Experience

New Horizon Insurance Company

• United States
• Insurance
• 1 - 100 Employee

• Claims Director

  • Aug 2018 - Present

  Houston, Texas, United States •Responsible for development and structuring of new claims department including but not limited to claims system development, hiring of personnel, vendor set-up, oversight of TPA accounts •Responsible for claim management, including investigation and evaluation to determine coverage, liability and the value of the claim as well as setting reserves within established authority designated by carriers contracts •Supervision and servicing of staff adjusters as well as property/casualty… Show more •Responsible for development and structuring of new claims department including but not limited to claims system development, hiring of personnel, vendor set-up, oversight of TPA accounts •Responsible for claim management, including investigation and evaluation to determine coverage, liability and the value of the claim as well as setting reserves within established authority designated by carriers contracts •Supervision and servicing of staff adjusters as well as property/casualty claims, including claims processing, file management and file reviews •Supervision of Liability claims and supervision of outside adjusters / local counsel and ensuring adherence to Company claims handling guidelines and contracts •Provide timely response to Company, agents, brokers, or carrier inquiries •Prepare for anticipated audits •Travel for required mediations, trials, claims conferences •Maintaining accurate well documented and properly established departmental and company files •Attendance at various industry and company functions, including continuing education classes •Demonstrate knowledge of professional and commercial liability coverage’s and policy forms •Reviewing monthly reporting for all contracts Show less



Myron Steves

• United States
• Insurance
• 1 - 100 Employee

• Associate Director of Claims

  • Dec 2013 - 2018

  3131 Eastside #600 Houston, Texas 77098

• Claims Manager

  • Jun 2013 - Dec 2013

  3131 Eastside #600 Houston, Texas 77098 •Responsible for claim management, including investigation and evaluation to determine coverage, liability and the value of the claim as well as setting reserves within established authority designated by carriers contracts •Supervision and servicing of property/casualty claims, including claims processing, file management and file reviews •Supervision of Liability claims and supervision of outside adjusters / local counsel and ensuring adherence to Company claims handling guidelines and… Show more •Responsible for claim management, including investigation and evaluation to determine coverage, liability and the value of the claim as well as setting reserves within established authority designated by carriers contracts •Supervision and servicing of property/casualty claims, including claims processing, file management and file reviews •Supervision of Liability claims and supervision of outside adjusters / local counsel and ensuring adherence to Company claims handling guidelines and contracts •Provide timely response to Company, agents, brokers, or carrier inquiries •Prepare for anticipated audits •Travel for required mediations, trials, claims conferences •Maintaining accurate well documented and properly established departmental and company files •Attendance at various industry and company functions, including continuing education classes •Demonstrate knowledge of professional and general liability coverage’s and policy forms •Reviewing monthly Bordereaux for London contracts



Spartan Adjusting Company

• Claims Manager

  • Jun 1994 - Feb 2013

  Pearland, Texas Claims Manager •Contributed directly to the transformation of a home-based, small insurance agency that outsourced all claims. Created and managed the start up of an in-house Personal Automobile Insurance Claims Department. Developed and implemented policies and procedures; budgets; customer support processes; hired and trained new staff; qualified and oversaw outside vendors; negotiated contracts with various vendors and companies; implemented and managed loss reserving practices;… Show more Claims Manager •Contributed directly to the transformation of a home-based, small insurance agency that outsourced all claims. Created and managed the start up of an in-house Personal Automobile Insurance Claims Department. Developed and implemented policies and procedures; budgets; customer support processes; hired and trained new staff; qualified and oversaw outside vendors; negotiated contracts with various vendors and companies; implemented and managed loss reserving practices; reviewed and approved loss settlement payments. Result: Reduced claims department operating costs and reduced claims loss ratios. •Developed and managed an in-house Legal Department. Established and implemented procedures and budgets; hired new staff; oversaw billing procedures; directed settlement strategies and loss reserving practices; implemented collection procedures; directed litigation trial docket. Result: Achieved a cost savings in Attorney fees, and generated a 50 % increase in collections for the company, in the first year •Worked directly with the MIS department to design a user-friendly claims system. Analyzed the existing processes to identify and eliminate redundant or inefficient processes. Result: Developed a paperless system that increased employee productivity by more than 30%, within 6 months. •Established Department Audit procedures. Identified potential problem areas; devised and generated solutions; motivated employees with training and a team approach; initiated policies and procedures to increase employee efficiency; coordinated educational programs with training to increase employee accuracy and the reduction of errors. Result: Obtained above average to exemplary rating on all departmental audits from the parent company, actuarial firm, Texas Department of Insurance and all Re-Insurance firms. These audit results contributed to the firm’s ability to structure more advantageous and profitable contracts, especially with the Re-insurance Firms. Show less



Citizens Adjusting and Reporting Services

• Claims Supervisor

  • 1991 - 1994

  Houston



State Farm

• United States
• Insurance
• 700 & Above Employee

• Claims Specialist

  • 1986 - 1991

  Baytown, Texas