Nathan Hough, Maom Email & Phone Number

Tampa, FL, US

Portland, Oregon, United States

Portland, Oregon

• Manage section personnel and activities to provide timely, accurate, objective and legally-sound and defensible disability and claim decisions on new and continuing disability claims of the highest liability and.
• At a product level, identify and contribute information that effects risks, products, and prices for the professional market.
• Coordinate the assessment and management of policyholder accounts, coordination and management of reinsurance relationships;… Show more
• Coordinate the assessment and management of policyholder accounts, coordination and management of reinsurance relationships; implementing intervention and reporting strategies in response to sales, marketing, client.
• Facilitate and embrace Lean processes methods to create a more effective unit by eliminating wasteful practices and improving efficiency. Show less

Portland, Oregon

• Investigate, secure and analyze information pertaining to claimants' medical condition, occupational demands, insured status, and other policy provisions to accuratetely determine eligibility for, and entitlement to.
• Identify file/fact discrepancies for pre-existing and contestability reviews while investigating within prescribed timeframes.
• Make and communicate disability decisions and issue correct benefits for new and continuing claims.
• Conduct… Show more
• Conduct settlement negotiations with Insured when appropriate. Show less

Washington, Oregon, Idaho, Northern California

• Work as key member of sales/marketing department to track, monitor and evaluate sales data for ensuring satisfaction of sales objectives.
• Monitor the production of 100+ agents throughout Oregon, Washington, Idaho and Northern California through onsite underwriting audits and review and analysis of agency statistics, including written premium, earned.
• Make recommendations for acquiring and… Show more
• Make recommendations for acquiring and retaining quality business. Attend mediation claim hearings.
• Update and maintain appropriate documents and contracts required for state compliance.
• Review and audit commissions for accuracy. Show less

Portland, Oregon Area

Medical Management Online is an industry-leading provider of quality medical investigative and consulting services including independent medical examinations (IME), file reviews, and billing and coding reviews.

Los Angeles, California

• Executed control, operational, and compliance audits for various departments within the company.
• Determined the objectives, scope, and approach for 5 audits and completed detailed audit procedures by analyzing business activities for adequate internal controls.
• Prepared recommendations for improvement and communicated recommendations to management.

Los Angeles, California

• Created, developed and implemented the training department for the company.
• Administrated training curriculum, modules, and identified areas of need for 100 staff.
• Recruited 20+ new employees and conducted new hire orientation.
• Performed testing and evaluation procedures, technical training, needs assessment surveys, development and organization of training material and created internal certification programs.

Los Angeles, California

• Implemented the Process Improvement Department based on Six Sigma methodologies.
• Trained and coached two employees
• Lead 10 projects to drive significant process improvement using the proper application of Six Sigma tools and processes.
• Applied cost savings to actionable solutions and applied root cause problem solving techniques.

Los Angeles, California

• Analyzed physical damage and bodily injury claim information.
• Applied knowledge of varying laws of comparative negligence and state regulations, and made decisions based on company guidelines for CA, WA, OR, UT, NV, ID, NE, FL.
• Negotiated settlements directly or coordinate settlements, as needed.

• Reviewed, investigated and negotiated claims filed with the company.
• Resolved and conducted coverage investigations.
• Maintained claims status information by receiving and verifying incident reports; obtaining background information, gathering medical and other pertinent information.
• Anticipated extent of required medical treatment by interviewing injured persons.
• Negotiated with claimants and/or attorneys.
• Maintained continuity of work operations by… Show more

Bachelor Of Arts (B.A.), Psychology

Activities and Societies: Cross Country Track & Field

Master Of Arts (M.A.), Organizational Management