Bio
Experience
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Sr Claim Representative
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2011 - 2012
Conduct loss investigations on assigned claims to provide accurate fact for disposition. Interpret insurance contract and apply to the exposures of the claim. Evaluate and negotiate the resolution of claims with claimants or attorneys to achieve cost effective outcomes. Review reserves on assigned claims and recommend changes to ensure actuarial accuracy. Provide accurate and timely information on assigned files to address claim status and other inquiries such as fraud, subrogation, reserving and underwriting risks.
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Claim Analyst
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May 1989 - Feb 2011
Managed portfolio of assigned claims including Liability/Med Pay/PIP, property auto and Excess of Loss Reinsurance to provide effective and timely resolution. Performed loss investigations on assigned claims to provide accurate fact for disposition. Reviewed insurance contract and applied to the circumstances of each assigned claim. Evaluated and negotiated claims with claimants and/or attorneys to reach fair outcomes. Provided accurate and timely reports on claim status, fraud, subrogation and underwriting risks.
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Education
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1970 - 1974UW-Eau Claire
Bachelor of Arts (B.A.), Sociology
Suggested Services
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Industry Focus. “Insurance”
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