William Pratt Email & Phone Number

Pittsburgh, Pennsylvania, United States

Robinson Township, Pennsylvania, United States

Director Claims Audit and Quality Assurance (Casualty & Property) Oct 2012 - PresentOversees the Global Risk Solutions QA Casualty & Property Team consisting of two Lead Auditors and seven Sr. Auditors providing monthly oversight of 550 NI Casualty & Property files (open and closed) with average audit loss dollars of $29.5 M and noting opportunities in up to eight different phases from date of assignment to closing focusing on continuous improvements in claims handling.Performs HR related activities including Career Development, defining performance metrics and objectives, employee mentorship program, regular performance reviews, onboarding and training program, and Diversity and Inclusion Awareness program. Administers a budget of $1.55M, oversees expenditures for the team (coordinating salaries, travel, equipment), and ensures all are in accordance with department line items.Facilitates meetings and presents QA claims analysis and handling trends for GRS Sr. Leadership and Sr. Claim Managers monthly. Coordinates all office in field calibration and training identifying GAP, trend analysis, and rating agreement differences overall and in phases. Directs large NI customer focused QA programs and teams on major projects and initiatives including Enhanced Quality System - Team Manager Review process, Leadership Calibration, Metrics definition and analysis, Reserve Training, Documentation Guidelines for Casualty claims handling, and APD New Hire Training.• Established multiple end-to-end QA programs for all the lines of business.• Instituted Best in Class claims handling practices that achieve over 90% in multiple phases (Coverage, Investigation, Auto, Physical Damage).• Delivered multiple Calibration events for senior leadership defining quality of claims handling across all levels of the organization.

Robinson Township, Pennsylvania, United States

Delivered outstanding project coordination efforts for AL and WC Examining projects including highly technical and complex tasks for World Trade Center claim coding identification, LMS standard work, WC Early Alert analysis, and Litigation Record Management on Direct Liberty Mutual lawsuits.Facilitated QA team calibration efforts for all lines of business, set up calibration sessions, prepared files, performed System Questionnaire Training, and region analysis to enable the QA team discussions. Generated regular (monthly, quarterly, YTD) team reports for the QA department.• Formulated standardized QA reporting for all LOBs (Auto GL, WC, Property) leveraging the Athenium Team Think reporting tool.• Successfully expanded multiple LM department QA questionnaires by partnering with QA leads on determining goals and objectives, designing questionnaires, defining content, and constructing the new questionnaires in the newly contracted Athenium software.

Robinson Township, Pennsylvania, United States

Oversaw all reporting and analysis efforts for Commercial Insurance Property, Auto GL, WC, and Shared Services Closed File Review programs. Instituted a WC Closed File Review program utilizing an electronic questionnaire created in FoxPro software as well as providing calibration and analysis for new team members. Executed maintenance activities for outside contracted vendor Athenium such as managing questionnaires (updated yearly), administration of user accounts, budgeting, and technical support for any reporting issues. Provided coordination and management of LRU (Loss Recovery Unit) Reporting and for AL and WC LRU monthly results with analysis and financials presented to Senior Leadership.• Successfully engineered the Workers Compensation QA program with subsequent iterations of enhancements to further improve the processes.• Built effective metrics reporting for the Claims, Loss Recovery departments, and for Senior Claims Leadership.

Robinson Township, Pennsylvania, United States

Acted as senior auditing expert reviewing all closed claims files identifying all opportunities for improvement from the beginning date of assignment through negotiation and settlement. Conducted bi-annual office wide audits, documenting all findings, and presenting the results onsite to each BI and NI claims management team. Analyzed data based on industry wide standards separated out by Best Practice Scores and dollar savings set by percentage of confidence factors per phase.

Robinson Township, Pennsylvania, United States

Robinson Township, Pennsylvania, United States