Michael Fleming Email & Phone Number

Jacksonville, Florida Area

Jacksonville, Florida Area

Managing commercial claims from beginning to end.Sinkhole Litigation File Manager. Managing sinkhole litigation from beginning to conclusion.

Sw United States

Insurance Claims Consultant managing all property and auto lines claims activity, with an expertise in catastrophe response.

Greater Atlanta Area

Business Solutions for groups and individuals including Estate Planning, Retirement Planning, and Supplemental Insurance Sales.

Greater Atlanta Area

Legal Offices Manager, plus manage select case files assigned by Attorneys.I managed two law offices for Attorney Clifton Lee. In addition my duties included interviewing new clients, investigating the facts of each case file, case file development, demand preparation and submission, case file resolution and attorney trial preparation.

United States

Catastrophe Market Claims Manager10+ years of consistent, hands-on experience in each of the following listed duties. Extensive experience in handling and managing personal lines and commercial lines property and auto claims from beginning to end. Duties were routine and commensurate to my job requirements and successful performance standards in role as Market Claims Manager.• Implemented response strategies utilizing technological advances.• Implemented comprehensive catastrophic response strategies from logistical office set up, personnel deployment, customer service and expense management.• Implemented catastrophe/ disaster response strategies and processes• Implemented customer catastrophe response education and preparedness programs.• Experience in first party property claims litigation, negotiation and settlement.• Experience in outside counsel collaboration• Experienced participant/ manager in mediation proceedings.• Consistent/ continuous multi-project management implementation/ oversight. • NFIP certification• Florida DOI Adjuster License # A085885• Associate in Claims (AIC) certification• 10+ years’ experience managing 400+ front-line employees and mid-level managers.• 10+ years’ experience successfully managing ALL personnel issues for 200+ employees.• 10+ years’ experience developing/ managing multi-million $ ‘operational budgets’ and expense budgets• Implemented inspection cycle times• Managed all response aspects of catastrophe response during major Flood events.• Managed all response aspects of a major Wildfire Event (S. California 2003).• Managed all response aspects of Hurricane Katrina.• Experienced in conflict resolution/appraisal process• Experienced in Vendor Management • Trained and experienced internal auditor.• Experienced in data report analysis• Experienced project manager.• Experienced group facilitator and problem solver.• Experienced communications and presentation expert.

Northbrook, Il

I have 10+ years of consistent, hands-on experience in each of the following listed duties. Each of the following duties was routine and commensurate to my job requirements and my successful performance standards in my role as SIU CPS.•Attended anti-fraud trainings and conferences as well as client SIU trainings and industry seminars.•Led a team of SIU managers and adjusters that conducted interviews and gathered detailed information while investigating potentially fraudulent claims with a focus on thoroughness, quality, and cost control.•Developed and implemented investigative processes that enhanced all claims 'intervention efforts'.•Implemented and administered regulatory reviews and internal audits for quality and expense control.•Created connections with local fraud bureaus, district attorneys' offices, and investigative associations.•Complied with requirements for secure communications; performed tests and required adjustments.•Submitted claims appeals with documentation; researched ways to reduce and prevent denial recurrence.•Provided outstanding customer service; determined/managed client’s expectations in processing claims.•Maintained awareness of advances in information technology and recommend changes to claims systems.•Followed established practices and standards for processing claims and other established procedures.•Collaborated with other peers to prepare and analyze damage assessments following an incident.•Conducted assessments, reviews, and self-inspections. Analyzed and interpreted results, recommended appropriate corrective actions, and communicated results. Followed-up on issues until completion.•Reviewed policies, programs, and procedures ensuring inclusion of any new claims requirements.•Kept abreast of changes to regulations that impacted the company. Utilized best practices in management.•Investigated incidents; compiled findings and recommendations for corrective actions into reports.

Macon, Georgia Area

Multi-line Claims AdjusterI have 10+ years of consistent, hands-on experience in each of the following listed duties. Each of the following duties was routine and commensurate to my job requirements and my successful performance standards.•As a Resident Multi-Line Adjuster, managed all claims activity in SW Georgia. Reduced loss ratios through fair and prompt processing of claims. Oversaw a large caseload of clients each quarter.•Routinely conducted interviews, gathered detailed information, and completed field investigations. •Identified and collected new evidence and determined its value to a specific claim. Closed a higher than average number of cases per quarter. Consistently conducted claim and estimated re-inspections.•Recommended settlement offers and negotiated payment arrangements. Obtained necessary data to complete evaluation of injury claims. Completed required investigations on the referred files.•Consistently handled large fire losses, as well as auto, property, and casualty claims in SW Georgia.•Compiled/maintained records; examined contracts received to verify conformance to specifications.•Examined contracts and compared with records to verify accuracy of updated customer information.•Updated standard operating procedures and plans in coordination with other insurance departments.•Adhered to professional standards, policies and procedures, as well as federal and state requirements. •Assisted members or providers with plan benefits via telephone, in writing, in person, or via referrals. •Used reference material to assist providers on denied claims. Investigated insurance claim denials.

Blakely, Ga

High School Teacher - Government, Am. History, Physical Ed, CivicsHead Track CoachHead Basketball CoachAsst. Football Coach

Master’S Degree, Public Administration; Leadership And Health Administration, 4.0 Gpa

Activities and Societies: Omega Psi Phi Fraternity, Inc., Who's Who, Inc., SIAC Track Champion 4 years, ASC Football, National Honor Society

Bachelor Degree, Arts— History And Political Science, 3.74 Gpa