Experience

National Claim Services LLC

• United States
• Insurance
• 1 - 100 Employee

• Senior Claims Specialist

  • Jun 2021 - Present

  I manage functions pertaining to analyzing claims to prevent fraud. Resolve claims by approving or denying documentation, calculating benefits due, and determining compensation settlement. Maintain quality customer service by following customer service practices and responding to customer inquiries. Provide legal support by assembling documentation for settlement action. Prepare reports by collecting, analyzing, and summarizing information. I manage functions pertaining to analyzing claims to prevent fraud. Resolve claims by approving or denying documentation, calculating benefits due, and determining compensation settlement. Maintain quality customer service by following customer service practices and responding to customer inquiries. Provide legal support by assembling documentation for settlement action. Prepare reports by collecting, analyzing, and summarizing information.



North American Risk Services

• United States
• Insurance
• 200 - 300 Employee

• Sr. Claims Adjuster

  • Aug 2018 - Jun 2021

  I was responsible for ensuring legal compliance, approving or denying insurance claims and providing assistance to claims adjusters when needed. Ensured compliance with regulatory standards, company policy and guidelines. Provided assistance to claims adjusters to manage the volume of cases. Consulted with specialists such as lawyers, engineers, architects and physicians. Assisted attorneys and other specialists when defending the company against contestation. I was responsible for ensuring legal compliance, approving or denying insurance claims and providing assistance to claims adjusters when needed. Ensured compliance with regulatory standards, company policy and guidelines. Provided assistance to claims adjusters to manage the volume of cases. Consulted with specialists such as lawyers, engineers, architects and physicians. Assisted attorneys and other specialists when defending the company against contestation.



Gallagher Bassett

• United States
• Insurance
• 700 & Above Employee

• Lead Resolution Manager

  • 2010 - 2018

  I performed research for all complaints and recommend required action for the same and assist management to resolve all issues efficiently. Managed all account receivables and provide all check requests and assist to maintain records of all entries. Prepared all reports for resolutions provided and maintain records of all status. Assisted in all collection activities according to required procedures and policies. I performed research for all complaints and recommend required action for the same and assist management to resolve all issues efficiently. Managed all account receivables and provide all check requests and assist to maintain records of all entries. Prepared all reports for resolutions provided and maintain records of all status. Assisted in all collection activities according to required procedures and policies.



NBIS

• Germany
• Information Services

• Senior Claims Examiner

  • 2009 - 2010

  -Handled to resolution developer, general contractor, and trade contractor General Liability complex multi-party litigated matters -Attended Site-inspections, mediations, and court hearings -Created healthy living program for office -Handled to resolution developer, general contractor, and trade contractor General Liability complex multi-party litigated matters -Attended Site-inspections, mediations, and court hearings -Created healthy living program for office


Zurich North America
• United States
• Insurance
• 700 & Above Employee
• Defect Specialist II

  • 2007 - 2009

American Claims Management
• United States
• Insurance
• 100 - 200 Employee
• Construction Defect Adjuster

  • 2003 - 2007