Edwin Garrett

• Investigate and resolve Litigated and some non-Litigated Commercial Liability, Premises Medical, Commercial Auto, Product Liability and Personal Injury for current Captive of Churchill.
• Litigation desk with high exposures
• Resolved litigation cases with settlements up to $5,000,000.
• Analyzed policies to determine coverage limitations and values within policy limitations.
• Prepared and presented summary reports as part of claims review process.
• Work with defense counsel to secure best outcome for client/carrier
• Review policies to analyze appropriate coverage
• Review contracts and determining tender opportunities as applicable for both the benefit of the client & presented to client on behalf of various entities.
• Excellent written and oral communications, organized and complete tasks assigned with little to no oversight
• Travel for mediations and trials as required by client/carrier
• Pursuit of subrogation as appropriate
• Trainer for new employees on team & back up to supervisor

• Manages within company standards and best practices complex and problematic, high visibility general liability claims within delegated limited authority to determine liability; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
• Receives claim, confirms policy coverage and acknowledgement of the claim.
• Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies.
• Establishes reserves and authorizes payments within reserving authority limits.
• Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim.
• Coordinates early return-to-work efforts with the appropriate parties.
• Manages subrogation and litigation of claim as it applies.
• Manages potential claim recoveries of all types.
• Reports claims to the excess carrier when applicable.
• Communicates claim status with the customer and claimant.
• Adheres to client and carrier guidelines and participates in claims review as needed.
• Develops and maintains professional customer relationships.
• Complies with rules and regulations of the applicable state.

• Analyze complex or technically difficult general liability claims to determine benefits due; work with high exposure claims involving litigation and rehabilitation; ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; identify subrogation of claims and negotiate settlements.
• Analyze and process complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manage claims through well-developed action plans to an appropriate and timely resolution.
• Assess liability and resolve claims within evaluation.
• Negotiate settlement of claims within designated authority.
• Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout the life of the claim.
• Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle claims within designated authority level.
• Prepare necessary state fillings within statutory limits.
• Manage the litigation process; ensure timely and cost effective claims resolution.
• Coordinate vendor referrals for additional investigation and/or litigation management.
• Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Report claims to the excess carrier; respond to requests of directions in a professional and timely manner.
• Communicate claim activity and processing with the claimant and the client; maintain professional client relationships.
• Ensure claim files are properly documented and claims coding is correct.

• Review and investigate significant general liability and druggist liability claims to minimize corporate claim exposures.

• Maintain and update claim database with incident related data to ensure integrity of claim handling and future actuarial needs.

• Review demand packages and medical records to formulate damage evaluations and request reserve/settlement authority necessary to resolve the case in a timely manner.

• Ensure proper investigations are completed by gathering facts through contact with store locations, field leadership and law firms.

• Collect and analyze investigative documentation surrounding store level incidents.

• Provide liability and damage analysis as required to conclude incident and claim review and handling.

• Open, close and adjust reserves in accordance with industry practices to ensure actuarial adequacy.

• Price, quote and analyze the structure of dental contracts based on claims experience and characteristics of employee groups.
• Responsible for a book of business of renewing accounts, or assigned volume of new applications. Utilizes various systems and tools to obtain necessary data and accurately complete and track assigned work.
• Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations.
• Identify questionable claim patterns of renewal clients and issues with competitor’s claims experience for prospect clients and develops recommendations to account for these situations.
• Recommend appropriate adaptation of policies/guidelines to accommodate client specific or individual situations.
• Analyze member risk and engage internal departments to manage this risk.
• Support other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts.
• Complete renewals, prospect quotes, review of lower level analyst work in accordance with production and timeliness standards.
• Influence sales and external audiences toward appropriate risk solutions.
• Guide, assist and provide technical assistance to lower level analysts.

• Investigate and resolve complex, high dollar, customer incidents which stem from general liability and druggist liability exposures while minimizing claim exposure.
• Review and investigate significant general liability and druggist liability claims to minimize corporate claim exposures.
• Maintain and update claim database with incident related data to ensure integrity of claim handling and future actuarial needs.
• Review demand packages and medical records to formulate damage evaluations and request reserve/settlement authority necessary to resolve the case in a timely manner.
• Ensure proper investigations are completed by gathering facts through contact with store locations, field leadership and law firms.
• Collect and analyze investigative documentation surrounding store level incidents.
• Provide liability and damage analysis as required to conclude incident and claim review and handling.
• Open, close and adjust reserves in accordance with industry practices to ensure actuarial adequacy.

• Establish and enhance retail sales of Comcast broadband, video, and phone products through national and local accounts while working within the company to aid in the growth of the retail sales group.
• Manage spending budgets while constraining costs.
• Solicit and cultivate sales networks and new accounts.
• Exceed sales goals in line with company product focuses.
• Maintain retail program throughout all systems in the South Central Pennsylvania region.
• Work closely with all functions of cable operation: Marketing, Finance, Human Resources, Technical Operations, Engineering, Direct Sales, Customer Service, Government Relations, Event Marketing.
• Work with local system marketing, front counter and technical departments to trouble-shoot problems, implement national retail initiatives and generate new ideas in order to increase sales.
• Training of internal colleagues and external sales representatives on Sales Channel, Process and Products in both individual and large group settings.
• Plan and operate sales/community events with retail partners.
• Grow sales at retail stores through trainings, events, contests, administration of incentive programs, merchandising, product placement, sales analysis, planogram development and building relationships with accounts.
• Promotional and financial analysis with management at store level to determine effective strategies for sales growth.
• Act as a team leader to help resolve problems and issues that arise.
• Introduce contest ideas for the retail team and formulate strategies for implementation.

• Performing advanced Underwriting tasks in the scope of Portfolio Management.
• Researched and analyzed a book of all Personal Lines (Property, Auto, and Personal Umbrella) business.
• Managed 24 agencies to improve Loss Ratio and increase premiums.
• Promoted agency growth through Marketing and Training programs.
• Traveled across Pennsylvania to visit agencies, train agents, and conduct presentations.
• Ran reports and analyzed extensive loss and premium data to examine various strengths and opportunities in the district.

• Underwrite New and existing Homeowners policy business working with a district of 24 agencies.
• Underwriting Homeowner, Tenant, Condominium, Mobile Home, Dwelling Fire, Boat, and Inland Marine Policies.
• Analyzing and processing home inspections.
• Identifying potential property hazards to maintain acceptable loss ratios and improve premiums.
• Monitoring of client remedies and repairs and re-underwriting policies.
• Processing policy cancellations in accordance with State insurance laws.
• Worked under a high-volume, high-production environment with numerous phone contacts and deadlines.
• Assisted with other underwriters’ agents over Pennsylvania, New York, and New England.

• Technical Recruiter for an Engineering placement firm.
• Contacted hundreds of people per week for general job placement duties.
• Conducted Interviews as well as hiring and firing procedures.
• Conducted phone interviews, resume assistance, interview coaching, and reference checks.
• Worked with the sales team to assist in the finding and contacting of sales leads in an effort to expand our growing client base.
• Worked to obtain numbers-based incentives and maintained a high intensity work and sales environment.

• Acted as an intermediary between insurance agents and insurance companies in a high-stress, high-volume brokerage environment.
• Communicated with Mass Mutual agents to fulfill tasks which needed to be performed to place Term, Universal, and Variable Life Insurance policies in force.
• Completed cases efficiently while keeping agents satisfied.
• Developed relationships with insurance companies in order to maintain efficiency.