Experience

Carl Warren & Company

• United States
• Insurance
• 100 - 200 Employee

• Sr. Claims Specialist

  • Mar 2020 - Present

  Handling employment liability matters with medium to high severity for the County of Los Angeles. Handling employment liability matters with medium to high severity for the County of Los Angeles.



Allied Universal

• United States
• Professional Services
• 700 & Above Employee

• Wage and Hour Compliance Manager

  • Apr 2017 - Mar 2020

  Responsible for managing wage and hour and labor law compliance management programs (specifically and primarily in California) and conducting live audits and trainings to ensure compliance with wage and hour and labor laws, and Company policies. Manage, oversee and ensure completion of Branch/Site audits to ensure compliance with State and local wage and hour and labor laws and Company policies. Conduct desk audits of Branches and client account sites to confirm compliance. Develop comprehensive audit plans. Travel to Branches and client sites to perform in-person audits and investigations to assess wage and hour practices, review relevant written materials and interview mangers, supervisors and Security Professionals to assess wage and hour practices and compliance with Company policies. Formulate remedial plans and recommendations to ensure on-going compliance with wage and hour laws and Company policies, including coordination of relevant training. Follow up with Site/District/Regional and Sr. Leadership to ensure effective implementation of audit recommendations. Present audit findings in writing and also verbally to all levels in the applicable Branches/Regions as well as to General/Branch Managers and Corporate/Regional Human Resource Staff and Legal Department. Investigate, analyze and assist Human Resources and in-house and outside counsel on employee claims (i.e. Labor Board claims, employee complaints, attorney demand letters). Show less



Gallagher Bassett Services, Inc.

• 1 - 100 Employee

• Sr. Resolution Manager - Construction Liability/Injury

  • Jul 2014 - Apr 2017

  Investigate, evaluate and settle complex General Liability, Construction Defect and Utility hit claims. Investigate, evaluate and settle complex General Liability and Construction claims with high exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Exercise proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. Interact extensively with various parties involved in the claim process. Able to clearly communicate concise action plans, and present plans for moving the case to conclusion. Demonstrated complete knowledge of the claim file process through presentation of actions and responses to client questions. Process claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements. Ability to comply with carrier reporting and threshold requirements. Able to recognize and pursue excess insurance recoveries. Licensed and/or certified in all states in which claims are being handled. Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. • Work independently from home/telecommuter Show less



Travelers Casualty & Surety Company of America

• United States
• Insurance

• Sr. Claims Examiner - Employment Practices Liability

  • Jan 2008 - Jun 2014

  Bond & Financial Products Claim Handled moderate to high severity complex litigation claims, for Private non-profit & Public Companies, which include Employment Practices, Directors & Officers, Lawyers E & 0, Fiduciary liability, Fidelity/Crime and Financial Institutions Bond claims. Analyze, investigate, negotiate and resolve claims with moderate supervision, making appropriate recommendations to management when necessary. Customer service to insured’s, agents, brokers and underwriters. Maintain accurate documentation/information in claim file and claims system as per claim handling requirements and DOI Regulations including coverage analysis, proper damage and liability evaluations, proactive resolution management and settlement rationale, current diary and proper preparation of required claim reports. Identify recovery management opportunities in the earliest stages of claim development. Within authority limit, retain, monitor, manage and approve payments to outside counsel actively utilizing litigation management plans and budgets. Maintain knowledge of coverage law, legislative and industry-related initiatives and judicial trends and provide claim updates and coverage interpretation to regional underwriters Attend Court Ordered settlement conferences and/or mediations, handle and/or lead negotiations for settlement with assistance from Defense Counsel, strong and effective communication skills (written and oral), excellent time management skills, highly developed multi-tasking skills and ability to successfully function independently. Show less



SAFECO Insurance Company

• United States
• Insurance

• Sr. Claims Examiner -Commercial General Liability

  • Jun 2006 - Oct 2007

  Business and Home Liability Unit Handle Business and Home claims, E & O losses, with complex injuries and/or liability situations. Multi- tasking and problem resolution of claims assignments and customer concerns. Proficient with claims analysis as well as negotiation. Management of claims and business partner utilization. Quality Customer service to insured’s, claimants, outside vendors and co-workers. Negotiate settlement with customers and Attorneys. Ability to effectively work independently. Handle minimal to complex Commercial/Business and Home claims. This includes litigated and non-litigated files involving but not limited to Premises Liability, General Liability, Product Defect and injury claims. Investigate, evaluate reserve, negotiate, and resolve serious and complex General Liability claims. Promptly and thoroughly managing claims by completing essential functions, including coverage and contract analysis, customer and witness contacts, investigation, damages evaluation and verification, reserving, litigation management, negotiations, and disposition. Determine the extent of liability, damages, and contribution and contractual risk transfer potential. Verify the nature and extent of injury and property damage by obtaining and reviewing appropriate records and damages documentation, applying case law as appropriate and interpreting coverage under a Commercial General Liability policy. Manage litigated claims that require developing a litigation plan with staff or panel counsel, including discovery, legal expenses, and strategy, to assure effective resolution. Attend depositions, mediations, arbitrations, pre-trials, trials, and all other legal proceeding. Able to identify, evaluate and report business coverage issues, handling basic premises liability and complex injury analysis, including practical application of medical management and interpreting medical reports. Show less



