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RICHARD A. CASS
INSURANCE CONSULTANT
FORENSIC INSURANCE
EDUCATION
Weber State College; Ogden, Utah
Bachelor of Science Degree
St. Edwards University; Austin, Texas
Office Economic Opportunity Community Organization Vista Project
University of Arizona, College of Law; Tucson, Arizona
PROFESSIONAL DESIGNATIONS
- American Institute for Chartered Property Casualty Underwriters
C.P.C.U.
- Insurance Institute of America
Certified in General Insurance
Associate in Claims
Associate in Management
Associate in Research and Planning
- Professional Liability Underwriter Association
Registered Professional Liability Underwriter
- Society of Registered Professional Adjusters
Registered Professional Adjuster
- International Risk Management Institute, Inc
Construction Risk and Insurance Specialist
PROFESSIONAL SOCIETIES
- Society of CPCU
3. Regulatory and Legislative
- Southern Nevada Claims Association
- Society of Registered Professional Adjusters - Education Committee
- Society of Financial Examiners
- Associate Member
- Insurance Regulatory Society - Sustaining Member
- Society of State Filers
- Society of Insurance Research
Las Vegas Chapter, CPCU
Public Relations Chair
Society Vice-President
Society - President
- Nevada Self-Insured Association - Legislative Committee
- Professional Liability Underwriters Association
- Association of Insurance Compliance Professionals
- Nevada Insurance Council
SEMINARS
Fall Leadership Conferences (2) Park City, Utah
Casualty Claim Training Course, San Francisco, California
Auto Technical Training Course, Northbrook, Illinois
Claim Supervisor Course, San Diego, California
Managing a Unit, Northbrook, Illinois
Casualty Claim Manager, Industry City, California
Managing Affirmative Action, Phoenix, Arizona
Claim Management Workshop, Phoenix, Arizona
Medical-Legal Seminar (2) Las Vegas, Nevada
Regional Growth Team, Las Vegas, Nevada
Medical Management, Phoenix, Arizona
Office Orthopaedics (2) San Diego, California
Negotiations, Las Vegas, Nevada
Back Pain, Las Vegas, Nevada
Diversity, Salt Lake City, Utah
CCPR - Phoenix, Arizona (numerous)
Litigation Management, Phoenix, Arizona
Insurance for Construction Defect
ACCREDITATIONS/LICENSING
1. Independent Adjuster (Nevada)
2. Insurance Consultant (Nevada)
3. Society C.P.C.U. - Continuing Professional Development
4. Certificate Evaluation Consultant
PROFESSIONAL EXPERIENCE
1. 27 years Insurance Industry
2. Contributing Author Insurance Institute of America- 2001
3. Article, Evaluation Technology Tool or Ruler CQ December 2001
4. Copy Right Course Insurance Educational Association- Continuing Education
Agents- 2002
5. 11 years Expert Witness, benefits due under property and casualty policies,
underwriting, marketing and claims
6. Educational Coordinator and trainer-claims processes
TECHNOLOGY
- Medical Bill Review Service
- CPT/ICD -9
- Colossus Evaluation Systems
- Paperless Files
- Integrated Claims Systems
- West Law
SUMMARY OF DUTIES AND RESPONSIBLITIES
Claim Representative, Staff Claim Analyst
Responsible to investigate, evaluate and handle to disposition by settlement, trial or arbitration, serious and complex personal injury, contractual, property damage liability and subrogation claims. This involved determination of contractual obligations, liability and theories of defense. Collaborate with assigned counsel with respect to discovery, trial, and arbitration. In select circumstances represent company in arbitration hearings.
Position required expertise in the knowledge and application of Law of Comparative Negligence; liability evaluation including knowledge of case law and statutes. This required understanding of Law of Contracts including coverage determination; determine need for solicit and assess opinions of counsel in contract interpretation. Processing and investigation required understanding of procedural law including suit handling; knowledge of Rules of Civil Procedure, and litigation management; injury and damage specification, evaluation and settlement.
Other responsibilities include assisting counsel in expert and percipient witness selection and assessment. This included assessing need for and obtaining expert witnesses in pertinent cases including medicine, accounting, economics, and cause-origin. Further responsibilities included attending trials and hearings on motions and depositions, as well as, assisting counsel in preparing questions of lay and expert witnesses. On occasion, testifying at trial as to claim procedures, investigation and processing.
Formulate and prepare technical reports for use of company personnel and counsel.
This position was responsible for entire bodily injury operation in Southern Nevada. Duties included assessment of functioning of claim operation in terms of compliance with Fair Claims Practice Act. Planning and budgeting of allocated and unallocated expenses. Develop and implement new plans and procedures. Negotiate contracts with outside counsel regarding fee arrangements. Understand and monitor Law of Policy Interpretation, Tort Law, and Law of Remedies. Monitor jury trends and statutory law and mentoring of new and experienced claim personnel.
Responsible for line management of 5 to 10 bodily injury claim representatives. Responsibilities included salary administration, recruitment and hiring of employees, and supervising, training, and motivating employees in bodily injury units. Position required expertise in various areas of law including, policy interpretation and torts as well as skills in motivation, participative management, team building, and social support.
Assure consistency and objectivity in evaluations by reviewing and recommending settlement amounts on files. Transfer technical expertise through coaching and training of others. Assist management creating strategies to address injury severity through review and on-going analysis of settlement data. Review work content, quality of others. Provide settlement or expense authorization to others.
Advanced/Expert knowledge; includes medical review systems, trial process, ADR, claim department procedure, regulatory compliance, Fraud/Special Investigation Unit practices. Colossus reporting system, basic contracts, coverage analysis, evidence gathering, medical report interpretation, general insurance, knowledge, injury value calculation methodology.
Director of Liability Claims - York Claims Service of Nevada, Inc.
The Director was responsible for the establishment of an automobile claims handling operation of third party administrator in Nevada. Included hiring and management of clerical and claims professionals. The Director designed job functions, preparing budgets, quality reviews, marketing of services, assuring compliance with Unfair Claim Practices and administrative laws and regulations of Nevada.
District Coordinator, State of Nevada - Insurance Educational Association
Responsible to market, identify instructors, locations for educational activities. Give group and public presentations. Assist with the development of educational programs and their market. Establish insurance educational programs in Nevada. Report to Vice-President in New Port Beach California.
Insurance Consultant - Forensic Insurance
Review, research and provide opinions as to property and casualty insurance and processes. Opine as to the application of standards and protocol to insurance products and benefits. Provide litigation support, claims reviews, underwriting assessments. Review Good Faith and Fair Dealing as benefit due in marketing, underwriting and claims handling.
Construction Defect and Structural Product Defect Specialist-ADDECO
Responsible to open, manage, evaluate, negotiate and dispose of a large pending of construction defect and product liability claims by settlement or trial. Responsibilities included assessing the application of Coverage under ISO and manuscript forms and endorsements. Assess, apply and resolve Indemnity and Additional Insured claims. Give direction to and assign independent adjusters in the investigation of defect claims. Represent the company in mediations, mandatory settlement conferences. Coordinate and recommend course of action and discovery to assigned counsel. Assess evidence as to cause-effect, damages under the law of Nevada.
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