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Skills

  • Customer dispute resolution
  • Customer service
  • Medical Cost Containment
  • Conflict resolution
  • Multi-jurisdiction claim handling
  • Mentoring and Team Development
  • Medical terminology comprehension
  • Claim reserves estimation
  • Claimant satisfaction management
  • Performance metric analysis

Work Experiences

  • Achieved 74% higher renewal rates for complex policies.
  • Avoided excessive claims reserves.
  • Examined claim forms and other records to determine insurance coverage.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Assessed injury details for settlement offers.
  • Determined liability as outlined in the coverage and assessed documentation from police and healthcare providers to understand the damages incurred.
  • Analyzed key performance indicators.
  • Transported SAP to three years customer locations.
  • Oversaw claim negotiations within a $15 budget and assisted in successful litigation for complex issues.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.

Summaries

  • Closed 17 high-value cases.
  • Award-winning Senior Bodily Injury Adjuster with a track record of closing high-severity cases within policy limits, significantly reducing company liability by $7.
  • Within Insurance, senior Senior Bodily Injury Adjuster and outstanding performer in vendor management and cross-functional collaboration.
  • Review documentation and assess properties efficiently to determine damage levels, complete cost estimates, and maintain liability control.
  • Authored updates to procedural workflows.
  • Senior Bodily Injury Adjuster is a multi-talented Senior Bodily Injury Adjuster who is consistently rewarded for planning and operational improvements.
  • Balanced claimant satisfaction.
  • Achieved settlements that reduced payouts by $15.
  • Excellent communication skills as evidenced by 7 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Applied negotiation skills in mediation and arbitration.

Accomplishments

  • Resolved high-value claims through successful arbitration for cases valued at over $2, generating savings of $13 within several months.
  • Prepared and presented 6 cases in external arbitration, achieving a 38% success rate in outcomes favorable to the company.
  • Authored and distributed training material on complex injury claims, improving team accuracy by 76% and reducing disputes by 32%.
  • Successfully litigated 9 bodily injury claims with a win rate of 70% on behalf of the company.
  • Reduced demand for third-party medical reviews on bodily injury claims by 31% through implementation of internal assessment protocols.
  • Reduced average bodily injury claim settlement times by 40% through efficient triage and prioritization methodology.
  • Assisted in developing KPIs to assess bodily injury claim performance, resulting in a 29% increase in efficiency from claims initiation to closing.
  • Exceeded quarterly objectives by managing complex high-limit bodily injury cases, resulting in a 57% reduction in legal fees.
  • Successfully closed 17 high-value litigation cases over a several months, resulting in a 52% higher claim disposition rate than the department average.
  • Minimized external legal involvement in bodily injury claims by 79% through rigorous pre-litigation settlement negotiations.

Affiliations

  • Toastmasters
  • Project Management Institute
  • Fellow, The American College of Financial Services
  • International Association of Administrative Professionals
  • Member, Insurance Regulatory Examiners Society (IRES)
  • Certified Member, The Institutes’ Risk and Insurance Knowledge Group
  • Advisory Board Member, Association of Claims Professionals (ACP)
  • Society of Women Engineers
  • Alumni, National Insurance Crime Bureau (NICB) Investigator Training Program
  • Regional Conference Coordinator, International Federation of Adjusting Associations (IFAA)

Certifications

  • CompTIA Network+
  • Ethical Considerations in Claims Handling Certification – Meridian
  • Certified Public Accountant (CPA)
  • AdjusterPro State Adjuster License – Raleigh, 2020
  • Fraud Claim Law Specialist (FCLS) – 2020
  • Google Certified Professional Cloud Architect
  • Completion of Advanced Negotiation Skills for Adjusters – Summit Group, 2018
  • ServSafe
  • Xactimate Certification – Adobe Creative Suite, 2015
  • Associate in Risk Management (ARM) - 2024

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