Jordan Breach, Mba, Cie, Pahm, Mcm Email & Phone Number

Marysville, PA, US

• Analyzes Qualified and Non-Qualified Health Plan product submissions from Issuers in CCIIO’s Direct Enforcement and CAA states for provisions under Title XXVII of the PHS Act.
• Prepares reports and exhibits to deliver appropriate objections and recommendations regarding compliance of health insurance contract provisions.
• Completes assigned tasks with high level attention to detail, high-quality accuracy and within defined timelines.
• Maintains an extensive knowledge of Federal laws and regulations pertaining to the Affordable Care Act (ACA) and the Consolidated Appropriations Act (CAA) as well an up-to-date understanding of regulatory updates and.

• Exercised independent discretion and judgement in handling high exposure general commercial liability, construction defect, and bodily injury claims.
• Conducted extensive investigation into coverage, liability, and valuation of claims.
• Communicated with defense counsel, and handles litigated files as directed. Makes recommendations regarding litigation and settlement opportunities when appropriate.
• Attended mediation and settlement conferences to bring claims to resolution.

Harrisburg, Pennsylvania, United States

• Handled the investigation, evaluation, reserving, expense control, vendor monitoring, litigation management and resolution of various types of claims (large loss property, commercial property, law enforcement.
• Handled catastrophic loss claims with limited supervision of the Senior Claims Supervisor or Claims Manager.
• Worked with defense counsel to determine budget, strategy, and other options for claims.
• Communicated with members about claims settlements.
• Provided reports to reinsurers. Answered questions and reviewed reserves with reinsurers as appropriate.
• Revised the Reservation of Rights letter format to ensure clear and concise policy and coverage language was accurately communicated.

Harrisburg, Pennsylvania, United States

• Scoped and photographed residential properties for defects and damage.
• Prepared sketch of floor plan/roofline and entered data into estimating software to develop line-by-line item costs of damages.
• Collaborated with contractors on property damage and compared cost estimates.
• Prepared comprehensive reports that were used to negotiate purchase price and/or repair of properties.

Harrisburg, Pennsylvania, United States

• Studied policies to determine if there is adequate coverage to cover the loss.
• Interviewed all parties involved and collected all evidence to bring a claim to resolution.
• Negotiated with parties involved to settle a claim.

Bachelor Of Science - Bs, Marketing

Master Of Business Administration - Mba