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Skills

  • Litigation cost control
  • Insurance policy and coverage evaluation
  • Report writing and documentation
  • Regulatory compliance
  • Budgets
  • Financial impact analysis of claims
  • Operational improvement
  • Customer service
  • Contract and coverage interpretation
  • Business operations

Work Experiences

  • Achieved a favorable outcome on 74% of cases reviewed.
  • Achieved a 44% decrease in litigation cases.
  • Reviewed original investigation reports and documents to address secondary concerns.
  • Achieved a 24% resolution rate.
  • Collaborated with procedure customers to determine their needs and deliver process service.
  • Had an excellent attendance record and was always on time for work.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.
  • Achieved a 46% success rate.
  • Average claim value of $15.
  • Authored company-wide best practices for resolving liability claims.

Summaries

  • Liability Adjuster is a multi-talented Liability Adjuster who is consistently rewarded for planning and operational improvements.
  • Achieved savings of over 16 in 2022.
  • Hardworking Liability Adjuster with 2 years of telecommuting experience meeting customer needs.
  • Adept at litigating high-profile cases in collaboration with legal teams, consistently achieving favorable outcomes in 13 complex cases within the Miscellaneous sector.
  • Able to craft investigative summaries.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Within Miscellaneous, senior Liability Adjuster and outstanding performer in performance reporting and project management.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Review documentation and assess properties efficiently to determine damage levels, complete cost estimates, and maintain liability control.

Accomplishments

  • Established standardized practices for vendor management in high-severity claim cases, leading to a 60% reduction in external legal cost annually.
  • Documented and resolved metric which led to category.
  • Collaborated with cross-functional teams including insurance carriers and third-party administrators to resolve complex liability claims with a 75% success rate.
  • Resolved product issue through consumer testing.
  • Worked closely with underwriting teams to draft policies, resulting in a 15% reduction in disputed claims within several months.
  • Collaborated with legal and underwriting teams to interpret complex contract and coverage issues, enabling faster claims resolution by 4 days.
  • Successfully mentored and coached 14 junior employee(s), improving their claims processing speed by 15% within three years.
  • Consistently met or exceeded liability claim closure targets, achieving a 40% settlement success rate within company guidelines.
  • Devised a mediation framework that resolved 71% of claims disputes pre-litigation, significantly cutting down legal expenses by $$210,000.
  • Implemented new training protocols that improved junior adjuster productivity by 56% over a several months.

Affiliations

  • Professional Liability Underwriting Society (PLUS)
  • North American Conference of Adjusters
  • Association for Computing Machinery
  • Society of Insurance Research (SIR)
  • American Marketing Association
  • Insurance Institute of America (IIA)
  • Risk & Insurance Management Society, Inc. (RIMS)
  • Project Management Institute
  • National Society of Professional Insurance Investigators (NSPII)
  • Fraud Intelligence Network Professionals (FINPro)

Certifications

  • Construction Risk and Insurance Specialist (CRIS) - Recognized by Harbor & Co.
  • Cisco Certified Internetwork Expert (CCIE)
  • Google Certified Professional Cloud Architect
  • Accredited Liability Expert (ALE) Boston - recognized by Summit Group
  • ServSafe
  • Accredited Insurance Examiner (AIE) - Texas, provided by Brightline
  • Apple Certified Associate (ACA)
  • Management Liability Insurance Certification - Atlanta, earned through Vantage
  • Fraud Claims Law Specialist (FCLS) Credential - through Meridian
  • Chartered Property Casualty Underwriter (CPCU) - Phoenix, awarded by Northwind

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