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Skills

  • Caseload management tools
  • Supervision
  • Mediation and arbitration
  • Risk evaluation
  • Litigation mitigation
  • Contract analysis
  • Analytical problem solving
  • Ethical liability review
  • Cross-functional collaboration
  • Investigation techniques

Work Experiences

  • Achieved recognition among national offices.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.
  • Had an excellent attendance record and was always on time for work.
  • Achieved a 76% win rate in disputed claims.
  • Assisted with post-litigation settlement conferences, negotiating resolutions to avoid further appeal processes, achieving win rates of 21%.
  • Looked for industry trends on social media and through online sources.
  • Examined claim forms and other records to determine insurance coverage.
  • Achieved a 72% decrease in repeat claims.

Summaries

  • Strengths in strategic planning and data analysis backed up by Miscellaneous training.
  • Adjusted claim strategies.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the metric business.
  • Conducted comprehensive contract analysis.
  • Within Miscellaneous, senior General Liability Claims Adjuster and outstanding performer in process improvement and workflow optimization.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Achieved over 75% success rate in settling claims.
  • Collaborated cross-functionally.
  • Achieved fast closure rates.

Accomplishments

  • Designed and implemented a claims triage system that resulted in a 38% improvement in response time for urgent cases.
  • Utilized advanced claims analytics tools to forecast and evaluate potential litigation outcomes, reducing litigation expenditures by 15% over the past year.
  • Authored best practice guidelines for adjusters on handling complex liability cases, reducing claim resolution times by an average of 58% days per claim.
  • Successfully negotiated and settled 43% of high-exposure general liability claims within policy limits, reducing the risk of litigation.
  • Implemented continuous quality improvement initiatives, leading to a 63% increase in first-pass claims approval accuracy.
  • Consistently met or exceeded key performance indicators, including a 68% closure rate on time-sensitive claims in 2015.
  • Regularly conducted detailed investigations into general liability claims, producing reports that helped reduce the organization's litigation rate by 77%.
  • Empowered a team of 9 adjusters to increase productivity by 71% through skills training and one-on-one mentorship.
  • Created and maintained large-scale caseload management systems, reducing inefficiencies and decreasing open claims by 74% over three years.
  • Conducted comprehensive risk assessments for general liability claims, successfully mitigating exposure and saving the company over 13 in potential payouts.

Affiliations

  • Completed training from the Loss Executives Association (LEA) focusing on catastrophic liability case management.
  • International Council of Nurses
  • Certified Risk Manager (CRM) from The National Alliance for Insurance Education and Research.
  • Rotary International
  • Society of Women Engineers
  • Member of the Insurance Institute of America (IIA) for advancing expertise in liability claims.
  • Attended the Chartered Property Casualty Underwriter (CPCU) Society’s events to network with insurance professionals and gain insights on emerging liability trends.
  • Jaycees
  • Engaged in the Society of Insurance Trainers and Educators (SITE) to improve continuous professional development.
  • Project Management Institute

Certifications

  • SHRM Certified Professional (SHRM-CP)
  • General Liability Law Certification from Meridian
  • Multi-Line Adjuster License Certification
  • Certified Insurance Fraud Investigator (CIFI)
  • Cisco Certified Network Associate (CCNA)
  • Associate in Claims (AIC)
  • ServSafe
  • Certified Subrogation Recovery Specialist (CSRS)
  • CompTIA Network+
  • Certified Public Accountant (CPA)

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