Experience

Fireman's Fund Insurance Company

• United States
• Insurance
• 400 - 500 Employee

• Constuction Defect Specialist

  • Jan 2012 - Present

  • Complex handling of Construction Defect claims nationwide • Claims include Developers, General Contractors, Prime Contractors, Subcontractors • Expert in Commercial General Liability, Wrap, Excess Policies, Additional Insured Endorsements • Extremely strong understanding and the ability to actively pursue Risk Transfer/Tenders • Skilled in litigation management, determine need for and direct counsel, independent adjusters or other technical experts. Monitor and control their… Show more • Complex handling of Construction Defect claims nationwide • Claims include Developers, General Contractors, Prime Contractors, Subcontractors • Expert in Commercial General Liability, Wrap, Excess Policies, Additional Insured Endorsements • Extremely strong understanding and the ability to actively pursue Risk Transfer/Tenders • Skilled in litigation management, determine need for and direct counsel, independent adjusters or other technical experts. Monitor and control their costs. • Strong background in non-admitted coverage • Present and facilitate meetings and visits with agents, insurers, policyholders, prospective accounts or other groups related to claim resolution, service or technical issues • Accomplished in composing and writing technical coverage tenders, reservation of rights and disclaimers • Extensive knowledge of legal principles in multi-states, case laws, statues affecting claims in various states • Skillful strong communications skills both written and verbal, develop presentations, conduct meetings with insurers, prospective accounts, service or technical issues • Attend hearings, pre-trial conferences, trials, etc., as required. • Responsibility as assigned for large account coordination or other special projects of a complex and highly technical nature

• General Liability Complex Litigation Adjuster

  • Nov 2009 - Jan 2012

  • Assigned commercial general liability, farm, product liability, New York Labor Law, claims in multi-state venues • Investigate, evaluate, negotiate and settle claims ($1- $500,000 above) • Verify/analyze coverage, coverage issues, risk transfer, tenders of defense and indemnification, contribution, coverage disclaimers, reservation of rights • Review lawsuits, attempt pre suit avoidance, assign defense counsel, pre-suit defense, experts, review of contractual indemnification… Show more • Assigned commercial general liability, farm, product liability, New York Labor Law, claims in multi-state venues • Investigate, evaluate, negotiate and settle claims ($1- $500,000 above) • Verify/analyze coverage, coverage issues, risk transfer, tenders of defense and indemnification, contribution, coverage disclaimers, reservation of rights • Review lawsuits, attempt pre suit avoidance, assign defense counsel, pre-suit defense, experts, review of contractual indemnification agreements, update litigation management/litigation strategy • Prepare technical reports, work plans, timely reserve analysis, make reserve recommendations, maintain diary compliance • Continue to evaluate the facts of the claim, making changes to reserves, liability and action plans, set up mediations, prepare pre trial reports • Participate in mediations, trials, pre-trial roundtables, claim reviews • Negotiate and settle claims within adjuster’s authority, includes structure settlements, high low negotiations



Gallagher Bassett

• United States
• Insurance
• 700 & Above Employee

• General Liability Litigation Specialist

  • Mar 2007 - Nov 2009

  • Assigned fatalities, commercial general liability, product liability, commercial auto • Adjust claim loss exposures with bodily injury or property damage reserves of $500,000 and above • Coordinate file investigation, assign pre-suit defense and experts • Serviced large national commercial accounts, large loss exposures with regular comprehensive claim reports to manager and home office superiors • Responsible for quarterly claim review meetings and presentations involving… Show more • Assigned fatalities, commercial general liability, product liability, commercial auto • Adjust claim loss exposures with bodily injury or property damage reserves of $500,000 and above • Coordinate file investigation, assign pre-suit defense and experts • Serviced large national commercial accounts, large loss exposures with regular comprehensive claim reports to manager and home office superiors • Responsible for quarterly claim review meetings and presentations involving agents, large commercial accounts, direct reports and home office superiors, organized and managed the entire group process during the presentation • Demonstrated mastery in litigation management, claim investigation, claim negotiations, policy and contractual indemnification, tenders, mediations, and trial • Set initial reserves, monitored and updated the file as facts change, made reserve recommendations • Responsible for developing and delivering claims related training • Determine need for and direct counsel, independent adjusters or other technical experts. Monitor and controlled their costs. Attend hearings, pre-trial conferences, and trials, as required Show less • Assigned fatalities, commercial general liability, product liability, commercial auto • Adjust claim loss exposures with bodily injury or property damage reserves of $500,000 and above • Coordinate file investigation, assign pre-suit defense and experts • Serviced large national commercial accounts, large loss exposures with regular comprehensive claim reports to manager and home office superiors • Responsible for quarterly claim review meetings and presentations involving… Show more • Assigned fatalities, commercial general liability, product liability, commercial auto • Adjust claim loss exposures with bodily injury or property damage reserves of $500,000 and above • Coordinate file investigation, assign pre-suit defense and experts • Serviced large national commercial accounts, large loss exposures with regular comprehensive claim reports to manager and home office superiors • Responsible for quarterly claim review meetings and presentations involving agents, large commercial accounts, direct reports and home office superiors, organized and managed the entire group process during the presentation • Demonstrated mastery in litigation management, claim investigation, claim negotiations, policy and contractual indemnification, tenders, mediations, and trial • Set initial reserves, monitored and updated the file as facts change, made reserve recommendations • Responsible for developing and delivering claims related training • Determine need for and direct counsel, independent adjusters or other technical experts. Monitor and controlled their costs. Attend hearings, pre-trial conferences, and trials, as required Show less



