Experience

Hiscox USA

• United States
• Insurance
• 300 - 400 Employee

• Senior Claims Examiner

  • Jan 2020 - Present

   Review and analyze claims submissions for coverage  Analyze liability, risk and exposure and accurately reserve claim files  Evaluate and issue indemnity payments  Evaluate claims for resolution and draft letters in insurers  Meet target service levels for claims handling and document claim file accordingly  Attend mediations and work closely with defense counsel and coverage counsel on litigated matters  Assist in the training and development of new claims examiners Show less



YORK RISK SERVICES GROUP INC

• United States
• Individual and Family Services
• 1 - 100 Employee

• Claims Adjuster III

  • Oct 2018 - Jun 2019

   Managed 1st and 3rd party auto liability claims for various rental car locations, nationwide  Investigated, evaluated, negotiated and settled claims within authority  Wrote reservation of rights and declination of coverage letters  Issued payment for expense bills as deemed appropriate  Assigned independent adjusters to appraise damaged property  Managed 1st and 3rd party auto liability claims for various rental car locations, nationwide  Investigated, evaluated, negotiated and settled claims within authority  Wrote reservation of rights and declination of coverage letters  Issued payment for expense bills as deemed appropriate  Assigned independent adjusters to appraise damaged property



Gallagher Bassett

• United States
• Insurance
• 700 & Above Employee

• Senior Resolution Manager

  • Nov 2013 - Nov 2018

   Investigated, evaluated, disposed and settled the most complex claims and highest exposures with minimal supervision  Responsible for investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves  Provided claim management for governmental municipalities (cities) in the state of Georgia through the GIRMA program  Provided claim management for retail conglomerates and other commercial accounts  Investigated, evaluated, disposed and settled the most complex claims and highest exposures with minimal supervision  Responsible for investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves  Provided claim management for governmental municipalities (cities) in the state of Georgia through the GIRMA program  Provided claim management for retail conglomerates and other commercial accounts



Safeco Insurance

• United States
• Insurance
• 700 & Above Employee

• Inside Property Claims

  • Oct 2011 - Apr 2013

   Explained coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements  Worked with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services  Provided the insured with policy information to include coverage, limitations, replacement or ACV options  Assisted with files handled by Field Property Claims Specialists with in-person inspection/policyholder contact when needed  Identified and fully investigated suspicious losses  Recommended referrals to SIU where appropriate and may assist SIU in their investigation and disposition of the claim  Fast path claims and write desk adjuster estimates whenever possible to expedite claims handling Show less



Liberty Mutual Insurance

• United States
• Insurance
• 700 & Above Employee

• Claim Specialist III

  • Mar 2007 - Sep 2008

  *Handle 3rd party bodily injury claims for Alabama, Georgia, Louisiana and Mississippi *Investigate coverage, determine liability, evaluate the claim and negotiate settlements with attorneys, paralegals, case managers or individuals representing themselves *Establish rapport with claimants to maintain direct deal relationships whenever possible *Review and evaluate demand packages to properly settle bodily injury claims *Preparing files for subrogation and identifying potentially fraudulent claims *Submit claims through ISO for claim tracking purposes *Check OFAC before making payments to individuals requesting bodily injury awards *Arbitrate claims that we are not deemed legally responsible for*Interpret medical terminology/CPT and ICD-9 codes and procedures Show less



State Farm Mutual Insurance Company

• Claim Representative

  • Feb 2002 - Feb 2007

  *Currently pursuing AIC - Associate in Claims designation *Handle 1st/3rd party property damage/rental coverage for Georgia-South Carolina regions *Completed Property /Physical Damage Claim School *Providing superior customer service in a fast-paced, multi-tasked, team-oriented environment *Determining the facts of loss involved in auto accidents, handling personal injury protection and medical payments for first party claims *Determining when and which coverage applies according to interpretation of legal contracts *Decision-making based on the principle of indemnity *Reviewing property damage estimates for errors, settling reserves and making payments *Interpreting and paying medical bills that are deemed to be accident related *Preparing files for subrogation and identifying potentially fraudulent claims Show less