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Debra Latham, IIA, AIC, SCLA 2010 S. East Avenue, #12 Waukesha, WI 53189 262-269-2859 [email protected] I am an experienced and highly-qualified Claims Manager. I can effectively manage a caseload of complex claims. Master Certified Arbitrator with Arbitration Forums for over 20 years. Confident in handling large, complex claims from inception to conclusion. Works with counsel, experts and professional investigators. Capable of conducting quality control audits and training for less experienced claims people. Very capable arbitrator and mediator for conflict resolution. I will determine compensability of claims and handle them to a conclusion based upon state law and in accordance with established company guidelines. I am adept in the following areas: Personal, casualty and property losses Insurance policy coverage knowledge Accident scene investigations Underwriting knowledge Risk management Familiar with fraud statutes Data analysis Subrogation expert Legal proceedings knowledge Manage and prioritize large caseloads Arbitration Mediation Negotiation Management of expert witnesses Management of counsel Retention of evidence File audits Development of guidelines, databases and reports TRISTAR RISK MANAGEMENT Waukesha, WI Claims Adjuster III 12/14 to present Investigates and settles all first and third-party multi-line commercial claims Retains experts, engineers and counsel Home Office: Analyzes coverage 100 Oceangate, Suite 700 Facilitates negotiation, mediation and settlement of claims and lawsuits Long Beach, CA 90802 Reviews and establishes reserves 262-798-3200 Completes reporting for insureds and producers Maintains a diary system to meet deadlines for meeting court dates and reporting guidelines Analyzes incoming and existing claims to develop theories of liability and determine subro potential Responsible for writing declination letters, reservation of rights letters and other letters dealing with coverage Conducts quality control audits of multi-line staff Reviewed existing claim files and provided direction to claims staff

Debra Latham Resume - Current

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Page 1: Debra Latham Resume - Current

Debra Latham, IIA, AIC, SCLA2010 S. East Avenue, #12

Waukesha, WI 53189262-269-2859

[email protected]

I am an experienced and highly-qualified Claims Manager. I can effectively manage a caseload of complex claims. Master Certified Arbitrator with

Arbitration Forums for over 20 years. Confident in handling large, complex claims from inception to conclusion. Works with counsel, experts and

professional investigators. Capable of conducting quality control audits and training for less experienced claims people. Very capable arbitrator and

mediator for conflict resolution. I will determine compensability of claims and handle them to a conclusion based upon state law and in accordance

with established company guidelines. I am adept in the following areas:

Personal, casualty and property losses Insurance policy coverage knowledge Accident scene investigations Underwriting knowledge Risk management Familiar with fraud statutes Data analysis Subrogation expert Legal proceedings knowledge

Manage and prioritize large caseloads Arbitration Mediation Negotiation Management of expert witnesses Management of counsel Retention of evidence File audits Development of guidelines, databases and reports

TRISTAR RISK MANAGEMENT Waukesha, WIClaims Adjuster III 12/14 to present

Investigates and settles all first and third-party multi-line commercial claims Retains experts, engineers and counsel Home Office: Analyzes coverage 100 Oceangate, Suite 700 Facilitates negotiation, mediation and settlement of claims and lawsuits Long Beach, CA 90802 Reviews and establishes reserves 262-798-3200 Completes reporting for insureds and producers Maintains a diary system to meet deadlines for meeting court dates and reporting guidelines Analyzes incoming and existing claims to develop theories of liability and determine subro potential Responsible for writing declination letters, reservation of rights letters and other letters dealing with coverage Conducts quality control audits of multi-line staff Reviewed existing claim files and provided direction to claims staff Analyzed existing claims files for theories of liability and missed opportunity

CRUM AND FORSTER Brookfield, WICommercial Liability/Subrogation Examiner 5/99 – 3/12

Conducted training sessions for the general claims staff Evaluated risks with Underwriting and Risk Management Home Office: Participated in quality control audits 305 Madison Avenue Maintained a diary system for active claims Morristown, NJ 07960 Developed databases and reports to assist in tracking and monitoring results 973-490-6600 Formulated guidelines for newly created team and claims staff Reviewed claim files and provided direction to claims staff Ran ad hoc reports to identify claims with potential missed opportunity Analyzed incoming and existing claims for theories of liability Conducted investigation and retained evidence Analyzed documentation (cause & origin reports, contracts, policies, etc.) Retained experts, engineers and counsel when warranted Performed as an Arbitrator with Arbitration Forums, Inc. Mediated litigated claims for settlement Prepared and filed Arbitration filings Facilitated negotiation and conflict resolution

Page 2: Debra Latham Resume - Current

CNA COMMERCIAL INSURANCE COMPANY Brookfield, WICommercial Liability/Subrogation Examiner 6/89 – 3/99

Evaluated all evidence with the ultimate goal of creating positive outcomes for client's claims Reviewed field inspections and coordinated all insurance claim audits Home Office: Reviewed new files to determine current status of injury claim and to develop a plan of action 333 W. Wabash Avenue Answered questions posed by insured and attorneys and customer questions regarding deductibles Chicago, IL 60604 Maintained contact with claimants and attorneys to determine treatment status 312-822-5000 Reported to management on customer problems, field conditions, safety issues and policy problems Documented all investigation activity and presented reports to management Testified on behalf of the company as part of criminal and civil proceedings Substantiated legitimate claims and denied unjustified claims Partnered with legal counsel on litigation cases Evaluated insurance policies and analyzed damages to determine coverage

AETNA INSURANCE COMPANY Milwaukee, WIProperty and Subrogation Examiner 2/86 – 3/89

Evaluated all evidence with the ultimate goal of creating positive outcomes for client's claims. Successfully eliminated claimant, premium and provider fraud. Home Office: Directed and coordinated various investigations conducted by field investigation team. 55 Lane Road, #200 Guided and trained 4 other investigators. Fairfield, NJ 07004 Conducted audits of regional branch offices. 800-872-3862 Reviewed new files to determine current status of injury claim and to develop a plan of action. Answered questions posed by insured and attorneys. Investigated claims involving potential and suspected fraudulent activities. Documented all investigation activity and presented reports to management. Substantiated legitimate claims and denied unjustified claims.

EducationInsurance Institute of America Chicago, ILAssociate of Arts: Insurance Law

Certifications IIA – Insurance Institute of AmericaSCLA – Society of Claims LawAIC – Adjuster in ClaimsMaster Certified Special ArbitratorFlorida Insurance Adjuster’s License

AffiliationsArbitration Forums, Inc.

National Association of Subrogation Professionals

Society of Claims Law

Accomplishments

Master Special Arbitrator for Arbitration Forums, Inc.

Society of Claims Law

Volunteer Activities

Humane Animal Welfare Society of Waukesha County

Shorehaven Health Center and Nursing Home

Waukesha County Library System

Angel’s Place – Hospice Support