Ryan Mcelvain Email & Phone Number

California, United States

San Diego, California, United States

New role in the company focused on building a world-class investigations team.

San Diego, California, United States

Promoted to lead a staff of 900+ countrywide, including data analysts, investigators, auditors, compliance specialists, operational supervisors and managers. Responsible for a portfolio of $1.2B and the successful investigation of more than 300,000 claims annually with 14 direct reports. • Improved operational efficiency by 20% which led to an additional $200M in fraud avoidance annually. • Created an analytics team and drove the company initiative of building data analytical models which improved fraud detection accuracy and led to an additional $300M in fraud avoidance annually. • Implemented a new department structure, going from a regional model to a centralized countrywide model. • Collaborated with department heads and company executives to develop a comprehensive enterprise-wide fraud strategy with a focus on claims. • Owned regulatory and compliance relationships and built strong working relationships with regulators ensuring adherence to all laws and statutes. • Created structured onboarding and continuous education process for department leaders with a focus on leadership and performance management.

San Diego, California, United States

Responsible for leading the day-to-day management of the CA, AK, HI fraud prevention team. Developed venue specific strategies while delivering on key performance targets. • Improved operational efficiency by more than 100% through claim handling process improvements, developing best practices for workflow, performance management and quality control. • Developed an affirmative action strategy specific to California statutes resulting in several cases pursued civilly and criminally while recovering monies from medical providers and tow providers. • Improved fraud avoidance by 20% annually through streamlined training, development of best practices and performance management.

Led claims operations departments that were responsible for property and casualty claims. Departments included subrogation, first party medical, claims call center, theft, complex liability and litigated claims. • Responsible for managing service levels, loss costs, customer service and management development while protecting policy holders involved in claims. • Hands on involvement in evaluation and authorizing claims payments. • Hired, trained, mentored and supervised claims teams to ensure customer service, file quality and productivity goals were met.• Responsible for leadership development through education, mentoring, and coaching. Achieved best-in-class internal employee satisfaction results and highest employee retention company-wide in two different departments.

San Diego, California, United States

San Diego, California, United States