
Rich Goldberg
Claims Representative

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About me
Claims Management Expert | Helping carriers, tpas, self-insureds, utilize technology to prevent and mitigate claims, ultimately leading to lower claims costs and increased productivity | Posts about the process
Education

Embry-Riddle Aeronautical University
2006 - 2007Aerospace, Aeronautical and Astronautical Engineering
University of Delaware
2007 - 2009Bachelors of Science Criminal Justice
Experience

Chartis Insurance
Jan 2009 - Mar 2012Claims Representative• Communicate pertinent information to claimants, attorneys and insured contacts with in regard to workers compensation cases• Manage a caseload of 160+ files, which includes managing the medical portion as well as the financial aspects of each claim• Investigate the casual relationship of the claims and the treatment sought• Assist with financial projects throughout the office in terms of correct calculations for paymentAs an adjuster my job duties included: Manage/process and determine compensability of indemnity claims. Making decisions of payment or non-payment of benefits and had authority up to $50,000. Set timely and appropriate reserves within authority and according to established guidelines. Maintained appropriate diary to ensure timely management of all claims. Conducted initial and follow-up contact with employer, employee and medical providers. Adhered to Litigation Management program. Adhered to best claims practices, achieve established goals and objectives, as well as provided timely, efficient and courteous service to our customers. Show less

American International Group
Jan 2009 - Mar 2012Claims RepresentativeWorkers Compensation Claims Representative

Royle Claims
Mar 2012 - Aug 2012Chief Executive OfficerAs CEO and Co-Founder of Royle Claims, we have developed an innovative way of handling claims within the P&C and Workers' Compensation Industry. We have established a way of providing efficiency gains throughout carrier's operations, in addition to cost saving opportunities for attorneys, providers, and vendors.

The Wedding Gym
Aug 2012 - Sept 2013Director of OperationsThe Wedding Gym is the # 1 wedding weight loss company providing fitness, nutrition, and motivation for brides-to-be.

CorVel Corporation
Sept 2013 - Apr 2018Workers Compensation SupervisorAssigns reviews and monitors all adjusted Workers’ Compensation claims for Prince George’s County Board of Education; Performs research, analysis, investigation and adjusting of special claims and complaints. Manages the workers’ compensation claims reserves for the Prince George’s County Board of Education. Develops or modifies work plans, methods and procedures, determines work priorities and develops work schedules to provide adequate staff coverage. Provides work instruction and assists employees with difficult and/or unusual assignments; encourages innovation. Assigns and distributes work, reviews work for accuracy and completeness and returns assignments with recommendations for proper completion. Conducts hiring interviews and selects candidate(s) for job opening(s). Resolves problems encountered during daily operations and determines appropriate solutions; promotes teamwork. Encourages regular communication, informs staff of relevant business issues and their impact on the organization. Develops the performance enhancement plan, documents performance, provides performance feedback and formally evaluates the work of the employee; provides reward and recognition for proper and efficient performance. Develops and implants training and development plans and opportunities for subordinate staff. Motivates and guides others toward goals. Performs other related duties as assigned or requested Show less

Marriott International
Apr 2018 - Mar 2022Claims Unit Manager
CLARA Analytics
Mar 2022 - Dec 2022Claims Solutions ManagerUnleashing the Power of AI and Data to Optimize Claim Outcomes

Ventiv Technology
Dec 2022 - May 2023Territory Vice President – AnalyticsTransforming the way businesses manage their risk and insurance information. Our people, software, and innovative solutions empower organizations to achieve optimal results from their risk, insurance, and claims programs. Through the depth and breadth of our software solutions, global capabilities, and domain expertise, we are the proven leader in supporting virtually every type of industry and the largest and most complex companies in the world. Ventiv Technology, Inc. proudly partners with over 485 organizations and 350,000 users around the world. Show less

Marsh
May 2023 - nowEngagement Lead
Licenses & Certifications

Private Pilot
FAA
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