strategic goals; resolves escalated issues; analyzes efficiency; enhances processes and procedures; communicates response center, industry, company, and department information; conducts quality evaluations and provides feedback for improvement

    • Claim Representative
      • Feb 2006 - Nov 2013

      Orlando, Florida Area Settling claims by investigating, evaluating, & negotiating, through contact by telephone, correspondence or in person. Evaluate facts of the loss and liability analysis to determine appropriate settlement options. Adjust large losses for building repairs, contents, and additional living expenses. Create building repair estimates based on damages observed during inspections, information provided by our insureds, and contractors. Effectively communicate with customers, witnesses, agents… Show more Settling claims by investigating, evaluating, & negotiating, through contact by telephone, correspondence or in person. Evaluate facts of the loss and liability analysis to determine appropriate settlement options. Adjust large losses for building repairs, contents, and additional living expenses. Create building repair estimates based on damages observed during inspections, information provided by our insureds, and contractors. Effectively communicate with customers, witnesses, agents, other insurance companies, attorneys, and others in the course of processing the claim. Work with attorneys in defense of lawsuits.

    • Executive Team Leader
      • Sep 2004 - Feb 2006

      Create an environment throughout the store of Fast, Fun, and Friendly Service, and maintain the Target Brand by presenting a great looking store, help build profitability by driving sales and supporting the RED card credit program, hire, develop, and retain great team members, write schedules and reviews, perform Leader on Duty responsibilities by running the building, supervise Team Members, merchandise clothing, read and use reports, recognize great team members.

    • Marketing Intern
      • May 2002 - Aug 2002

      Helped to execute seasonal hospitality incentive programs, placed collateral and point of sale displays in market, increased park relations with Tampa and Beach Markets, maintained and strengthened relationships with front-line hospitality staff, uncovered additional exposure, reported on competitive in-market collateral and trends, initiated non-traditional promotions/blitzes, executed seasonal local awareness blitzes, participated in outer market programs and promotions, and assisted with… Show more Helped to execute seasonal hospitality incentive programs, placed collateral and point of sale displays in market, increased park relations with Tampa and Beach Markets, maintained and strengthened relationships with front-line hospitality staff, uncovered additional exposure, reported on competitive in-market collateral and trends, initiated non-traditional promotions/blitzes, executed seasonal local awareness blitzes, participated in outer market programs and promotions, and assisted with off-site promotional blitzes. Show less

Education

  • University of Florida - Warrington College of Business
    Master of Arts, Business Administration International Business
    2003 - 2004
  • American Institute For Chartered Property Casualty Underwriters
    Chartered Property and Casualty Underwriter, Property and Casualty Insurance
    2012 - 2015
  • The American College
    Chartered Life Underwriter
    2006 - 2011
  • University of Florida - Warrington College of Business
    Bachelor of Arts, Business Administration; Mass Communications
    1999 - 2003
  • Evans High School

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