Kristy Tronson, Popm, Scla Email & Phone Number

Houston, Texas, United States

Program manager creating strategy and design for casualty claims

Project management and process design for complex casualty claims involving major injuries and litigation.

Houston, Texas Area

Responsible for leading daily activities of team which specializes in third party attorney represented and litigation claims. Oversee compliance to state regulations and company policies. Direct accountability for controlling loss cost and expense management. Coordinate and manage internal staffing needs, employee development, training, and performance management. Develop and implement processes to produce outstanding customer satisfaction and retention. Pursue improvements in process and identify technological efficiencies.

Houton, Texas

Conduct prompt and thorough investigations, evaluate facts, interpret laws and regulations, and render determinations, including compensability and medical determinations. Consult with accountants, engineers, and lawyers in the evaluation of a claim. Continuously analyze case facts and monitor activities in order to identify possible fraud and/or abuse, and/or third party liability throughout the course of the claim. Review photographs and written or audio-taped or video-taped statements. Consider the relative costs and benefits of potential actions to choose the most appropriate one. Handle legal issues that can be handled without the use of a defense attorney. Negotiate with the claimant or plaintiff attorney to settle the claim.

Houston, Texas Area

Lead a team of 14 claim processors handling medical damage package gathering, rental loss cost management, claim assignments, and medicare compliance. Responsibilities included monitoring file activity; time lines; resolution rates; employee development; technical training and procedures. Utilized claims system and associated data elements in order to identify process improvements ensure data integrity. Used system to generate and analyze reports as well as confirm activity on files assigned. Instrumental in driving claim disposition, responsible for goal achievement, and overall production.

Houston, Texas Area

Houston, Texas Area

B.S., Biology, Chemistry

Activities and Societies: Habitat for Humanity, Treasurer, Outstanding Student Writer

General Studies