Mahmoud Odeh
Claims Coordinator at Acme Barricades- Claim this Profile
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English -
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Arabic -
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Spanish -
Topline Score
Bio
Credentials
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Adjuster's License - FL, GA, NC, SC
State of Florida
Experience
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Acme Barricades
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United States
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Public Safety
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1 - 100 Employee
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Claims Coordinator
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Apr 2021 - Present
• Take lead role regarding all claim activity with internal and external customers, including recommendations to the CAO, CEO, and Safety Director • Analyze police reports, beneficiary statements and physician statements • Prepare and compile accounting journal and other accounting materials • Create OSHA document and make sure it is in compliance with regulations • Submit FDOT claim to the department of transportation and follow up on payment of each claim • Assess liability on Auto and General Liability (GL claims) and coordinate with adjusters and defense counsel on appropriate responses. • Aid in educating and training local teams on claims procedure and safety protocols. Show less
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Home Care Assistance
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United States
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Hospitals and Health Care
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700 & Above Employee
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Risk Manager
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Jun 2019 - Apr 2021
Providing risk analysis on an individual claim basis on the effects of insurance deductible on P&L bottom line Work with insurance adjustor attorneys and brokers to bring claim to best possible resolution closure scenario Gathered and processed OSHA requirements nationwide Responsible for claims nationwide from inception to closure Created courses and trained offices in safety protocol methods in order to reduce claim exposure Aided in updated claims best practices and IIPP Worked directly with senior management (CFO, CHRO, etc), on all adhoc reporting insurance needs including quarterly meetings to review financial position Show less
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Aon
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Albania
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Electric Power Generation
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1 - 100 Employee
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Claims Auditor
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Apr 2017 - Feb 2019
Responsible for providing and assisting the Claim Closure Consulting Team in the delivery of quality consulting services to clients. Auditing claim activity based upon industry best practices and assessing compliance of best practices Review claims and confirm claim meets all state regulations. Developing strategies on legacy claims (older than 12 months) to either bring claim to resolution or control costs Evaluating reserve and settlement exposure Reviewing appropriateness of legal strategy Show less
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Gallagher Bassett
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United States
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Insurance
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700 & Above Employee
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Senior Resolution Specialist
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Mar 2012 - Mar 2017
Lead team in expanding company workers compensation claim handling entities. Including opening up two new divisions under an International Workers Compensation division which handles Defense Base Act and Foreign Voluntary claims. Directed sales conference call with client which included senior management personnel. Created flow chart and best practice strategies which were distributed by the marketing division and will be used future client presentations. Educated Defense Base Act team on the act and claims handling procedures. Investigated multistate (North Carolina, South Carolina, Georgia, and Florida) workers compensation claims compensability. Handled county municipality claims including presumption, high exposure, and death claims Analyzed claim exposure for reserving and settlement purposes. Managed medical aspect of the claim in order to expedite claimant return to work status as well as reaching maximum medical improvement. Coordinated with multi-parties including the claimant, employer, and state entities to report all aspects of the claim. Filed EDI for all state claims. Show less
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ACE Group
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Canada
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Residential Building Construction
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Claims Adjuster
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Sep 2007 - 2012
Review claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business. Manage workers compensation claims for three different jurisdictions including Defense Base Act (DBA), Florida, and Longshore. Analyze loss reserves spreadsheets to reflect probably financial obligations Determine and delegate clam settlement in conjunction with management. Review claim to ensure compliance with claim jurisdiction. Prepare reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Evaluate and calculate the full exposure of each claim and set reserves accordingly Appraise facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract. Coordinate between attorneys, medical facilities, clients, and claimants to insure fastest medical progress. Communicate and translate from Spanish and Arabic into English Show less
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Education
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2007 - 2008
University of South Florida
MBA, International Studies -
2005 - 2007
University of South Florida
BS, International Relations
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