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Skills

  • Interdepartmental Training Facilitation
  • Complex case prioritization
  • Liability exposure reduction
  • Project organization
  • Claim reserves estimation
  • Performance metric analysis
  • Legal expense reduction strategies
  • Best Practice Development
  • High-value injury claim resolution
  • Diagnostic test interpretation

Work Experiences

  • Achieved a 23% decrease in error rate.
  • Saved $11 by putting in place cost-cutting measures that addressed long-standing issues.
  • Awarded the Top Performer for consistently closing high-severity cases within policy limits, reducing overall company liability by $4.
  • Authored procedural updates for bodily injury adjusters, resulting in a 47% improvement in claims accuracy and completeness.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved a 54% drop in escalated litigation cases.
  • Audited claim reserves regularly, ensuring alignment with injury severity, leading to a decrease in reserve underfunding discrepancies by 35% annually.
  • Accurately interpreted injury diagnoses.
  • Examined claim forms and other records to determine insurance coverage.
  • Achieved Top Performer for closing high-value claims.

Summaries

  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Oversee 12 cases per month with care.
  • Achieved an average reduction of $15 in reserve liability.
  • Achieved favorable results in mediation.
  • Adhered to legal and policy requirements.
  • Balanced claimant satisfaction.
  • Within Insurance, senior Senior Bodily Injury Adjuster and outstanding performer in vendor management and cross-functional collaboration.
  • Clear understanding of data analysis and quality assurance as well as data analysis training.
  • Authored key updates to procedural workflows for bodily injury adjusters, improving overall claims accuracy and completeness by 41%.
  • Proven track record of using excellent negotiating skills to speed up settlements.

Accomplishments

  • Mentored a team of junior adjusters, reducing error rates on claim filings by 34% and improving overall case resolution speed by 67% days.
  • Implemented communication strategies with claimants that resulted in a 33% increase in positive customer feedback and allowed for quicker settlements.
  • Authored and distributed training material on complex injury claims, improving team accuracy by 76% and reducing disputes by 32%.
  • Attained Lean in bodily injury claims adjustments, improving case resolution proficiency and reducing escalations by 68%.
  • Streamlined claims process for catastrophic injury cases, reducing claim resolution time by 18% while decreasing department costs by $2.
  • Oversaw a portfolio of 12 large loss claims, reducing downtime by 68% while ensuring all regulatory requirements were met.
  • Assisted in developing KPIs to assess bodily injury claim performance, resulting in a 29% increase in efficiency from claims initiation to closing.
  • Instrumental in resolving 15 high-value bodily injury claims, reducing potential legal liability exposure by 76% through direct negotiations.
  • Successfully litigated 9 bodily injury claims with a win rate of 70% on behalf of the company.
  • Developed a claims-triage protocol based on root-cause analysis that decreased open file durations by 80% and improved customer satisfaction.

Affiliations

  • Presenter, National Association of Subrogation Professionals (NASP) Educational Conference
  • Certified Member, The Institutes’ Risk and Insurance Knowledge Group
  • Charter Member, Society for Human Resource Management (SHRM) Insurance & Benefits Committee
  • Contributor, Insurance Thought Leadership (ITL) Blog
  • Advisory Board Member, Association of Claims Professionals (ACP)
  • Lions Club
  • Licentiate, Insurance Institute of America (IIA)
  • Fellow, The American College of Financial Services
  • Liaison, Claims and Litigation Management Alliance (CLM)
  • Affiliate, Chartered Insurance Institute (CII)

Certifications

  • Project Management Professional (PMP)
  • Certified Auto Liability Adjuster (CALA) – 2020
  • Salesforce
  • Casualty Adjuster License – Boston, 2021
  • Apple Certified Associate (ACA)
  • Xactimate Certification – Adobe Creative Suite, 2015
  • Associate in Claims (AIC) – 2019
  • Completion of Advanced Negotiation Skills for Adjusters – Summit Group, 2018
  • Google Certified Professional Cloud Architect
  • Associate in Risk Management (ARM) - 2024

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