CURRICULUM VITAE

 

 

 

Mobile: 770.364.6049		407 Woodruff Crossing Woodstock, GA 30189

 

Dynamic claims executive with over 25 years of technical claims and consulting experience. Has worked for a variety of insurers, state DOI’s and consulting firms. Experienced in a wide range of assignments including claims audits, loss portfolio assessment and evaluation, run-off operations, subrogation recovery, reinsurance, property and casualty, health and disability reviews and dispute resolutions.

 

Skills/Areas of Expertise:
Claims Management, Claim Reviews and Audits
Claims reviews and audits – auditing files for reserves, quality and variances. Opine on the reserving adequacy and procedures. Guarantee Association annual audits of claims operation and best practices. Audited run-off claims portfolios of worker’s compensation and construction defect. Participated in several due diligence teams, responsible for the claim reserve analysis and operational effectiveness. Conducted on-site interviews of personnel in order to provide objective operational analysis, a critical component of the due diligence. Audit TPA’s handling of hurricane Katrina and Rita CAT claims.
Consulting
Highly regarded by Insurance Commissioners; lead examiner on insurer market conduct examinations. Led practice that provided claims management services, reinsurance services, claims auditing and examination services. Developed Workers Compensation and Health Care support operations and Third Party Claims Operation start-up. Member of senior level team that worked with Assistant Deputy Receiver, Department of Insurance responsible for the administration of receiverships. Claims and reinsurance management services to insurers, reinsurers and insurance regulators winding down insurance operations. On-going consulting services to a private insurer’s claim operation focusing on process and handling PIP litigation; oversight of non-standard auto program in run-off.
Reinsurance
Managed reinsurance programs of companies in liquidation for state DOI. Analysis of reinsurance files and records for treaty compliance audits and reinsurance collections.
Receivership, Liquidation and Solvency
Served as the member of the senior level team that worked directly with Assistant Deputy Receiver to Department of Insurance responsible for the administration of receiverships. Liquidation, receivership and solvency reviews for state DOI’s and Guarantee Associations. Conducted several reserve reviews of worker’s compensation claims for liquidated companies.
Experience:
Present:	Rivas Company, Inc., Woodstock, GA President and Consultant
06/2001 – 09/2009	Regulatory Technologies, Inc., Dallas, TX & Atlanta, GA Executive Vice President
1998 – 2001	Sun States Insurance Group (Queensway Financial Holdings), Atlanta, GA Senior Vice President Claims
1984 – 1998	Served in progressively responsible claims and risk management positions in for GMAC Insurance Group (Integon), AIG Specialty Auto & Progressive Corporation
Professional Memberships, Affiliations and Certifications:
Member	International Association of Insurance Receivers — Designation of Accredited Insurance Receiver (Claims/Guaranty Funds & Reinsurance)
Member	Association of Insurance and Reinsurance Run-Off Companies
Education:	University of South Florida Bachelor of Business Administration Numerous Industry formal & informal training programs TeamMate trained and licensed Bi-lingual Spanish