Safeco Insurance

• United States
• Insurance
• 700 & Above Employee

• General Liability Sr. Commerical Claims Representative

  • Dec 2001 - Feb 2006

  • Adjusted claims in commercial general liability, commercial auto, construction defect, product liability, fatalities, severe high exposure injury claims, coverage issues • Verify/analyze coverage, coverage issues, contractual indemnification, risk transfer, contribution • Acquired strong skills in customer service, litigation management, investigation and evaluation of claim exposures • Completed timely file documentation and reports • Analyzed and set initial reserves and made… Show more • Adjusted claims in commercial general liability, commercial auto, construction defect, product liability, fatalities, severe high exposure injury claims, coverage issues • Verify/analyze coverage, coverage issues, contractual indemnification, risk transfer, contribution • Acquired strong skills in customer service, litigation management, investigation and evaluation of claim exposures • Completed timely file documentation and reports • Analyzed and set initial reserves and made reserve recommendations, monitored and updated the file as facts changed • Prepared technical reports, work plans and maintained diary compliance • Negotiated fair settlements/structure settlements in multi-state claim venues, PROPERTY Senior Property Large Loss Claim Representative • Assigned large loss theft and fire exposures • Acquired strong skills in customer service, litigation management, coverage issues, indemnity and contractual agreements, investigation and evaluation of injuries • Completed timely file documentation and reports and maintained proficiency in monthly 1 to 1 closing ratio • Prepared technical reports, work plans and maintained diary compliance • Attended Examinations Before Trial, worked closely with fraud unit. • Negotiated fair settlements in multi-state claim venues Show less • Adjusted claims in commercial general liability, commercial auto, construction defect, product liability, fatalities, severe high exposure injury claims, coverage issues • Verify/analyze coverage, coverage issues, contractual indemnification, risk transfer, contribution • Acquired strong skills in customer service, litigation management, investigation and evaluation of claim exposures • Completed timely file documentation and reports • Analyzed and set initial reserves and made… Show more • Adjusted claims in commercial general liability, commercial auto, construction defect, product liability, fatalities, severe high exposure injury claims, coverage issues • Verify/analyze coverage, coverage issues, contractual indemnification, risk transfer, contribution • Acquired strong skills in customer service, litigation management, investigation and evaluation of claim exposures • Completed timely file documentation and reports • Analyzed and set initial reserves and made reserve recommendations, monitored and updated the file as facts changed • Prepared technical reports, work plans and maintained diary compliance • Negotiated fair settlements/structure settlements in multi-state claim venues, PROPERTY Senior Property Large Loss Claim Representative • Assigned large loss theft and fire exposures • Acquired strong skills in customer service, litigation management, coverage issues, indemnity and contractual agreements, investigation and evaluation of injuries • Completed timely file documentation and reports and maintained proficiency in monthly 1 to 1 closing ratio • Prepared technical reports, work plans and maintained diary compliance • Attended Examinations Before Trial, worked closely with fraud unit. • Negotiated fair settlements in multi-state claim venues Show less



St. Paul Insurance

• New York, New York

• General Liability Sr. Commerical Claims Representative

  • May 1997 - Dec 2000

  • Assigned fatalities, construction defect, commercial general liability, New York Labor Law, product liability exposures • Adjusted claim loss exposures with bodily injury or property damage reserves of $500,000 and up • Coordinated file investigation, litigation management, assigned defense counsel, pre suit counsel and experts • Verified/analyze coverage, contracts, indemnification clauses, risk transfer • Set initial reserves, monitored and updated file as facts changed… Show more • Assigned fatalities, construction defect, commercial general liability, New York Labor Law, product liability exposures • Adjusted claim loss exposures with bodily injury or property damage reserves of $500,000 and up • Coordinated file investigation, litigation management, assigned defense counsel, pre suit counsel and experts • Verified/analyze coverage, contracts, indemnification clauses, risk transfer • Set initial reserves, monitored and updated file as facts changed, made reserve recommendations, tendered defense and indemnification when appropriate • Serviced large national commercial accounts and large loss exposures and regular comprehensive claim reports to manager and home office superiors • Conducted claim review meetings and presentations involving agents, large commercial accounts, direct reports and home office superiors and organized and managed the entire group process during the presentation • Built constructive and effective relationships between marketing of products and services with agents and large insured accounts • Managed large territory in upstate New York from Buffalo, New York to Albany, New York • Demonstrated mastery in mediations, trials, high low negotiations Show less • Assigned fatalities, construction defect, commercial general liability, New York Labor Law, product liability exposures • Adjusted claim loss exposures with bodily injury or property damage reserves of $500,000 and up • Coordinated file investigation, litigation management, assigned defense counsel, pre suit counsel and experts • Verified/analyze coverage, contracts, indemnification clauses, risk transfer • Set initial reserves, monitored and updated file as facts changed… Show more • Assigned fatalities, construction defect, commercial general liability, New York Labor Law, product liability exposures • Adjusted claim loss exposures with bodily injury or property damage reserves of $500,000 and up • Coordinated file investigation, litigation management, assigned defense counsel, pre suit counsel and experts • Verified/analyze coverage, contracts, indemnification clauses, risk transfer • Set initial reserves, monitored and updated file as facts changed, made reserve recommendations, tendered defense and indemnification when appropriate • Serviced large national commercial accounts and large loss exposures and regular comprehensive claim reports to manager and home office superiors • Conducted claim review meetings and presentations involving agents, large commercial accounts, direct reports and home office superiors and organized and managed the entire group process during the presentation • Built constructive and effective relationships between marketing of products and services with agents and large insured accounts • Managed large territory in upstate New York from Buffalo, New York to Albany, New York • Demonstrated mastery in mediations, trials, high low negotiations Show less