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Yyyyyy x. yyyyyy

North Fayston, XXXXXX xxxxxx (xxx-xxx-xxxx



Seeking Vice President Claims (Generalist) Role

Details-Oriented Leader Committed to Ethics and Integrity While Exceeding Your Organization s Goals


Claims Management Strategic Analysis / Planning Product / Systems Optimization

Team Building Training / Development Coaching / Mentoring High-Volume Budgeting

Compliance Monitoring Quality Assurance Review Litigation Management Negotiations

Bad Faith Litigation Best Practices Risk Mitigation Conflict Resolution Vendor Relations

Contract / Coverage Interpretation Mediations Change Management Metrics Development


Highly Accomplished Claims Manager who makes sound decisions to reflect positively on multi-line claims organization operations in alignment with a company s vision, value, and goals. Integral Leader who continually recommends optimal best practices while providing solutions-centric critical thinking talents for insightful, change-driven results. Ambitious Self-Starter who rises above challenges to achieve winning outcomes, including analyzing trends and quickly adapting to evolving scenarios, as well as independently resolving in-depth claims issues. Excellent Communicator who builds synergistic relationships with C-level executives; administrative, business, and operational staff; and counsel while exhibiting strict confidentiality at all times and excelling in paced autonomous and / or collaborative work environments.


Career Highlights


  Providing service calls on policyholders and training for agencies.

  Performing as a frequent industry presenter on various claims topics.

  Incorporating innovative change to promote strategic organizational vision.

  Successfully serving as Agency Partner and Underwriting Department Liaison.

  Drafting and / or revising protocols for internal reporting and referral guidelines.

  Comprehensively leading technical training for agents, adjusters, and clerical staff.

  Leading valuable efforts as the CL New Agent Boot Camp and Agency CE Instructor.

  Improving processes to increase quality of workflow, systems, and services provided.

  Exhibiting skill in seeing difficult adjustments through to final successful resolution.

  Continually recommending modifications and enhancement to claims processing systems.

  Handling significant losses of high complexity and severity with sophisticated legal nuances.

  Mitigating or avoiding expenses to assist department in attaining loss adjustment expense goals.


Professional Experience


Xxxxxx Mutual Insurance Group, Montpelier, XXXXXX 2006 Present

AM Best A+ Superior Rated Ward s Top 50 Property & Casualty Insurer


Claim Manager (2014 Present) Claim Analyst (2006 2014)

  Capitalize on the opportunity to direct claims files and top-performing teams assigned to key lines of business (e.g. property, casualty, automobile), including maximizing use of resources to achieve goals by coordinating, consulting, and managing initiatives to ensure effective execution of core objectives.

  Deliver dynamic input toward the preparation and execution of the annual business plan and budget.

  Recruit, train, mentor, and manage staff while overseeing employees in all ranges of supportive technical roles, including subrogation, salvage, SIU, heavy property, or casualty claims, among others.

  Lead targeted decision-making among details-driven claim supervisors and adjusting personnel.

  Expertly monitor referred claims in assigned line of business to ensure timely, fair investigation, evaluation, and disposition of claims consistent with policy language, damages, and legal requirements.

  Demonstrate skill in performing line of business quality assurance reviews, targeted reviews, and reserve reconciliations, and review system-generated reports to investigate trends and irregularities.



Yyyyyy x. yyyyyy Page Two (xxx-xxx-xxxx


Xxxxxx Mutual Insurance Group, Montpelier, XXXXXX (continued) 2006 Present

AM Best A+ Superior Rated Ward s Top 50 Property & Casualty Insurer


Claim Manager (2014 Present) Claim Analyst (2006 2014)

  Qualify, implement, and evaluate programs to ensure Xxxxxx Mutual receives valuable services and quality work products from key service providers at competitive rates to optimize market dominance.

  Deliver comprehensive coverage direction and interpretation to claim supervisors, examiners, and representatives on referred files, and coordinate referral of coverage disputes and policy issues to counsel.


Clark, Balboni & Gildea, Bridgewater, MA Providence, RI 2000 2006

AV Rated Litigation Firm


Job Title

Specializations in:

Insurance Practice Insurance Fraud Law Coverage & Bad Faith First Party & Third Party

Subrogation Law Product Liability Defense Construction Defect Law & Construction Law

Business Law Dispute Resolution Appellate Practice Municipal Law Special Education Law

Automobile Law Employment Law Defense General Liability Litigation Corporate Counseling




Juris Doctor Roger Williams University

Master of Business Administration Western New England College

Bachelor of Arts in Economics Political Science Bennington College


Insurance Designations


Licensed Property Casualty Adjuster


Chartered Property Casualty Underwriter (CPCU)

Associate in Claims (AIC) & Claims Management (AIC-M)

Senior Claim Law Associate (SCLA) Associate in Insurance Services (AIS)

Associate in Personal Insurance (API) Associate in Insurance Data Analysis (AIDA)


Bar Admissions


State Courts

Commonwealth of Massachusetts (# 636097)

State of Rhode Island & Providence Plantations (#5547)


Federal Courts

United State Supreme Court

Navy Marine Corps Court of Appeals

United States Court of Appeals for the First Circuit (#xxxxxx)

United States Court of Appeals for the Armed Forces (#31289)

United States District Courts for the Districts of Rhode Island & Massachusetts


Professional Affiliations


President (2010 2014) Board Member, Xxxxxx Arson Tip Award Program

Board Member Former Multi-Role Officer (2008 2015), Mad River Valley Ambulance Service

Certified Fire Investigator Technician, International Association of Arson Investigators (IAAI-FIT)

President (2014 2017) Board Member, Xxxxxx Chapter 63 International Association of Arson Investigators


Additional Prior Organizational Leadership Roles Provided Upon Request

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