Post a Job Sign in

Joel Appelbaum

Corporate Claims Counsel, NY - PROGRESSIVE INSURANCE COMPANIES

Bullville, NY

-

Work Experience

Corporate Claims Counsel, NY

PROGRESSIVE INSURANCE COMPANIES
-

2004 to Present

Manage outside defense counsel in Queens, Nassau, Suffolk, Westchester, Albany, Onondaga, Niagara, (Rochester) counties to ensure qualtiy services wtihin budget; 
• Direct defense management of high-exposure, complex bodily injury litigation, and insurance litigation including mediation, negotiation and ultimate case resolution in New York, New Jersey, Massachusetts, Rhode Island, Pennsylvania and Connecticut in auto, commercial auto, ATV, personal water craft: jet-ski, in-board motor boats and outboard motor boats; 
• Assess potential subrogation recoveries based upon coverage, liability, proof of damages and advise as to action; 
• Composition and distribution of legal update bulletins; 
• Counsel to Florida Medical Claims for Personal Injury Protection statutory coverage, fraud investigations, caselaw interpretation and trial preparation; 
• Management of Florida outside no-fault counsel for quality and billing accuracy; 
• Collaborate with House Counsel relative to tort legal issues, coverage, and trials; 
• Present training seminars to Claims employees on: general policy coverage, notice of loss, concept of "accident/loss;" uninsured/underinsured; fire and theft losses; New York Procedure, New York Disclosure, promoting a collaborative relatiohsip between the Claims Organization and counsel; 
• Provide advice to claims representatives for strategies when interacting with adverse counsel. 
• Presentation of educational materials for comprehension of Medicare/Medicaid liens; Subrogation; Insurance Rules and Regulations (Reg. 79, Reg 64); Fraud and Misrepresentation; permissive use 
• Consutlatnt to outside and house counsel for trial, arbitration and mediation preparation; 
• Consult with SIU for implementing loss investigations for motorcycles, water craft, autos, trucks, and tractor trailer rigs. 
• Analysis of complaints to Dept. of Insurance and preparation of reply correspondence; 
• Analysis of "bad faith" allegations and preparation of responses to counsel 
• Collaborate with corporate policy group to write policy provisions and specical purpose endorsements 
• Advisor to Claims on crucial legislative and regulatory action;

Trial Attorney, Partner

BAUMAN AND APPELBAUM
-

1976 to December 2004

Managed 5 attorney office with 10 support personnel for quality control, hiring, budgeting, billing, general human resuources matters; 
• Coverage advisor to insurer clients for interpreation of policies and litigation strategies in coverage controversies; 
• Defense of bodily injury cases from inception through trial, including serious automobile cases, medical malpractice, labor law, and declaratory judgment actions; 
• Representation at mediations and arbitrations including preparation of hearing memorandum; 
• Prosecution of subrogation actions to recover first party payments and indemnity from entities that should have rightfully paid claim; 
• Workers Compensation representation; 
• Litigation of all aspects of insurance coverage; 
• Preparation and argument of appeals, arbitrations, and mediations; 
• Seminar presentaiton to managers and claims representatives covering all aspects of insurance law, tort law, and New York procedure, cementing the collegial relationship between legal and claims. 
• Advisor to insurer clients for coverage strategies across all lines of coverage to minimize risk of coverage litigation; 
• Conceptualize, create and implement firm marketing to insurer clients;

Albany Law School
-
Albany, NY
-

1976 to 1976

1976

Education

Sociology

Princeton University, Princeton -
New Jersey, NB

1971

Additional Information

KEY QUALIFICATIONS: 
• In-house counsel and trial attorney with over 30 years' experience specializing in insurance coverage analysis and litigation and complex litigation in GL, auto, vendors liability, products liability, commercial and personal auto policies, contractors liability, first party property coverage and municipal liability policies; 
• Defense of lawsuits in high exposure complex multi-line coverage litigation from inception to resolution, including appeals; 
• Management, coordination, and quality control of outside counsel throughout New York and no-fault counsel in Florida. 
• Advisor and counselor to insurer clients, providing coverage memoranda and immediate verbal opinions; 
• Negotiation of assigned severe bodily injury cases, advisor to Florida Medical Claims for Personal Injury Protection including medical analysis, coverage analysis, application of legal principles, review of appeals; 
• Development of strategies in fraud and misrepresentation investigations; 
• Lecturer providing training to professional claims representatives, in-house attorneys and outside counsel utilizing self-authored individualized materials; 
• Consultant and coach to outside and in-house counsel for trial strategy, trial preparation arbitration preparation and mediation preparation, evidence advisor to trial counsel, 
Comprehensive and detailed understanding of corporate business objectives and strategies; 
• Ability to implement business plans to achieve goals expeditiously and efficiently; 
• Adherence to corporate ethic and values; 
• Ability to act in the global best interests of the business; 
• Liaison between and amongst law group and Claims, Policy Composition Corporate, SIU, Specialty Insurance Claims Groups, engendering cordial and collegial relationships producing increased effectiveness; 
• Optimistic and energetic in buttressing morale, even in adverse circumstances; 
• Mentor and contribute to the development of colleagues and co-workers; 
• Maintain complete candor and honesty to earn the trust of others; 
• Co-ordinate group tasks to attain a common goal; 
• Sensitivity to situations presenting risk to Company and ability to act to reduce or eliminate that risk; 
• Analysis and composition of insurance contract forms to mitigate risk of litigation, including class actions; 
• Preparation of specific contract forms as requested; 
• Collaboration with the Policy Writing Group to formulate endorsements, terms, conditions and provisions to accomplish a specific business purpose and maintain compliance with all regulations and statutes; 
• Anticipation of new business areas and design of insuring instruments to meet that need; 
• Review, analyze and respond to consumer complaints and DOI inquiries; 
• Negotiation with DOI regarding the use of specific forms; 
• Passionate about all aspects of work. 
 
PROFESSIONAL PRACTICE: