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Skills

  • Cost control through accurate liability assessments
  • Insurance policy coverage knowledge
  • Field investigation and causality analysis
  • Ability to negotiate settlements with third parties and legal counsel
  • Familiar with fraud statutes
  • BCCORP W5 for Adjusters
  • CCC EZNet
  • Expert report writing and communication
  • Automobile claims specialist
  • Hail and wind damage specialist

Work Experiences

  • Looked at the data to see what the underlying principles were.
  • Examined claim forms and other records to determine insurance coverage.
  • Handled framework calls about standard processes from customers and other stakeholders.
  • Was in charge of maintaining claims data in metric systems.
  • Worked with the claims department and industry anti-fraud organizations to resolve claims.
  • Investigated claims and incident data in order to provide solutions and resolve issues.
  • Conducted 3 scene investigations yearly, identifying causality and improving the defensibility of liability claims.
  • Achieved category certification in 2015, enhancing credibility and expanding service offerings across multiple types of claims.
  • Collaborated with law enforcement on high-stakes cases, securing recoveries totaling $4 for insured losses.
  • Was in charge of directing and coordinating the field investigation team's investigations.

Summaries

  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the program business.
  • Strengths in team leadership and client relations backed up by Insurance training.
  • Claims Adjuster with a passion for helping others and a knack for coming up with novel solutions to problems.
  • Independent Claims Adjuster with 9 years of successful vendor management and workflow optimization experience.
  • Adept at handling multiline claims.
  • Achieved operational savings of $4 annually.
  • Certified procedure Adjuster as of 2023, with deep expertise in fraud detection and liability determination, saving clients over $10 annually.
  • Adept at reducing fraudulent payouts.
  • Averaged $11 per year in unnecessary payouts.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.

Accomplishments

  • Collaborated with contracted vendors and policyholders to ensure timely repairs, reducing claim cycle time by 78% days.
  • Mentored a team of junior adjusters, increasing accurate claims closure rates by 25% within a span of 6 months.
  • Conducted on-site investigations for 17 property damage claims, determining root causes and expediting settlements.
  • Utilized advanced data analytics tools to assess liability trends, presenting actionable insights that reduced future incidents by 42%.
  • Ensured compliance with state regulatory requirements through audits, achieving a 41% pass rate on internal evaluations.
  • Identified and recovered over $12 in fraudulent insurance claims, significantly reducing the company’s fiscal exposure.
  • Created and implemented fraud detection protocols, leading to a 81% drop in overall suspicious claims filed.
  • Resolved product issue through consumer testing.
  • Leveraged specialized adjusting software to streamline claims management, achieving 27% improvement in processing time.
  • Collaborated with team of 9 in the development of metric.

Affiliations

  • National Association of Social Workers
  • Association for Computing Machinery
  • Public Adjusters of Massachusetts Association
  • National Association of Public Insurance Adjusters (NAPIA)
  • National Insurance Crime Bureau (NICB)
  • International Association of Special Investigation Units (IASIU)
  • National Flood Insurance Program Adjuster Certification
  • Institute of Risk Management (IRM)
  • Accredited Insurance Examiner (AIE) Program
  • Jaycees

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • Ethical Claims Adjuster Certification
  • CompTIA Security+
  • Certified Fire and Explosion Investigator (CFEI)
  • Certified Insurance Counselor (CIC)
  • FEMA Independent Study Program Certification
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Salesforce
  • Associate in Claims (AIC) Certification

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