Senior Occupational Accident Liability Adjuster

• May 2021 - Present

Senior Claims Examiner | Florida PIP Litigation Adjuster

• Aug 2019 - Feb 2021

Handled commercial and Personal lines BI/UM, property, and PIP Claims for companies in run-off. Managed Florida Personal Injury Protection Litigation by responding to Pre-Suit demand letters and working with defense counsel to manage new and incoming suits. Reviewed claims files on behalf of claims manager for quality assurance. » Trained and mentored new employees on appropriate claims handling techniques. » Managed and assigned claims to other claims examiners. » Assisted in auditing claims handled by Third Party Administrators. » Developed tracking system for new claim assignments.

Claims Representative II

• Jul 2013 - Apr 2019

Negotiated and settled/denied first-party and third-party liability claims. Investigated liability claims by taking recorded statements, obtaining photos, and analyzing information collected to make a fair and accurate decision. Ensured claims adhered to company policies and procedures and were within the authority level while surpassing performance expectations. Developed a centralized medical payments / personal injury protection unit to handle injury claims for Minnesota, Kentucky, North Dakota, South Dakota, Indiana, and Ohio. Chosen as an Arbitration Panelist to hear cases submitted by insurance carriers.

Property Claims Support Specialist

• Jan 2012 - Jul 2013

Coordinated claim handling for catastrophes, including training new Adjusters on how to handle catastrophe claims and use the systems to process the claims. Assisted Adjusters with setting up inspections and reviewing information in Xactinalyisis. Orchestrated annual conferences for employees and spoke at meetings on various topics from the available resources in the department to how effective ISO reports are. Trained temporary employees allowing Adjusters to handle claims and the temporary staff to do other tasks. Created a manual outlining how to handle different tasks serving as a training aid for new team members. Boosted morale by creating a department newsletter to share the various services offered with the team.

Claims Examiner

• Jun 2010 - Jan 2012

Assessed policy coverage, contacted insureds, determined and established reserve requirements, and issued payment once the proper documentation was received and processed. Analyzed coverage and determined the compensability and damages of claims. Evaluated claims for potentially fraudulent activity and proper payments to insureds. » Minimized expenditures by negotiating settlements for damage claims. Assessed policy coverage, contacted insureds, determined and established reserve requirements, and issued payment once the proper documentation was received and processed. Analyzed coverage and determined the compensability and damages of claims. Evaluated claims for potentially fraudulent activity and proper payments to insureds. » Minimized expenditures by negotiating settlements for damage claims.

Senior Claims Service Representative

• Apr 2006 - Jun 2010

Processed first-party homeowner and commercial property claims, determined coverages, set reserves, and concluded claims through payment or denial. Scheduled field inspections and reviewed field reports to approve or reject findings. Reviewed and applied for coverage within the policy guideline. Contacted insureds to obtain facts of loss and explain coverage. Negotiated and prepared settlements for processing. Set reserves within the assigned authority level. Prior to being promoted to handle property claims, I handled personal and commercial auto claims.

Concierge Specialists

• Jul 2005 - Apr 2006

Create and set up travel itineraries based on client's needs. Make restaurant reservations and recommendations, locate and purchase event tickets worldwide, handle air, car, and hotel reservations. Provide pre-trip information such as ATM locations, City Guides, weather reports, and currency exchange rates. Set up golf tee times, and special gift arrangements. In addition, I handled special business requests such as finding locations for meetings. Handle any request a client may have within reason.

Claims Adjuster

• Apr 2002 - Jul 2005

Created travel itineraries for customers using loyalty point programs. Consistently maintained and exceeded company goals set for my department. Participated in training new employees by helping them transition from a training environment into a call center environment. Developed and executed team contests contributing to job satisfaction. Created travel itineraries for customers using loyalty point programs. Consistently maintained and exceeded company goals set for my department. Participated in training new employees by helping them transition from a training environment into a call center environment. Developed and executed team contests contributing to job satisfaction.