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Casualty Claims Adjuster resume examples

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Skills

  • High-value claims liability management
  • Establishing and managing case reserves
  • AMS360
  • Hail and wind damage specialist
  • Microsoft Publisher
  • Claims fraud detection
  • Personal, casualty and property loss
  • Legal proceedings knowledge
  • Risk management
  • CCC EZNet

Work Experiences

  • Achieved results over 18 months.
  • Achieved a reduction in total settlement amounts by 43% %.
  • Achieved a resolution satisfaction rate of 43%.
  • Kept track of 9-clients' caseload for each quarter.
  • Organized procedure data in order to finish program files.
  • Achieved reduction over two years.
  • Achieved results through effective negotiation.
  • Investigated and analyzed insurance claims that appeared to be suspicious or potentially fraudulent.
  • Achieved successful outcomes 48% of the time.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.

Summaries

  • Award-winning adjuster recognized for exceptional customer service, negotiation skills, and leadership in resolving complex casualty claims while reducing litigation costs by 8.
  • Complete knowledge of the claims process and team leadership.
  • Strong understanding of claimant intake processes, record documentation, and fraud investigation protocols.
  • Claims Adjuster with a passion for helping others and a knack for coming up with novel solutions to problems.
  • Expert at creating profitable and high-quality processes.
  • Award-winning adjuster recognized for exceptional customer service.
  • Excellent communication skills as evidenced by 5 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.

Accomplishments

  • Led claims management team in processing over 7 claims in 2016, contributing to overall departmental goal attainment.
  • Resolved product issue through consumer testing.
  • Developed strategic injury claim mitigation plans that resulted in a 27% reduction in overall claim cycle time.
  • Managed a caseload of 6 casualty claims, consistently meeting or exceeding service timeframes while adhering to regulatory standards.
  • Drafted comprehensive evaluation reports for complex casualty cases, increasing resolution accuracy by 83%.
  • Initiated comprehensive investigations of multi-party injury claims, expediting resolution within two years and avoiding unnecessary litigation.
  • Delivered expert testimony analysis that contributed to favorable rulings in 71% of cases, preventing costly settlements.
  • Evaluated expert witness depositions in litigation cases, influencing court outcomes and minimizing client liability by $2.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Developed training materials for claims staff, improving overall quality assurance by 40% within one year.

Affiliations

  • Association of Certified Fraud Examiners (ACFE)
  • Jaycees
  • American Bar Association - Tort Trial and Insurance Practice Section (TIPS)
  • American Society of Safety Professionals
  • Freemason
  • International Risk Management Institute (IRMI)
  • Toastmasters
  • Council on Litigation Management (CLM)
  • Insurance Institute of America (IIA)
  • Association for Supply Chain Management (APICS)

Certifications

  • Certificate in Casualty and Property Adjusting
  • Salesforce
  • Google Certified Professional Cloud Architect
  • First Aid/CPR Certified
  • Certified Risk Manager (CRM) – 2016
  • Fraud Claims Law Specialist (FCLS) Certification
  • Certified Business Continuity Professional (CBCP)
  • Xactimate Certification – Tableau, 2016
  • Licensed Independent Adjuster – Illinois
  • Associate in Reinsurance (ARe)

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