Adele Rice Email & Phone Number

Wayne, Pa

 Manager of Seasonal “Spike” Team (8). This includes participation in the implementation along with managing seasonal claims from June through September.  Accountable to identify, surface, and promote opportunities by providing operational support to claim adjusters and management. Ensure the Training/Development and Quality Assessment Programs are used effectively to support Company Claims Standards.  Develop, implement, and administer the Quality Assessment Program to include: Administering and/or participating in Claim Unit Operational Reviews; Working with Claim Leaders to achieve strong calibration for “acceptable” claims quality; Maintaining and overseeing the execution of established Improvement Action Plans; and, Analyzing trends identified in work reviews and providing commentary to claim leaders with regard to findings. Administer the Training and Development Programs to include: Ensuring appropriate curriculum exists for all claim technical positions; Establishing plans to ensure timely delivering of appropriate training; Ensuring that Claim Standards, Claim Manual, and CAT Plan are up to date and available to all Claim Staff; Oversee Business Controls to ensure compliance with all documented Claims and MARSOX Controls within area of accountability; and, Developing and executing action plans to address shortfalls for Internal Audit and/or Compliance Reviews.

 Responding timely to new loss notices, undertake claim investigation and coverage analysis, establish company financials as appropriate, and maintenance of diary controls. Liaison for the Company’s Client Company Partners, Agents, and Insured’s. Provide technical expertise to Company Underwriting and Client Managers to ensure information on individual claim exposures are quantified.

 Responding timely to new loss notices, undertake claim investigation and coverage analysis, establish company financials as appropriate, assignment of counsel, defending of necessary law-suits and maintenance of diary controls.

 Responding timely to new loss notices, determine policy coverage, obtain recorded statements from individuals involve, determine exposure and properly evaluate injuy and attempt settlement negotiations.