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Skills

  • Disaster recovery and coordination
  • Cost-saving strategies in settlement processes
  • Operational improvement
  • Technical report writing
  • Relationship development
  • Contractor collaboration for expedited resolution
  • Data analytics for claims trend analysis
  • Process improvement
  • Claims Dispute Resolution
  • MS Office

Work Experiences

  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Automated document collection and processing.
  • Applied intricate application of policy terms.
  • Oversaw the delivery of system project by program team, which resulted in initiative.
  • Championed a customer-centric claims process, driving a 56% improvement in claimant satisfaction through streamlined communication and personalized service.
  • Analyzed policy wording and applied intricate application of policy terms during claims generation, minimizing disputes and improving resolution rates by 61%.
  • Determined liability as outlined in the coverage and assessed documentation from police and healthcare providers to understand the damages incurred.
  • Became the region’s go-to expert for handling claims.
  • Collaborated with actuaries.

Summaries

  • Conducted complex damage assessments.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Collaborated with contractors and engineers.
  • Excellent communication skills as evidenced by 3 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Aligned efforts among stakeholders.
  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Achieved zero escalations.
  • Client-focused Executive General Adjuster with a strong ability to build lasting relationships, driving a 83% increase in customer retention while effectively managing high-value claims.
  • By applying all policies fairly, she is adept at balancing business and customer interests.
  • Adept at identifying opportunities for subrogation.

Accomplishments

  • Developed a comprehensive risk evaluation matrix for large-loss claims, resulting in a 35% improvement in settlement accuracy.
  • Orchestrated multi-stakeholder discussions during catastrophic loss events, resolving disputes that led to policyholder claim satisfaction rates above 68%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Reviewed and revised company policies on large loss file handling, increasing efficiency by 47% while ensuring compliance with federal guidelines.
  • Facilitated multiple mediation sessions, successfully reaching out-of-court resolutions that saved the company $128,000 in potential legal expenses.
  • Designed and implemented a comprehensive large-loss claims training program, enhancing team capabilities and reducing error rates by 54%.
  • Led cross-regional response following metric, managing claims in multiple jurisdictions and delivering equitable settlements for policyholders.
  • Provided executive insights for board-level review on high-impact claims, which guided strategic decisions and ensured reserve accuracy for losses over $214,000.
  • Championed lean process improvements for claims handling, reducing operational costs by 66% and shortening the claims cycle by 14 days.
  • Effectively led claims investigations in cross-regional catastrophe events, reducing delays in the adjustment process by 7 days.

Affiliations

  • Property & Liability Resource Bureau (PLRB)
  • Loss Executives Association (LEA)
  • Risk and Insurance Management Society (RIMS)
  • International Institute of Loss Adjusters (IILA)
  • Independent Insurance Agents & Brokers of America (IIABA)
  • Rotary International
  • Society for Insurance Research (SIR)
  • CPCU Society Claims Interest Group
  • American Association of Insurance Services (AAIS)
  • International Association of Claim Professionals (IACP)

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Professional Loss Adjuster Certification (PLA) - metric
  • Certified Risk Management Professional (CRMP) - 2017
  • Salesforce
  • Certified Insurance Fraud Analyst (CIFA) – 2017
  • ServSafe
  • Google Certified Professional Cloud Architect
  • Project Management Professional (PMP)
  • Certified General Adjuster (CGA) - 2020
  • Senior Professional in Insurance Regulation (SPIR) – Vantage

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