Andre Cinco Email & Phone Number

Henderson, Nevada, United States

• Develops and executes the strategic litigation management plan for the Claim Department.• Analyzes complex cases and determine involvement from outside counsel for proactive management.• Compiles monthly and quarterly management reports for senior executives.• Manages, reviews and tracks all litigation referrals to outside counsel, and ensures compliance to the litigation management plans.• Utilizes available dashboards and reports to monitor and report on litigation program trends and performance. • Conducts claim litigation audits and provides feedback to adjusters.• Conducts legal firm audits and determines on-going vendor relationships.• Liaises with General Counsel on claims and corporate claims strategy.• Conducts legal status reviews with outside counsel as part of the litigation management plan.• Identify, analyze, and communicate multi-jurisdictional and significant case law developments that have a potential impact to claims handling practices.• Monitors trial/hearing calendars.• Attends large loss committee meetings.• Manages and audits litigation allocated loss adjustment expense and develops strategies to address adverse trends.

Walnut Creek, Ca

• Renders final determinations for the assigned claim area for both financial and operational matters. • Reports to the Regional Vice President on all financial and operational results and issues. • Reviews adverse legal decisions and determines action. Mediates and negotiates between contending parties.• Plans, coordinates and delegates business objectives that support the company’s mission and financial success. Communicates mission and goals to the staff and builds support for company’s objectives. • Defines levels of performance for the Department and provides regular ongoing feedback on results.• Creates an environment that supports the corporate culture, fosters teamwork, values diversity, and respects all team and company staff-members, internal and external customers, and vendors.• Establishes staffing objectives, selects appropriate candidates and is responsible for the management, development and motivation of the office.• Sets and exhibits the standard for appropriate professional behavior and performance.• Evaluates subordinates regularly by conducting self-audits and conducts performance appraisals.• Identifies, modifies and implements change when situations require quick and immediate action to achieve successful results. • Accurately evaluates program effectiveness and accountability and determines any change needed to improve program. Accurately analyzes program related materials or reports and applies established policies, regulations, standards and legal directives. • Analyzes statistical data and develops the claim office budget. Is accountable for management of the office within the defined budget. • Communicates information to staff and assists with interpretation and practical implementation of changes while analyzing the impact on work processes and performance.• Accountable for the office compliance with regulatory requirements and claims best practices and business results.

Oakland, Ca

· Administer and manage claims on behalf of the County of Alameda (COA)· Manage a claim staff of 3 Unit Managers, 20 Examiners, and 3 Clerical Assistants· Interface directly with COA Risk Management team to provide results, address concerns, and provide analytics of program performance· Propose and implement cost containment measures to reduce ALAE· Conduct quarterly claim reviews and semi-annual legal reviews to ensure reserve integrity and appropriate claim handling strategies

Oakland, Ca

• Managed multiple workers' compensation programs • Provided oversight of Third Party Administrators (TPA) for runoff and current claims• Managed and negotiated settlements of high exposure complex cases throughout the state • Met with reinsurance carriers to discuss high exposure claims, reserves, and resolution• Developed and provided claim technical training for TPA claim management and staff• Conducted target and annual claim audits to monitor TPA performance and compliance• Collaborated with underwriters on renewals and new business prospects • Interfaced with brokers and client service agents • Designated company liaison for the California Workers Compensation Institute (CWCI)

Oakland, Ca

• Created an Injury and Illness Prevention Program (IIPP) for 166 stores and 2 warehouses • Conducted safety training and work accident investigations• Administered workers’ compensation program including OSHA record keeping, 3rd Party Administrator oversight, modified return to work program, and 132(a) allegations• Partnered with broker and carrier Loss Control Representative on issues of safety training, accident prevention, and claims management

San Francisco, Ca

*Managed four claim units, clerical staff, and medical management department*Conducted training in all areas of technical claim management and customer service*Triaged high exposure claims with defense counsel, medical consultants, and reinsurance carrier

San Diego, Ca

• Supervised a staff of ten claims adjusters and five clerical assistants• Collaborated with corporate trainers in development and implementation of training programs• Performed written audits of serious loss claim files and prepared settlement evaluations for Senior Vice President review and approval• Assisted Senior Vice President with planning for opening the Orange County office as well as re-configuring of claim department layout• Resolved complaint calls on behalf of Vice President

San Francisco, Ca

• Supervised a staff of five examiners, eight clerical assistants, and 2 nurses• Triaged all new claims with medical disability management nurses • Attended hearings before the WCAB and Rehab Unit to resolve disputes• Conducted claim reviews with employers and client service representatives• Participated in marketing presentations and solicitation of new business

San Bruno, Ca

• Managed a workers’ compensation claim inventory from claim inception to resolution• Met with insureds to conduct claim reviews, marketing calls

Hayward, Ca

• Adjusted commercial and homeowners property claims from inception to resolution• Estimated cost of building repairs losses and processed personal property loss claims