Insurance Underwriter Resume Sample

Chris Smith

123 Main Street • Hometown, PA • (555) 555-1234 • csmith@company.com

SENIOR CLAIMS EXECUTIVE – TALENTED CHANGE AGENT – 20+ YEARS EXP.

 

Achievement-oriented Senior Claims Executive with over 20+ years’ experience with “A” rated AM Best Property & Casualty insurance carriers. Dynamic leader identifying opportunities for advancement while providing operational support within collaborative environments. Provides key strengths in technical expertise and mentoring of claims associates. Change agent with keen knack for developing talent. Demonstrates proven-track record of involvement with complex claims and litigation. Thrives in creative and fast-paced settings providing professionalism at all times.

 

CORE COMPETENCIES

 

·     Property / Casualty Insurance

·     Relationship Management

·     Claims Account Management

·     Contract Review

·     Litigation Management

·     Risk Management

·     LEGAL BILL REVIEWS

·     Policy Development

·     QA Program Design

 

PROFESSIONAL EXPERIENCE

2013 - Present

XL GROUP, Boston, MA

VICE PRESIDENT, CLAIMS ACCOUNT MANAGEMENT

Spearheads claims administration for book of program middle market business representing $175M in annual premium for this global insurance company. Effectively manages claims for programs in runoff and serves as claims representative on due diligence team for incoming programs. Coordinates with underwriting, business development, claims vendors, IT, finance, accounting, and senior claims management. Negotiates TPA claim service agreements and annual review of instruction certificates. In addition, leads annual audits for all TPA partners ensuring claims quality.

KEY ACHIEVEMENTS:
 

·     Turned around distressed claims department; reversed negative audit, restored vendor relationships, hired needed expertise, and began developing analytics to increase claims portfolio management efficiency

·     Designed process to plan for catastrophic claim response aligning program administrators, third party administrators, and downstream vendors

·     Instituted quarterly claim reviews with TPA partners and program administrators as well as collaborated with TPA partners to launch legal bill reviews

·     Received 95%+ audit scores with several TPAs from both internal claim technical auditors and outside consultants

 

2009 - 2012

STATE AUTO INSURANCE, Columbus, OH

ASSISTANT VICE PRESIDENT / DIRECTOR OF SPECIALTY CLAIMS

Created and continually managed new claims team from scratch focused on large claim oversight, surety claim handling, and specialized quality assurance for this this super-regional property and casualty insurance company. Developed approval process for third party administrators. Contributed to conducting pre-binding audit as well as performance management, quality assurance audits, and oversight of claims requiring additional authority. Additionally, served as part of claims due diligence team and assisted in leading claims integration of acquired/merged companies.

KEY ACHIEVEMENTS:
 

·     Improved quality assurance scores by architecting more effective quality assurance protocols for TPA partners

·     Served on company’s Large Loss Casualty Committee reviewing casualty losses with potential exposure of $500K+

·     Developed strategic direction for high exposure specialty lines, including environmental, construction defect, employment practices, and mass tort

 

2000 - 2009

STATE AUTO INSURANCE, Columbus, OH

CORPORATE CLAIM MANAGER / CORPORATE CLAIM CONSULTANT, SPECIALIST

Provided leadership for litigation claim handler team while directing casualty litigation for numerous territories. Performed audits and directly supported claims settlement in excess of $250K as well as complex cases involving liquor liability, employment practices liability, “blast fax” allegations, consumer privacy breaches, declaratory judgment actions, bad faith claim handling allegations, and copyright infringement. Spearheaded case management involving reserve analysis, discovery oversight, and collaboration with defense counsel. In addition, served on audit and due diligence teams reviewing possible M&A partner claim files.

KEY ACHIEVEMENTS:
 

·     Contributed to corporate-wide innovation project focused on propelling company toward next stage of profitable growth

·     Launched division-wide initiative to review medical bills for cost management; resulted in reducing medical bill costs by nearly $1M quarterly

·     Coached direct reports resulting in promoting 2 staff members to management positions and acquiring special performance-based bonuses

·     Spearheaded company-wide legal bill review program; developed business rules for implementation, orchestrated launch, and traveled to train company personnel resulting in 5% annual savings in outside legal spend

·     Collaborated with underwriting partners to launch revised Employment Practices Liability policy

 

1995 - 1999

STATE AUTO INSURANCE, Columbus, OH

BRANCH CLAIM EXAMINER

 

1989 - 1995

STATE AUTO INSURANCE, Columbus, OH

CLAIM REPRESENTATIVE

 

EDUCATION

 

Indiana University, Bloomington, IN 

BACHELOR OF SCIENCE IN PUBLIC AFFAIRS

 

PROFESSIONAL DEVELOPMENT

 

INSURANCE INSTITUTE OF AMERICA

·     Chartered Property Casualty Underwriter (2012)

·     Associate in Claims (1994)

·     General Insurance Certificate (1993)


AMERICAN EDUCATIONAL INSTITUTE, INC

·     Legal Principles Claims Specialist (1996)

·     Property Claims Law Associate (1995)

 

PUBLIC SERVICE

1990 - 2012

Voice Corps (Formerly Central Ohio Radio Reading Service)

VOLUNTEER

 

2010 - 2012

Thurber House

BOARD MEMBER & EXECUTIVE COMMITTEE

 

2005 - 2006

Ohio Railway Museum

BOARD MEMBER

 

PROFESSIONAL ASSOCIATIONS

 

Ohio Association of Civil Trial Attorneys

·     Member (2003 – 2012)


National Society of Professional insurance investigators

·     Member (1995 – 2011)

·     President, National Executive Board (2006)

·     First Vice President, National Executive Board (2005)

·     Second Vice President, National Executive Board (2004)

·     Member at Large, National Executive Board (2002 – 2003)

 

 

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