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Skills

  • Policy investigations
  • Customer-centric approach to claim settlements
  • Fair Isaac Claims Advisor
  • Interior water damage background
  • Early case resolution strategies
  • Legal research to inform claim decisions
  • Liability claims investigations
  • Accident scene investigations
  • Automated Work Distributor (AWD)
  • Subrogation expert

Work Experiences

  • Authored reports on liability claim trends.
  • Achieved a 65% success rate in mediating claims settlements without legal escalation.
  • Achieved efficient claim resolution.
  • Testified on behalf of the agency in criminal and civil proceedings.
  • Achieved a 26% success rate in mediating claims.
  • Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.
  • Applied techniques for moderate to severe liability cases.
  • Developed positive working relationships with government officials and police officers.
  • Achieved average savings of $9 per case.
  • Authored and presented reports on liability claim trends to upper management, driving strategic decision-making at Boston.

Summaries

  • Excellent communication skills as evidenced by 18 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Liability Claims Adjuster with a passion for personal, property, and casualty losses and damages.
  • For the past year, I've been a member of the National Society of Professional Insurance Investigators.
  • Criminal investigation, insurance fraud, and surveillance are all part of his background.
  • Achieved a 64% decrease in legal costs.
  • Adhered to company guidelines.
  • Achieved Employee of the Year for closing 15 liability claims monthly while maintaining excellent customer satisfaction and minimizing financial exposure.
  • Accomplished in leading general liability and personal injury claim reviews, saving the company $18 in reduced litigation costs.
  • Adept at integrating cost-saving measures in claim processes.
  • Adept at approving complex settlement offers.

Accomplishments

  • Summarized and presented crucial liability data to executive leadership, driving strategic decision-making that led to $14 in cost savings.
  • Collaborated with team of 15 in the development of system.
  • Conducted in-depth claim interviews and site inspections to accurately determine fault and proportion blame, leading to a 31% reduction in liability payouts.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Led post-claim audits that identified operational bottlenecks, improving claim resolution time from 3 to 10 days.
  • Utilized data analytics and trend reporting to identify common liability risks among clients, reducing the frequency of repeat claims by 69%.
  • Trained junior adjusters in negotiation strategies, resulting in a department-wide increase in settled claims within 6 months.
  • Resolved product issue through consumer testing.
  • Negotiated successful settlements in 18% of cases within policy limits, saving the company $8 in potential payouts.
  • Collaborated directly with clients, policyholders, and attorneys to negotiate favorable outcomes for Asana liability claims, saving $9.

Affiliations

  • Insurance Institute for Business and Home Safety (IBHS)
  • Accredited Claims Adjuster (ACA) Certification
  • International Council of Nurses
  • Association for Healthcare Risk Management (ASHRM)
  • Chartered Insurance Institute (CII)
  • North American Risk Management and Insurance Association (NARMI)
  • Society of Claim Law Associates (SCLA)
  • American Bar Association's Tort Trial and Insurance Practice Section (TIPS)
  • Rotary International
  • Jaycees

Certifications

  • Certified Specialist in Casualty Insurance (CSCI)
  • Certified Public Accountant (CPA)
  • Fraud Claims Law Specialist (FCLS)
  • Certified Claims Professional (CCP)
  • Certified Public Accountant
  • Prime Claims Skills Development - QuickBooks
  • Certified Professional in Liability Adjustment (CPLA)
  • CompTIA Network+
  • Property Claims Law Specialist (PCLS)
  • Certified Coverage Specialist (CCS)

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