DeLaina A. Von Hagel

1423 Lansford Ave.

Dallas;TX75224 -1107

(214)205-2789

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Professional Experience

HealthMarketsJune 2006-February 2010

Risk Analyst

Initiated investigation of new claims;Interviewed claimants and Reviewed medical records and other relevant documentation. Independently accepted liability for payment of claims, denial of benefits and recommended rescission of coverage based on documented investigation and research.

Accomplishments:

  • Recognized for accomplishing individual production standards and unit goals
  • Assigned complex investigations based on advanced investigation skills and analytical ability and understanding of State Insurance Regulations
  • Maintained Excel spreadsheet documenting monthly unit and individual production, time of service, and Company savings.

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AON CorporationApril 1995- November 2005

Risk Specialist

Identified, eliminated, and minimized potential Litigation, Business, and Financial Risk;Company Liaison with defense counsel in litigation defense;Company representative during legal proceedings, including trials, depositions, anddiscovery;Initiated Settlement negotiations of potential litigious claims or claims in dispute;Investigated and Replied to Regulatory Agency inquiries regarding Company practicesand compliance.

Accomplishments:

  • $1,031,500.00 in Company savings, excluding litigation fees and extra-contractual damages through negotiated settlements of claims in dispute
  • Average settlement ratio equal to 23% of amount at risk excluding litigation costs and potential extra- contractual damages
  • Provided sworn testimony as Company Representative in five (5) depositions for pre-trial discovery and two (2) trials that contributed to rulings favorable to Company
  • Completed certification as Associate; Risk Management (ARM) and Associate, Reinsurance Administration (ARA)

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Underwriter

Evaluated insurance application representations;Rated Risk according to published Underwriting Guidelines;Assisted agents in evaluation of risks associated with potential applicants

Accomplishments:

  • Streamlined underwriting procedure that reduced time of service for evaluation of files by 30%
  • Completed LOMA Underwriting Certification

Claims Analyst

.Processed new claims;Initiated investigation of new claims when liability was in question;Interviewed claimants and Reviewed medical records and other relevant documentation;Approved liability for payment of claims, denial of benefits and provided detailed correspondence to Claimants explaining the Company’s position;Recommended rescission of coverage based on documented investigation and research.

Accomplishments:

  • Routinely recognized for quality of investigations; analytical ability and exceeding Unit production goals.
  • Independently completed requirements for Resident Licensed Adjuster; State of Texas; All Lines
  • Completed curriculum for certification for Associate; Life and Health Claims(ALHC), Fellow, Life and Health Claims (FLHC) and Associate; Customer Service (ACS)

EDUCATION AND ACCREDITATION

Bachelor of Arts and Science

Alternative Dispute Resolution

University of NorthTexas

Denton,TX

Associate of Arts and Science

Mountain ViewCollege

Dallas,TX

Associate; Risk Management (ARM)

Insurance Institute of America

Philadelphia,PA

Associate; Reinsurance Administration (ARA)

Associate, Customer Service (ACS)

Underwriting Life and Health Insurance

Fellow, Life and Health Claims (FLHC)

Associate, Life and Health Claims (ALHC)

International Claims Association

Atlanta,GA

LICENSURE

State of Texas; Resident Licensed Adjuster; All Lines