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Skills

  • Microsoft Publisher
  • Automated Work Distributor (AWD)
  • Industry regulation compliance
  • Policy investigations
  • Root cause analysis
  • Fraud detection and prevention
  • Insurance policy interpretation
  • Interior water damage background
  • Cross-functional team collaboration
  • Analytical skills in claims investigations

Work Experiences

  • Testified on behalf of agency as part of criminal and civic proceedings.
  • Assisted in resolving property damage claims.
  • Achieved results in 2021.
  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Addressed disputable claims.
  • Reviewed new files to determine the current status of an injury claim and devise a strategy.
  • Worked with the claims department and industry anti-fraud organizations to resolve claims.
  • Assessed impact after system disasters.
  • Was in charge of directing and coordinating the field investigation team's investigations.
  • Followed up with insured people who had not paid their premiums or deductibles.

Summaries

  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Multi-Line Claims Adjuster with a passion for personal, property, and casualty losses and damages.
  • Negotiates fair and thorough resolutions to all claims in a peaceful manner.
  • Detailed Adjuster with 13 years of corporate insurance claims experience.
  • Applied policy to complex claims.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved a 21% reduction in fraudulent claims.
  • Achieved a 22% reduction in claim resolution errors.
  • Costs were consistently reduced while profits were increased.
  • Applied claims analysis strategies.

Accomplishments

  • Resolved product issue through consumer testing.
  • Authored training materials for the use of Salesforce, resulting in a 28% decrease in training time for new hires.
  • Streamlined the end-to-end claims handling process, cutting administration time by 30% using ServiceNow.
  • Led a cross-functional team in reducing litigation claims by 65% through early settlement outreach and mediation efforts.
  • Mitigated risk exposure on high-profile liability claims by conducting thorough investigations in accordance with state regulations.
  • Successfully processed property claims aligning with all state and federal regulations within Seattle.
  • Managed high-risk bodily injury claims, negotiating settlements that resulted in a 78% lower payout on average.
  • Implemented data analytics tools to forecast claim volume, reducing workload imbalances by 73%.
  • Reduced caseload backlog by 7 claims per month by introducing a tiered claim prioritization system.
  • Identified and addressed fraudulent activity, resulting in an overall claim payout reduction of 9 annually.

Affiliations

  • Association for Supply Chain Management (APICS)
  • Toastmasters
  • Certified Legal Principles Claims Handling Program (Sponsored by Beacon Labs)
  • International Association of Administrative Professionals
  • American Association of Insurance Services (AAIS)
  • National Association of Independent Insurance Adjusters (NAIIA)
  • Association of Insurance Compliance Professionals (AICP)
  • American Institute for Chartered Property Casualty Underwriters - Associate in Claims (AIC)
  • Casualty Actuarial Society (CAS)
  • Irwin Siegel Agency - Claims Professional Development

Certifications

  • Certified Professional in Insurance Adjusting (CPIA) – Lakeside Partners
  • CEBS - Certified Employee Benefit Specialist – Harbor & Co.
  • CompTIA Network+
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Ethics for the Insurance Professional – 2016
  • Certified Litigation Management Professional (CLMP) – Beacon Labs
  • Claims and Litigation Management Alliance (CLM) – Brightline
  • Claims Training Manager Certification – 2020
  • Apple Certified Associate (ACA)
  • Salesforce

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