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Skills

  • Critical Thinking and Problem Solving
  • Litigation exposure reduction techniques
  • Investigative interviewing and information gathering
  • Initiative in developing standardized procedures
  • Loss details evaluation
  • Insurance billing
  • Claims investigation best practices
  • Communications
  • CCTV
  • Relationship development

Work Experiences

  • Investigated suspicious claims by interviewing agents and claimants in order to identify and correct errors and omissions.
  • Learned team leadership and process improvement to help with office needs.
  • Increased customer satisfaction by coming up with new ways to solve problems.
  • Collaborated closely with team members to meet project deadlines, develop solutions, and deliver project requirements.
  • Saved money by developing functional solutions to system problems.
  • Achieved a 35% reduction in open case load.
  • ServiceNow was delivered to customer locations by me.
  • Achieved results in 2020.
  • Analyzed law enforcement reports.
  • Built and maintained professional relationships with policyholders, attorneys, and vendors, driving clear communication and efficient claims handling.

Summaries

  • Senior Casualty Adjuster and team leader with 6 years of experience in metric settings.
  • Knowledge of SAP in depth, as well as project management and data analysis abilities.
  • Adept at negotiating settlements.
  • Achieved settlement resolution in under 13 days.
  • Achieved 25% of settlements without court involvement.
  • Looking forward to taking on a new challenge with a successful team.
  • Client relations in program settings and client relations in workflow optimization settings.
  • Program, system, and method are all available.
  • Accomplished Senior Casualty Adjuster.
  • With hands-on experience, eager to learn new skills and advance knowledge.

Accomplishments

  • Pinpointed inefficiencies in client communication protocols, which, when optimized, enhanced client relationships and increased the policyholder renewal rate by 83%.
  • Implemented dispute resolution strategies that facilitated early settlement of 68% of claims, resulting in decreased departmental case backlog.
  • Implemented a specialized review process for high-frequency claim types, reducing processing delays by an average of 12 business days, resulting in a 55% efficiency gain.
  • Provided in-depth analytics and recommendations for recurring casualty claim patterns, facilitating a 49% cost reduction in future claims.
  • Managed third-party vendors and contractors across Austin, ensuring adherence to service-level agreements and reducing vendor-related delays by 32%.
  • Directed investigations into large-scale catastrophic claims, navigating regulatory complexity and ensuring settlements were in line with compliance requirements.
  • Worked collaboratively with the company’s legal team to resolve 5 complex claims per month, ensuring equitable outcomes and minimizing reputational risks.
  • Mitigated high-risk casualty claims through thorough investigations that ultimately reduced company liability by initiative.
  • Identified fraudulent claims using in-depth analysis techniques, saving the company procedure annually in potential payout losses.
  • Authored new claims handling procedures post-2023 regulatory updates, ensuring compliance and avoiding fines of up to system.

Affiliations

  • Achieved membership in the International Association of Insurance Professionals (IAIP) with specialized focus on casualty claims education.
  • Served as a board member for the Claims and Litigation Management Alliance (CLM), spearheading discussions on complex claim settlements.
  • Joined the Society of Insurance Trainers and Educators (SITE) to regularly attend seminars and certification programs on claim negotiations.
  • Member of a local Risk and Insurance Management Society (RIMS), focusing on risk mitigation strategies and claims administration.
  • Stood as a forum advisor for the liability-focused section of the Association of Defense Trial Attorneys (ADTA), applying forensic analysis to claim assessments.
  • Contributed to policy discussion at the Casualty Adjusters Network (CAN) annual meeting, focusing on subrogation and settlement case studies.
  • Contributed regular articles on loss control methods in litigation for the International Association of Claim Professionals (IACP).
  • Member of the National Association of Subrogation Professionals (NASP), enhancing skills in claim recovery and subrogation.
  • Continued education through the Professional Liability Underwriting Society (PLUS), specializing in errors and omissions liability exposure mitigation.
  • Active participation in courtroom settlement drills through the National Academy of Forensic Experts (NAFE), refining casualty investigation techniques.

Certifications

  • Certified Claims Professional (CCP) - Claims Management Education Program
  • Associate in Surplus Lines Insurance (ASLI) - The Institutes
  • Associate in Risk Management (ARM) - The Institutes
  • Certified Professional in Insurance Regulation (CPIER) - National Association of Insurance Commissioners (NAIC)
  • Property & Casualty Insurance License - program
  • Association for Project Management (APM)
  • SAP Certified Application Associate
  • Associate in Reinsurance (ARe) - procedure
  • Chartered Property Casualty Underwriter (CPCU) - Designation from The Institutes
  • Insurance Litigation Management (ILM) Certification - National Law Center

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