SAFECO FIS

• Sr. Claims Examiner Bond & Financial Products

  • Jul 2005 - Jun 2006

  Assist newly formed SFIS claims unit with procedures and daily claims handling activities and report directly to Sr. Vice President of SFIS and Product Line Manager.Perform a variety of key claims functions, reviewing files for settlement of claims and approve payments for MGA book of business. Addressing complaints and escalated claims handling issues for Claims Department. Assist Loss Draft with resolving claims and payment issues for lenders and borrowers. Communicate with Lenders, Account Executives and Sr. Management to maintain customer relations. Assisted with the implementing of the newly formed SFIS Claims Department. Handle Corporate/E & O losses for SFIS Sr. Management teamManage MGA book of business to ensure timely payments, file review and subrogationNegotiating operational claims payments with lenders where warranted. Assisted with successful in person client meetings regarding claims handling issuesAssisted with different high level projects for SAFECO FIS Sr. Management teamImplement claims handling guidelines to obtain weekly claims closure goals aligned with SAFECO P & C.Traveled to different Regions to perform audit and training for SFIS Claims Team Show less

• Claims Unit Manager- Lender Placed Policies

  • Nov 2004 - Jun 2005

  Lead group of Independent Claims Adjusters and In-House Adjusters to handle backlog of aged SFIS claim. Resolve high level complaints and issues for current claims unit. Assist newly formed SFIS claims unit with procedures and daily claims handling activities and report directly to SFIS Product Line Manager and Sr. Vice President of SFIS.Perform a variety of key claims functions, reviewing files for settlement of claims and approve payments. Addressing complaints and escalated claims handling issues. Assist Loss Draft with resolving claims and payment issues for lenders and borrowers. Communicate with Lenders, Account Executives and Sr. Management to maintain customer relations. Assisted with the implementation of the newly formed SFIS Claims Department. Negotiating operational claims payments with lenders where warranted. Assisted with successful client meetings regarding claims handling issuesAssisted with different high level projects for SAFECO FISAttend weekly management meetings to assist with implementation and take back of SAFECO FIS claims files from Crawford & Company Implement claims handling guidelines to obtain weekly claims closure goals set Show less



J & M Customs

• United States
• Truck Transportation

• Manager/Owner

  • Jan 1999 - Jan 2004

  Opened and managed aftermarket automotive shop. Directed all administrative and operational duties for aftermarket automotive shop. Handled marketing and scheduling of tradeshows and custom car shows within California, Nevada, Oregon, Washington. Developed presentations with large manufacturers to market their products and scheduled all executive-level meetings and travel for team. Prepared bi-weekly time, expense, and travel reports. Managed invoicing and billing processes. Successfully oversaw sales and marketing of automotive products and services to customers and large manufacturers. Show less

• Commercial Claims Representative

  • Jan 1998 - Jan 2002

  Dedicated adjuster for large Commercial accounts handling Commercial Auto and General Liability issues. Worked independently from home.

• Personal Lines Casualty Examiner

  • Jan 1995 - Jan 1998

  Handled Personal Lines Auto, Property and Liability Claims.Investigated, compiled and analyzed information obtained from Insured’s and outside parties to settle promptly and fairly any negligent acts on behalf of our Insured’s. Negotiate settlements with outside Counsel. Attend Mandatory Status Conferences and/or Settlement Conferences on behalf of our Insured’s. Perform scene investigations for to determine liability. Maintain designated closures and accomplish goals set monthly and/or yearly. Developed internal and external correspondence that facilitated effective communications for all parities involved. Report high level settlements to Regional Management and Round Table for agreed settlements. Show less



SAFECO LIFE INSURANCE COMPANY

• Structured Settlement Coordinator

  • Jan 1993 - Jan 1995

  Handled claims settlements where payments were settled using a Structured Settlement Annuity. Reviewed Qualified Assignments and Settlement Agreement documentation to ensure that the payments were being made in compliance with State Regulations. Negotiate with outside Counsel on payment schedules.

• Investment Coordinator - Life Insurance Products

  • Jan 1990 - Jan 1995

  Facilitated employee requests company wide with Individual Retirement Accounts. Handled all withdrawals and deposits for employee accounts. Ensure that accounts and account holders were within State Regulations. Handled automatic withdrawals of employee accounts.