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Skills

  • Claims closure rate optimization
  • Fraud investigation techniques
  • Casualty claim management
  • CCC Pathways Appraisal Quality Solution
  • Collaborating with external professionals (engineers/medical experts)
  • Policy investigations
  • BCCORP W5 for Adjusters
  • Claim investigation and documentation
  • Accident Investigation Techniques
  • Automobile claims specialist

Work Experiences

  • Ensured that all filed hazard and special hazard claims were properly managed.
  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Achieved 77% in cases handled.
  • Achieved savings of over $8 in contested settlements.
  • Coached junior adjusters on documentation.
  • Audited third-party reports for compliance.
  • Assessed the veracity of large-scale liability claims.
  • Fixed initiative codes so that standard claims could be properly classified.
  • Conducted in-depth interviews with witnesses and claimants to gather facts and information.
  • Achieved a 20% reduction in open claim activity.

Summaries

  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Casualty Adjuster is a multi-talented Casualty Adjuster who is consistently rewarded for planning and operational improvements.
  • Achieved 29% higher claim closure rate than the department average.
  • Expert at creating profitable and high-quality processes.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Adaptable Casualty Adjuster.
  • Achieved 12 successful claim closures in 2016.
  • Costs were consistently reduced while profits were increased.
  • Assessed casualty claim liability.
  • Accomplished Casualty Adjuster with expertise in collaboration.

Accomplishments

  • Collaborated with cross-functional teams including legal, medical, and insurance auditors to reach timely and fair claim resolutions.
  • Reviewed on average 6 third-party auto and casualty claims daily to ensure compliance with policy and legislative standards.
  • Processed and reviewed detailed accident reports, leading to successful negotiation for claims over $8, minimizing potential litigation threats.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Worked closely with policyholders and third-party entities to resolve complex casualty claims, increasing customer retention by 27%.
  • Resolved product issue through consumer testing.
  • Effectively trained and mentored 3 junior adjusters, fostering development in claims management and policy interpretation.
  • Successfully settled high-profile, contested cases within policy limits, preventing litigation and saving the company up to $15 annually.
  • Achieved Lean to enhance expertise in managing complex general liability and casualty insurance claims.
  • Reduced overall caseload by 41% through consistent client communication and claim management best practices.

Affiliations

  • Association of Insurance Compliance Professionals
  • Rotary International
  • International Association of Administrative Professionals
  • Claims Management Association of America
  • Association for Computing Machinery
  • Claims and Litigation Management Alliance (CLM)
  • International Association for the Study of Insurance Economics (Geneva Association)
  • Toastmasters
  • National Association of Public Insurance Adjusters
  • Association of Property & Casualty Claims Professionals

Certifications

  • Project Management Professional (PMP)
  • Certified Workers' Compensation Professional (CWCP)
  • Senior Professional Public Adjuster (SPPA) Certification
  • Accredited Insurance Adjuster (AIA) License – 2015
  • Certified Liability Adjuster (CLA)
  • CompTIA Security+
  • ISO Certified Claims Examiner – Salesforce
  • Legal Principles Claim Specialist (LPCS) - Cedar Works
  • CompTIA A+ Technician
  • SHRM Certified Professional (SHRM-CP)

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