Job Title: VP, Claims Operations
He currently leads Field Claim Operations for No Fault and Medical Payments (medical bills-wages-services), and Subrogation (recoveries). Additionally, he leads the department’s Claims Technology and Digital team, Claims Compliance team, and Claims Analytics and Intelligence team.
He joined MetLife in 1994, after a five plus year claims adjusting career with the St Paul / Economy Companies. Prior to his current role, he held several progressive leadership roles to include leading two Field Claim Offices (Seattle & St Louis), serving as the Market Strategist (Product Management) for the states of Washington, Oregon, and Idaho, leader of Countrywide Casualty Strategy to include High Exposure and Extra-Contractual Obligation claims, leader of Claims Training, Claims Controller to include being a co-Operational Review Presenter, Claims Strategy and Governance.
Recently, he presented at the 4th Annual Global Claims Management and Innovation Conference 2017 in New York City on the topic of Exploring Artificial Intelligence within Insurance Claims. In 2014, he was featured in Clear Path Analysis “Insurance Risk and Operations” magazine speaking on the topic of ‘Streamlining current claims management processes for better operational efficiency within the insurer group.’ In 2013 he addressed the America’s Claims Event on the topic of “Data Driven Claims Decisions,” and has represented MetLife at several national forums such as the National Urban League Annual Conference and the Rhode Island Ministers of Alliance MLK breakfast celebration. He also participated in an auto market expansion exploration with MetLife Brazilian leadership in Sao Paulo, Brazil in 2012. He is a member of the Verisk Claims Analytics Executive Council, a former Multicultural Professional Network (MPN) co-chair, is a former President and Board Chair of the Rhode Island CPCU Chapter, a former Rhode Island Mentoring participant, a former Junior Achievement Personal Finance presenter, a former Diversity Steering Committee and LIAT Champion, and a former Big Brother.
He earned his BBA in Finance from the University of Iowa in 1988, and in 2003 he earned an MBA from the University of Phoenix (St Louis, MO on campus program), and in 2006 attained the Chartered Property and Casualty Underwriter (CPCU). He also holds the Associates in Claims (AIC), and the Associates in Personal Insurance (API) designations.
Making the case for AI in Insurance Claims: from automation through “super AI”. How can Insurer’s leverage this evolution to solve pain points across the life cycle of an insurance claim? Case studies of experience including the assessing dynamic, static models and living and breathing models with examples.
Understand the potential of data science in improving claims process efficiency by shortening claims cycles and intervening at key decision points. Impact of machine learning, automation and AI on optimizing claims-decision making and likelihood. Assessing the power of data science in better minimizing the impact of macro-pressures on claims and maximizing reserve management. What customer… Read more.