Carol Luster-Wright

Claims Examiner at Annex Brands, Inc.
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Location
United States, US

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Experience

    • United States
    • Freight and Package Transportation
    • 1 - 100 Employee
    • Claims Examiner
      • Feb 2021 - Present
    • United States
    • Security and Investigations
    • 1 - 100 Employee
    • Investigator
      • Feb 2020 - Feb 2021
    • United States
    • Law Practice
    • 1 - 100 Employee
    • Office Manager
      • Jul 2018 - Jul 2019
    • United States
    • Insurance
    • 1 - 100 Employee
    • SIU Investigator
      • Nov 2005 - Jan 2018

      * Reviewed and researched evidence/documents prior to analyzing overall fact patterns of claims referred to the Special Investigation Unit. Prepared and submitted detailed case reports to management. * Interviewed subjects either in-person or telephone, performed surveillance to obtain relevant evidence and information. * Attended prosecution and restitution hearings as a witness in court proceedings resulting in over 20 prosecutions. Prepared prosecution evidence and restitution proposals to various law enforcement, District Attorney offices, National Insurance Crime Bureau and the Department of Insurance. * Completed and submitted Suspected Fraudulent Claim eFD-1 filings with the Department of Insurance in California, Washington, Texas and Arizona. * Directed coverage investigations; conducted online and social media investigations on subjects of interest. * Managed and prioritized a large varied caseload effectively. Show less

    • Subrogation Examiner
      • 2001 - 2005

      * Reviewed and evaluated claim post first party settlement in order analyze collection strategy.* Locate responsible parties and negotiate repayment plans once the first party claims payment were issued. * Negotiated and composed promissory agreement forms and procedures; Arranged payment for uninsured parties.* Negotiated liability agreements with opposing insurance companies. Filed Inter-Company Arbitration Contentions/Responses.

    • Litigation Examiner
      • 2001 - 2005

      * Reviewed initial investigation, property damage and submitted medical billing/records in order to analyze litigation strategy. * Evaluated case value and negotiated first and third-party bodily injury claims; pre-referral to outside counsel.* Attended trials, mediations, arbitrations, mandatory settlement conferences with Defense Counsel and small claims hearings with the insured or on behalf of the insurance ca

    • BI Supervisor
      • 1998 - 2001

      * Oversaw a team of ten (10) claims examiners, reviewing and monitoring claim file investigations, case evaluations, negotiations and resolution of claim.* Reviewed case reserves and provided examiners with recommended reserves are consistent with company/industry policies.* Performed evaluations and performance reviews; recruited and hired new examiners.* Responsible for special projects geared towards improving office and claims handling procedures.

    • United Kingdom
    • Business Supplies & Equipment
    • Claims Examiner
      • 1997 - 1998

      * Obtained telephone statements from all involved parties and witnesses, reviewed police reports to identify at-fault party. Reviewed and evaluated medical documentation submitted by injured parties and negotiated settlement. * Completed policy coverage reviews. * Obtained telephone statements from all involved parties and witnesses, reviewed police reports to identify at-fault party. Reviewed and evaluated medical documentation submitted by injured parties and negotiated settlement. * Completed policy coverage reviews.

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