Commercial Claims Manager

• Sep 2022 - Present

Commercial CAT Claims Adjuster

• Jun 2020 - Sep 2022

Workers Compensation Manager

• Apr 2020 - Jul 2020

Inside Property Desk Adjuster

• Sep 2018 - Sep 2019

Independent Adjuster• Investigate and evaluate homeowners property damage claims with varying exposures and complexity to determine extent of loss • Achieve targeted performance goals to manage costs and support client's operational standards • Coordinate a number of vendor services such as emergency repairs, living arrangements and contractor services • Review repair supplements and contents requests and issue payments accordingly • Update and finalize repair estimates as needed • Recognized… Show more Independent Adjuster• Investigate and evaluate homeowners property damage claims with varying exposures and complexity to determine extent of loss • Achieve targeted performance goals to manage costs and support client's operational standards • Coordinate a number of vendor services such as emergency repairs, living arrangements and contractor services • Review repair supplements and contents requests and issue payments accordingly • Update and finalize repair estimates as needed • Recognized with multiple achievements in customer service • Assisted in training new hire employees and provided assistance to seasoned employees. Show less Independent Adjuster• Investigate and evaluate homeowners property damage claims with varying exposures and complexity to determine extent of loss • Achieve targeted performance goals to manage costs and support client's operational standards • Coordinate a number of vendor services such as emergency repairs, living arrangements and contractor services • Review repair supplements and contents requests and issue payments accordingly • Update and finalize repair estimates as needed • Recognized… Show more Independent Adjuster• Investigate and evaluate homeowners property damage claims with varying exposures and complexity to determine extent of loss • Achieve targeted performance goals to manage costs and support client's operational standards • Coordinate a number of vendor services such as emergency repairs, living arrangements and contractor services • Review repair supplements and contents requests and issue payments accordingly • Update and finalize repair estimates as needed • Recognized with multiple achievements in customer service • Assisted in training new hire employees and provided assistance to seasoned employees. Show less

Workers Compensation Specialist

• Jan 2017 - Apr 2018

Independent Adjuster• Analyze and process workers compensation claims by investigating and gathering information to determine the exposure on the claim • Negotiate settlement of both litigated and non-litigated claims from multiple jurisdictions • Calculate and pay benefits due from lost time, medical, full and partial disability settlements, and death benefits • Prepare necessary state filings within statutory limits • Use appropriate cost containment techniques including strategic vendor… Show more Independent Adjuster• Analyze and process workers compensation claims by investigating and gathering information to determine the exposure on the claim • Negotiate settlement of both litigated and non-litigated claims from multiple jurisdictions • Calculate and pay benefits due from lost time, medical, full and partial disability settlements, and death benefits • Prepare necessary state filings within statutory limits • Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claim • Manage claim recoveries of all types, including but not limited to subrogation and social security offsets • Recognized as a knowledge tool for new hire and seasoned employees Show less Independent Adjuster• Analyze and process workers compensation claims by investigating and gathering information to determine the exposure on the claim • Negotiate settlement of both litigated and non-litigated claims from multiple jurisdictions • Calculate and pay benefits due from lost time, medical, full and partial disability settlements, and death benefits • Prepare necessary state filings within statutory limits • Use appropriate cost containment techniques including strategic vendor… Show more Independent Adjuster• Analyze and process workers compensation claims by investigating and gathering information to determine the exposure on the claim • Negotiate settlement of both litigated and non-litigated claims from multiple jurisdictions • Calculate and pay benefits due from lost time, medical, full and partial disability settlements, and death benefits • Prepare necessary state filings within statutory limits • Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claim • Manage claim recoveries of all types, including but not limited to subrogation and social security offsets • Recognized as a knowledge tool for new hire and seasoned employees Show less

Inside Property Claims Adjuster

• Aug 2016 - Nov 2016

Independent Adjuster • Stewardship of complex wind, hail and water claims • Review and process repair supplements and contents requests • Meet detailed quality assurance standards of performance • Worked with vendors, attorneys and contractors to bring the claim to timely and cost effective resolution while providing quality customer service • Revise case reserves for the life of the claim. Independent Adjuster • Stewardship of complex wind, hail and water claims • Review and process repair supplements and contents requests • Meet detailed quality assurance standards of performance • Worked with vendors, attorneys and contractors to bring the claim to timely and cost effective resolution while providing quality customer service • Revise case reserves for the life of the claim.

Workers Compensation/ Non- Subscriber Specialist

• Apr 2013 - Aug 2016

• Analyze and manage litigated and non-litigated Non- Subscriber and workers compensation claims to determine exposure; manage claims through well-developed action plans and cost containment techniques • Review workers compensation accounts against state-mandated schedules and guidelines • Build professional relationships with various clients, claimants, vendors, attorneys, and medical professionals while providing excellent customer service • Process timely payments for lost wages, medical… Show more • Analyze and manage litigated and non-litigated Non- Subscriber and workers compensation claims to determine exposure; manage claims through well-developed action plans and cost containment techniques • Review workers compensation accounts against state-mandated schedules and guidelines • Build professional relationships with various clients, claimants, vendors, attorneys, and medical professionals while providing excellent customer service • Process timely payments for lost wages, medical billing, litigation fees and other vendor invoices • Thoroughly review medical records to bring claim to a resolution to include but not limited to return to work, full and partial disability settlements, and death benefits • Assist new hire and seasoned employees with questions and work load Show less • Analyze and manage litigated and non-litigated Non- Subscriber and workers compensation claims to determine exposure; manage claims through well-developed action plans and cost containment techniques • Review workers compensation accounts against state-mandated schedules and guidelines • Build professional relationships with various clients, claimants, vendors, attorneys, and medical professionals while providing excellent customer service • Process timely payments for lost wages, medical… Show more • Analyze and manage litigated and non-litigated Non- Subscriber and workers compensation claims to determine exposure; manage claims through well-developed action plans and cost containment techniques • Review workers compensation accounts against state-mandated schedules and guidelines • Build professional relationships with various clients, claimants, vendors, attorneys, and medical professionals while providing excellent customer service • Process timely payments for lost wages, medical billing, litigation fees and other vendor invoices • Thoroughly review medical records to bring claim to a resolution to include but not limited to return to work, full and partial disability settlements, and death benefits • Assist new hire and seasoned employees with questions and work load Show less

Customer Care Complaints Specialist

• Mar 2011 - Mar 2013

• Resolve all Better Business Bureau complaints received with excellent communication and customer service skills • Assist customer service representatives with account questions and customer complaints. • Handle supervisor calls and requests for information • Translate department correspondence to Spanish • Assist management with administrative duties • Resolve all Better Business Bureau complaints received with excellent communication and customer service skills • Assist customer service representatives with account questions and customer complaints. • Handle supervisor calls and requests for information • Translate department correspondence to Spanish • Assist management with administrative duties