Ann Carvalho

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Member of CLM Since: 2011

CLM Committees

  • Product Liability

CLM Contributions

  • Speaker - 2011 Massachusetts Event - Museum of Science
  • Speaker - 2012 Annual Conference
  • Speaker - 2013 Annual Conference

Articles

    No information available.

Practice Areas

    No information available.

Biography

Claims Professional with extensive experience in Mass Torts, Product Liability, Commercial General Liability within the Entertainment Industry, National Amusement Park Programs, National Track Programs, high media exposure and complex coverage cases. Effective decision maker and detail oriented with excellent leadership qualities. Highly effective negotiator, litigation strategies, settlement plans and causal relationships to effectuate an amicable settlement for all parties. Licensed Adjuster in: RI, NH, VT, CT, DE, NC, FL, NM, TX, SC, GA, KY, LA, ME FCLA and CCLA designations Microbiology Certificate Developed a consistent approach procedure/protocols involving Mass Torts being utilized by one of the top 3 insurance carriers. Developed and presented in various webinars involving Mass Torts/Recalls Worked with Business Torts, Underwriting, Industry Edge to ensured best practices in claim handling and advise of potential exposures within Mass Torts Supervisory experience. Training Counsel Lead Emergency Response Team for major catastrophes Mentor in professional development. Employee Spirit Committee Strong communication skills. Q&A Conferences Word of the Day Training Assist in Department Self Audits Travelers Insurance Company 2008 -2011 Mass Torts Lead/Major Case Specialist Responsible for managing and directing Mass Torts claims which can be defined as mini-catastrophes (multiple claimants as a result of an occurrence) along with high media exposure, complex coverage cases and high exposure cases with values greater than $2M and as high as $63M. Requiring coordination of all legal counsel (National/Local), insured’s counsels (Regulatory, PR, Personal) to ensure all evidence remains privileged and no action of one party adversely affects another. Informing/educating the insured regarding the recall process. Coordination of all defense experts (microbiologist, endocrinologists, and others) Managing and directing all available resources to ensure consistent handling and response. Develop best approach towards resolution. Completed various webinars regarding Recalls including the current mandates by the FDA. Developed procedures and protocols in responding to Product Recalls that was adapted company wide. Developed recall informational packets to be provided to the insureds and agents regarding what to expect during a recall involving the claim process. Direct field office activation in response. Co-manage/assist field adjusters regarding Product Liability cases. Responsible for supervising Sr. Technical Adjusters in their handling of Mass Torts along with being responsible for their continuing training/education regarding FDA/USDA mandates and product liability. Assisted in developing Recall Training Classes in attempt for state approval towards continuing education credits for licensed adjusters. Case presentations to Senior Leadership team regarding high media exposure and complex coverage/high exposure cases. Responsible for working with business partners (Industry Edge, Business Torts, and Underwriting) to ensure that we continue to provide the best product for the market. Assist various field offices during various high volume times along with providing consultations in complex/high exposure cases.

Gulf/Travelers Insurance Company 2004 – 2008 Technical Claim Specialist/Unit Manager Responsible for handling and managing the Commercial General Liability Major Case Department including complex claims with complex coverage/litigation for Gulf Runoff business, Product Liability, Parks & Tracks Program; Entertainment Industry, Amusement Park Program; Hotel Program; NY Labor/Construction Claims; throughout the US, Puerto Rico, VI. Supervisor of the five Sr. Technical Specialist within the Unit Assist in developing supervisor response within other areas (Auto Department) to improve department results and continue training of adjusters Continuing education to maintain adjusters licenses for all states requiring licensing Maintain individual State knowledge regarding current case law, State law affecting the claim Notify appropriate authorities, when necessary, MCU, SIU, Lab, Forensic Engineers Litigation management of all case files Mentor claim adjusters professional development Conduct Training Claims through the Training Counsel Assist the Auto Claims and GL Claims Department when necessary Complete reporting requirements for specific insured accounts; Word of the Day training; Q&A

One Beacon Insurance Company, Mansfield, MA 2003-2004 Claims Litigation Examiner/SIU Litigation Coordinator/Fraud Coordinator with SIU & Police Departments Responsible for handling personal automobile and homeowner claims in litigated status to completion. Determine if additional investigation and discovery necessary and complete. Determine best course of action for litigated claim files and legal cost containment. Handle 93A Complaints along with the corresponding underlying claims. Attend all Arbitrations, Mediations and Trials. Determine the best venue to resolve each claim on a case by case basis. Attempt to resolve cases through negotiated settlement prior to trail while maintaining proper reserves and determining culpability of any co-defendants. Fraud Coordinator with Special Investigative Unit (SIU) and local police departments

Pawtucket Mutual Insurance Company, Pawtucket, RI 1997 to 2003 Assistant Supervisor – Claims Supervise five Auto Examiners in the investigation of coverage issues and determination of liability, including Bodily Injury claims (litigated and non-litigated), Medpay and PIP Perform Supervisory reviews/audits on files to determine if claims are being handled adequately and within appropriate time frame, as well as review for Subrogation activity/potential. Handle complex Auto claims and litigation in seven states. Responsible for litigation management, including attending mediations, arbitrations and trials.

Providence Washington Insurance Company, East Providence, RI 1995 – 1997 Claims Adjuster – Commercial General Liability/Complex Claims

Worcester/Harleysville Insurance Company, Worcester, MA 1994-1995 Claims Adjuster – Commercial General Liability/Complex Claims

Aetna Casualty & Surety Company, Fall River, MA/Brockton, MA 1981-1995 ClaimsAdjuster/Associate Underwriter/Customer Service/Assistant Supervisor EDUCATION ?? Bristol Community College – course study in Business Management/Accounting ?? Fraud Claims Legal Specialist (FCLS) ?? Claims Casualty Law Specials (CCLS) ?? Microbiology Certificate

Education

    No information available.

Admissions/Licenses

  • Licensed Adjuster: CT, DE, FL, VT, TX, SC, RI, OK, NH, NC, KY
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