SGCL-100 

Licensed New York State Insurance Broker 

SUMMARY: Claims management professional with extensive experience in insurance analysis and risk assessment at SterlingRisk LLC. Demonstrated success in negotiating favorable outcomes and delivering high-quality customer service. Proficient in Applied Epic software, managing complex claims while achieving a profitable loss ratio. Expertise in policy limitations, coverage analysis, and effective communication has led to streamlined procedures and enhanced client relationship 

SKILLS

• Insurance analysis and risk assessment
• Claims management and negotiation
• Customer service and support General liability, property, auto, D&O, and professional liability coverage expertise
• Cybersecurity and crime insurance understanding
• Workers' compensation management
• Lease agreements and contract oversight
• Proficiency in Microsoft Office suite Expertise in Applied Epic software AMS 360 system Agency interface coordination 

CLIENT ADVOCATE

• Claims intake of first reports, submit the claim to the carriers, update file once a claim acknowledgement received.
• Obtain video footage, witness statements, lease agreements, COI's and/or contracts from the insured to review for risk transfer.
• Monitor and update claim files continuously through final payment or closure.
• Notify the Managing Director of Claims and Managing Director of Risk Management if a claim presented has the potential exposure to be a substantial loss, severe or fatal injury, or if a carrier has issued a reserve advisory alert.
• Provide claim summaries to the Marketing Dept and Account Managers prior to the Renewal Strategy Meeting.
• Conduct in-depth Claim Reviews with Insureds on a quarterly or bi-annual basis.

SENIOR AGENCY/BROKER CLAIM SPECIALIST 

• Reviewed personal and commercial insurance policies (homeowners, flood, disability, PFL, workers compensation GL, property, inland marine, special event, crime, accident and sickness) to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Delivered exceptional customer service to policyholders by communicating important information and resolving all issues.
• Handled accounts that included construction, waste management, trucking, restaurants, real estate, condos & HOA's and schools.
• Followed up with customers on unresolved claims. Tracked progress of all outstanding insurance claims with insurance company claim representatives and assigned the claim.

For additional information or to obtain a resume on this Insurance Professional...

Contact Fred Gorman at 1-631-588-4200 Between 8AM & 9PM or Email Fred@GormanPersonnel.com