MARK DEAN
Kansas City
Summary
Dynamic leader with over twenty years in commercial mortgage lending and reinsurance. Expertise in managing teams and overseeing complex claims processes, fostering accurate decision-making through detailed analysis and insightful reporting. Committed to delivering quality work and mitigating risks in fast-paced environments.
Overview
1
1
Certification
24
24
years of professional experience
Work History
Assumed Reinsurance Claim Manager
AIG
Lenexa
09.2023 - 07.2026
- Manage assumed reinsurance book comprised primarily of asbestos and environmental accounts, oversee direct reports on treaty and facultative teams.
- Ensure that reinsurance claims handling is conducted in accordance with applicable contract requirements.
- Conduct coverage verification, evaluation, reserving, and authorization of claims payments.
- Identified significant potential exposure on reinsurance claims and alerted management to substantial loss development activity.
- Analyzed and produced reports on large losses, coverage, and critical issues for management review.
- Convey complex claim information such as coverage decisions, claim outcomes, and exposure analysis to all appropriate parties, including executive management.
- Prepare and present appropriate reports to senior executive leaders.
- Guided direct reports and other functional areas on best practices.
Claims Analyst - Managed Health
Partner Re
Overland Park
03.2021 - 09.2023
- Adjudicate claims and ensure items are reimbursed based on specific contract coverage and exclusion wording, while documenting and communicating adjustments to billings, requests for information and denials of submitted costs.
- Verified authenticity and eligibility of healthcare reinsurance claims, analyzed billings, communicated with brokers and ceding companies, and ensured adherence to policies and regulations throughout the process.
- Code medical claims using CPT-4, ICD-9, HCPCS, and DRG coding methods to ensure full benefits for payments and look up DRG rates for inpatient claims billed on UB-92 form.
- Maintained detailed claim files, implemented proper escalation procedures, and ensured timely and accurate processing for all assigned clients and third-party administrators.
- Processed reimbursement requests following department procedures and authority level.
- Communicate with underwriters regarding problem accounts, large losses, contract ambiguity and specific client issues and concerns.
- Conducted claim audits to assess claim management capabilities of ceding companies, advised underwriting on results, and completed reports per department procedures.
Loan Support Analyst
Midland Loan Services
Overland Park
01.2020 - 03.2021
- Apply specialty product knowledge to close or administer risk syndicated and/or commercial loan transactions.
- Reviewed transactions and related documents, including collateral and construction requirements, to ensure completeness, accuracy, and adherence to credit approvals and legal documents.
- Review customized commercial, legal, and related due diligence documentation and reporting to ensure adherence to deal structures and/or regulatory compliance requirements to include commercial property and casualty insurance.
- Reviewed reports to identify exceptions and monitor quality, participating in risk mitigation activities to ensure compliance.
- Provided materials and documentation to customers, investors, and deal teams, facilitating execution of transactions.
Claims Analyst
Swiss Re
Kansas City
07.2008 - 01.2020
- Adjudicating Worker's Compensation reinsurance claims nationwide (including CA, NY and FL), with a one-million-dollar authority to release payments.
- Ensure timely and accurate processing of claim documents, including claim payments and claim setup.
- Communicated with customers and insurance companies to gather specific claim information, collaborating with accounting team to correct entries and maintain ledger accuracy.
- Handled assigned claims independently, ensuring prompt payment for legitimate client demands while declining non-compliant demands with clear explanations.
- Analyzed documents for financial adjustments, addressed client inquiries on billing/invoices, researched statements from ceding companies and brokers, and prepared worksheets for claim manager review and approval.
- Provided claim system support and training, including system enhancement testing and project management.
Loan Officer
New Century Mortgage
Kansas City
08.2002 - 06.2008
- Interacted with applicants to assess financial eligibility and evaluate feasibility of loan approvals.
- Evaluate credit worthiness by processing loan applications and documentation within specified limits.
- Assess customer needs, explore all options and introduce different types of loans.
- Determine all applicable ratios and metrics and set up debt payment plans.
- Executed loan contracts while advising clients on policies and restrictions to ensure compliance.
- Explained rationale for loan approvals and rejections to stakeholders. and report on them.
- Created referral networks and identified alternate channels to effectively cross-sell products and meet quotas.
Education
Bachelor of Arts - Psychology, Minor, Sociology
University of Kansas
Lawrence, KS01-2002
Skills
- Claims management
- Coverage verification
- Loss analysis
- Data analysis
- MS Excel
- VLOOKUP
- Pivot table analysis
- Formula development
- MS Office
Certification
- Theinstitutes.org, Overland Park, KS, Associates in Insurance, 2009, Associates in Claims, 2010, Associates in Reinsurance, 2011
- Missouri Department of Insurance, Kansas City, MO, Life and Health License, 2022
Military Summary
United States Army, Fort Bragg, NC, Corporal (E-4), 01/95, 12/98, Company Operations NCO, Brigade Soldier of the Month - November 1997
Timeline
Assumed Reinsurance Claim Manager
AIG
09.2023 - 07.2026
Claims Analyst - Managed Health
Partner Re
03.2021 - 09.2023
Loan Support Analyst
Midland Loan Services
01.2020 - 03.2021
Claims Analyst
Swiss Re
07.2008 - 01.2020
Loan Officer
New Century Mortgage
08.2002 - 06.2008
Bachelor of Arts - Psychology, Minor, Sociology
University of Kansas