John Grillo Email & Phone Number

• Manage indemnity, medical and legal aspects of high dollar complex claims. Evaluate claim exposure establish appropriate reserves during the life of the claim to ensure accuracy.
• Develop resolution strategy plans and pursue claim closure.
• Provide technical expertise of high value claims including coverage issues, second injury fund, Medicare Set Asides.
• Responsible jurisdictions include Pennsylvania, New Jersey, DC, Delaware and New York.

Pittsburgh, PA

Greater Pittsburgh Area

• Responsibilities included meeting with clients to prepare cases for litigation which would include filing Claim Petitions, attending hearings, preparing witnesses and meeting with doctors for preparation of medical.
• Prepared and submitted decisions and Briefs.
• Negotiated and settled claims.
• Called upon by Employers and Insurance Carriers as an expert witness in Pennsylvania Workers Compensation matters dealing with lawsuits involving the mishandling of workers compensation claims.

Pittsburgh, PA

• Responsibilities included developing and implementing an auditing program for self- insured’s.
• Hired and trained field personnel.
• Co-developed our own TPA program for small self-insured’s.
• Participated in and put together seminars for small self-insured companies to help manage their workers compensation claims.

Pittsburgh, PA

• Assigned to handle over 700 claims with large reserves dealing with complex matters for one dedicated account.
• Successfully achieved a set goal to move 500 of these claims into litigation and/or a final settlement, using all available resources.
• Supervised several claim support technicians and one claims professional.
• Recognized as “Top Structured Settlement Performer” for the workers compensation department for 2002, 2003, and 2004.

Baltimore, MD

• Responsibilities included providing expert technical advice to 21 Field Offices in 7 jurisdictions.
• Completed field office audits
• Co-authored the Claim Best Practices manual and implemented a training program for claim professionals dealing with reserving issues.
• Conducted numerous Home Office training seminars for field personnel dealing with structured settlements, investigation, litigation management, subrogation and cost containment.
• Worked directly with Senior Management on catastrophic claims and complex legal issues.
• Traveled throughout the United States visiting field offices to conduct internal audits, complete training seminars, and address technical issues and work directly with field claim personnel.

Bachelor'S Degree, Criminology, 3.5

Bachelor'S Degree, Criminology