Nathan S.

About Nathan S.

Seasoned Claims Manager with a proven track record at Clear Spring Property & Casualty Company, enhancing team efficiency and claim handling quality through expert coaching and robust procedure implementation. Excelled in complex claim management and analytics, boosting performance and compliance. Skilled in personnel training and policy interpretation, I drive significant improvements in claims processing and customer satisfaction.

Experience

1. Claims Manager

   Clear Spring Property And Casualty Group

   Jan 2023 — Present · Philadelphia, PA, US

   Participate in hiring and onboarding of internal team of five Claim Specialists responsible for direct oversight of TPA administered claims. Provide ongoing support, technical training, and professional development of Claim Specialists through coaching/mentorship. Review all specialist work for claims in excess of Participate in Large Loss Claims Committee to review all claims in excess of Oversight of XOL claims to ensure timely carrier reporting and respond to all claim inquiries from excess carriers. Developed metrics and KPIs to track monthly claim inventory levels and claim specialist workloads to ensure adequacy of staffing and analyze future staffing needs as program expands.Oversight of Catastrophic Claim Management Program.Vendor management & Vendor governance.Claims compliance, EDI, MMSEA, state audit and fines/penalties resolution

Education

• HACC, Central Pennsylvania's Community College

  Associate of Arts (AA), Criminal Justice/Police Science

  2001 — 2004