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BETA Healthcare Group - Professional Liability Representative II Resume Example

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Joseph Clark
XX XXXXXXXX XXXXX XXXXXX, San Ramon, CA 94583
XXXXXXXXXXXXXXXXXXXX
Ph: XXXXXXXXXXXX
Professional Summary

Accomplished and energetic claims representative with a solid history of achievement in claims handling. Motivated leader with strong organizational and prioritization abilities. Areas of expertise in general and professional liability claims which include premises liability, medical negligence, wrongful employment practices, and D&O liability claims.

Skills
  • Good communication skills
  • Responsive to a client's needs
  • Outstanding analytical skills
  • Proficient with computers
  • Ability to multi-task
  • Very resourceful
  • Excellent negotiation skills
  • Knowledeable of Law and Government Code Claims practices
  • Good Judgment and Decision Making
  • Excellent Complex Problem Solving 
Experience
Professional Liability Representative II Dec 2001Sep 2014 BETA Healthcare Group Alamo, CA
  • Managed personal case load in accordance with Claims Department procedures.
  • Planned and implemented strategies for proactive investigations
  • Prepared written summaries of claim investigations
  • Compiled, analyzed and documented medical and legal information in claim files
  • Assessed coverage issues and made recommendations for declinations of coverage, reservations of rights letters and tenders of defense
  • Suggested appropriate case reserves and reserves changes 
  • Updated claims database and paperless file as needed
  • Selected,  and monitored activities of defense counsel and ensured compliance with Litigation Management Guidelines and Claims Department Procedures
  • Communicated effectively with members/insureds, brokers, counsel, experts and other key contacts 
  • Maintained personal contact with assigned accounts and provided proactive claims advice to members/insureds
  • Attended mediations, court hearings, trials, and meetings with members/insured and counsel
  • Analyzed liability, causation, and damages issues
  • Drafted reports: board reports, licensing agency reports and reinsurance reports
  • Made recommendations for claim resolution and negotiated settlements in accordance to the Claims Department Procedures
  • Reviewed and approved invoices of defense counsel, experts and vendors
Project Manager Sep 2000Jul 2001 Clarent Corporation Redwood City, CA
  • Supported worldwide pre-sales, beta, evaluation accounts including special projects in establishing new processes and providing input for process impovements
  • Managed projects to ensure customers' deadlines were met to encourage potential sales 
  • Escalated issues to support and engineering departments to ensure bugs reported were resolved 
  • Developed global Other Equipment Manufacturer Return Material Authorization procedure that prevented a significant amount of loss of revenue to the company 
  • Coordinated cross functional meetings to ensure buy-in on business processes
Distributor Support Manager Jul 1989Jun 2000 Network Equipment Technologies, Inc. Fremont, CA
  • Provided pre-sales and post sales support to customers, distributors and resellers
  • Acted as a liaison between customers and manufacturing, sales, field service, engineering, marketing, and accounting to resolve status, production, delivery and billing inquiries
  • Established on-going operational objectives and assignments and delegated work to employees for improvement towards productivity and efficiency to meet company goals
  • Ensured budgets, schedules, and performance requirements were met
Clarent Total Solutions Program Manager Clarent Corporation Redwood City , CA
  • Established regional relationships, resulting in agreed Service Level Agreements between Clarent, OEM vendors/Service Partners aligned with the End-User's Service Level Agreements 
  • Provided Clarent Total Solution quotes within two working days of request for out of scope services to Sales
  • Ensured availability of test plans/documentation for any service partners engaged in staging or ‘on-site' tasks
  • Produced cost analysis for any OEM equipment or outsourced services for every project
  • Ensured adequate training was made available to any service partner, to complete outsourced task in a manner complimentary to Clarent standards
  • Processed orders for both international and domestic orders to ensure revenue was reported and recognized
Service Account Manager Clarent Corporation Redwood City, CA
  • Delivered project management services to specific corporate accounts to coordinate services for customers including service rollout, feature availability, engineering support, installation activities, and product shipment coordination
  • Acted as customer advocate
  • Provided the primary interface to customers for ongoing management of existing services and facilities
  • Ensured that appropriate mechanisms were in place for the transition from” project” to “operational” status
  • Conducted periodic quality meetings with customers to ensure that the level of service provided either met or exceeded the customers expectations
  • Ensured tracking and quality measures were in place for all projects and ongoing functions
  • Acted as a liaison between installation teams, external contractors & customers to ensure their network failures were resolved as first priority
  • Ensured account report/status were uploaded to Clarent Intranet site on minimum weekly basis, including but not limited to meeting minutes, project milestones, major outages etc.
Project Manager, Asia/Pacific Network Equipment Technologies, Inc. Fremont, CA
  • Responsible for directing and coordinating the entire sales order fulfillment process; from order request to product installation, reallocations and upgrades
  • Acted as a liaison or escalation point for customers, distributors and sales staff. Coordinated with groups in the company to ensure revenue orders were properly recorded, tracked, and filled in a timely manner
  • Examined effectiveness of current processes and made recommendations for improvement as necessary
  • Coordinated software and hardware implementation plans for customer's installations
  • Acted as a liaison to credit and collections for payment issues from distributors
  • Worked with cross functional groups to provide assistance to the field engineers for technical support        
Sr. Logistics Coordinator Network Equipment Technologies, Inc. Fremont, CA
  • Coordinated distribution of company products and OEM equipment to domestic and international clients, N.E.T. International Distributors and N.E.T.
  • Supported field service personnel for replacement of faulty equipment
  • Assisted I.T. with problem solving on Tracnet by preforming the in-depth research
  • Worked towards optimizing sparing levels to assure adequate field spares
  • Negotiated rates and services with carriers that enabled NET to offer clients more efficient delivery service while reducing N.E.T's shipping costs
Service Support Coordinator Network Equipment Technologies, Inc. Fremont, CA
  • Coordinated N.E.T. field service and International N.E.T. service partners to customer sites for field replacements, network upgrades, and new installation initiated by opening cases
Education
Business California State Hayward University Hayward, CA
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Resume Details

This is a real resume for a Professional Liability Representative II in San Ramon, California with experience working for such companies as Beta Healthcare Group, Clarent Corporation, Network Equipment Technologies. This is one of the hundreds of Professional Liability Representative II resumes available on our site for free. Use these resumes as templates to get help creating the best Professional Liability Representative II resume.

Previous Companies:

  • BETA Healthcare Group
  • Clarent Corporation
  • Network Equipment Technologies

Previous Job Positions:

  • Professional Liability Representative II
  • Project Manager
  • Distributor Support Manager
  • Clarent Total Solutions Program Manager
  • Service Account Manager

Schools:

  • California State Hayward University

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