La-Keya D.
Associate Examiner (Market Conduct) at Connecticut Insurance Department- Claim this Profile
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Bio
Credentials
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Market Conduct Management
Insurance Regulatory Examiners SocietyOct, 2022- Nov, 2024
Experience
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Connecticut Insurance Department
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United States
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Insurance
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1 - 100 Employee
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Associate Examiner (Market Conduct)
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Jul 2022 - Present
Performs complex related duties involving review of insurance company policy and rate filings, examination of insurance companies’ market conduct and/or business practices or investigation and mediation of consumer complaints for compliance with relevant statutes and regulations. Examines all related types of insurance policy forms based upon assigned functional area for new and unusual products. Conducts studies of cost, content, and availability of various lines of insurance. Conducts investigation of complaints against insurance companies including complicated cases and issues. Conducts market examinations of insurance companies for compliance with relevant state statutes and guidelines including rates charged and claims practices. Show less
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Connecticut Insurance Department
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Hartford, Connecticut, United States
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P&C Insurance Examiner (Market Conduct)
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Aug 2020 - Jul 2022
Independently reviews individual consumer complaints, examines required rate and policy form filings or conducts routine market conduct examinations for compliance with statutes, regulations and guidelines; responds to mail, telephone and personal inquires from customers, insurance personnel and governmental agencies; prepares reports of rate and policy review work, examinations and investigations; participates in investigations or examinations of complex complaints and/or filings; may assists in review of loss reserve methodology, testing underlying claims data and adequacy of an insurer's loss reserve; Show less
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Marclion McMikle State Farm Agency
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Bloomfield, Connecticut, United States
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Account Executive
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Jun 2020 - Aug 2020
Assisting customers with insurance and financial services to help them manage the risks of everyday life, recover from the unexpected, and realize their dreams. Property/Casualty and Life/Health insurance products for Personal and Commercial lines. Assisting customers with insurance and financial services to help them manage the risks of everyday life, recover from the unexpected, and realize their dreams. Property/Casualty and Life/Health insurance products for Personal and Commercial lines.
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The Hartford
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United States
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Financial Services
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700 & Above Employee
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Catastrophe P&C Handler-Commercial
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Mar 2018 - Oct 2019
handled higher level weather events on commercial property policy forms especially during catastrophe (snow, hurricane) events. Engaged and collaborated with field adjusters on reviewing contractors' submitted estimates and/or invoices, as well as review and create initial and comparative estimates in Xactimate; created comparative and pricing verification of damaged contents using Xactimate. Engaged and collaborated with engineers and other vendors related to mitigation, contents damage assessment, business income loss review and calculation collaboration. Engaged engineers, mitigation companies to determine cause and origin as well as substantiate amount of claimed damages, along with determining salvage and subrogation potential. Responsible for reserving exposures, issuing denials and Reservation of Rights letters. Issued settlement payments to insureds via ACH or manual check. Served as backup for teammates during absence with followup calls, resolving claims. Served as backup for team leaders with running team meetings and attending leadership meetings with other department managers. Show less
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Claim Representative 3 - Commercial (San Antonio TX)
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Jun 2016 - Mar 2018
handled commercial form specialization enables navigation of complex loss scenarios and coverages both non-weather and weather when called on to assist our CAT Commercial team, also assisted with heavy, specialized equipment damage in connection with Crawford Heavy Equipment, as well as resolved inland marine claims. Engaged and collaborated with field adjusters on reviewing contractors' submitted estimates and/or invoices, as well as review and create initial and comparative estimates in Xactimate; created comparative and pricing verification of damaged contents using Xactimate. Engaged and collaborated with engineers and other vendors related to mitigation, contents damage assessment, business income loss review and calculation collaboration. Engaged engineers, mitigation companies to determine cause and origin as well as substantiate amount of claimed damages, as well as determining salvage and subrogation potential. Responsible for reserving exposures, issuing denials and Reservation of Rights letters. Issued settlement payments to insureds via ACH or manual check. Served as backup for teammates during absence with followup calls, resolving claims. Served as backup for team leaders with running team meetings and attending leadership meetings with other department managers. Show less
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Claim Representative 2 - Water/Fire
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Jul 2015 - Jun 2016
handled specialized non weather PL claims (fire, accidental discharge, equipment breakdown). Engaged and collaborated with field adjusters on reviewing contractors' submitted estimates and/or invoices, as well as review and create initial and comparative estimates in Xactimate; created comparative and pricing verification of damaged contents using Xactimate. Collaborated with Hartford Steam Boiler on Equipment Breakdown claims per The Hartford's partnership with them during this time. Engaged and worked with engineers and other vendors to determine cause and origin as well as substantiate amount of claimed damages for homeowners as well as set up hotel and review food costs in regards to ALE coverage. Responsible for reserving exposures, issuing denials and Reservation of Rights letters. Issued settlement payments to insureds via ACH or manual check. Show less
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Claim Representative 1
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Jun 2015 - Jul 2015
claim handling of wind and hail losses as well as associated water losses associated with weather events (rain, snow). Engaged and collaborated with field adjusters on reviewing contractors' submitted estimates and/or invoices, as well as review and create initial and comparative estimates in Xactimate; created comparative and pricing verification of damaged contents using Xactimate. Engaged and worked with engineers and other vendors to determine cause and origin as well as substantiate amount of claimed damages for homeowners as well as set up hotel and review food costs in regards to ALE coverage. Responsible for reserving exposures, issuing denials and Reservation of Rights letters. Issued settlement payments to insureds. Show less
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Associate Claim Representative - PL Weather/Extended Coverage
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Apr 2015 - Jun 2015
Handling claims within a team environment.Customer ServicePlanning, recommending, reserving, and executing the investigation, control, valuation and final disposition of all claims assigned.Participating and providing on-call duty and immediate response and service in emergency and catastrophe situations.
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Associate Claim Representative - PL Theft
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Aug 2014 - Apr 2015
Handling claims within a team environment.Customer ServicePlanning, recommending, reserving, and executing the investigation, control, valuation and final disposition of all claims assigned.Participating and providing on-call duty and immediate response and service in emergency and catastrophe situations.
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Centralized Claims Support
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Feb 2013 - Aug 2014
•Assisting Property, Auto and Auto Managed Care departments with various operational duties•Analysis & resolution of both routine and complicated work requests •Financial transaction processing and regulatory compliance •Meeting & exceeding hard deadlines •Business and IT project work •Continuous process improvement •New claim triage and assignment process
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Business Risk Partners
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United States
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Insurance
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1 - 100 Employee
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Assistant Underwriter
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Sep 2010 - Jan 2013
Specializing in D&O, EPL and Fiduciary lines for private commercial business. Providing coverage for Distressed Banks-Management Liability Lines, Bankers Professional Liability and Financial Bonds Responsible for supporting the Management Liability team in the evaluation of risk, screening submissions for risk appetite, preparing submissions for analysis, and supporting communication with the broker and insured as necessary. Strong written and verbal communication, highly organized and detail-oriented, basic understanding and interest in business, proficiency with Microsoft Office, ability to prioritize and manage multiple tasks efficiently and effectively, ability to work independently and as a team member, self-starter Show less
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Education
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The University of Connecticut
Bachelor of Arts (B.A.), Psychology -
Tunxis Community College
Business/Commerce, General
Community
