Senior Field Claims Representative

• Mar 2012 - Present

Field Claims Representative I & II

• Jul 2006 - Mar 2012

•Conduct on-site meetings with policyholders for auto, liability, E&O, property and workers compensation loss investigations (multi-line insurance investigator)•Comprehensive knowledge of hail, wind and other weather damage to residential and commercial roofing•Maintain a professional relationship with structural, Haag Certified, engineers to properly assess questionable or disputed weather damaged roofs•Attend and observe construction defect ‘all-party’ inspections to determine negligent parties•Possess Strong relationships with restoration and other contractors to negotiate and agree upon the scope of repair and repair costs on first-party property and third-party liability losses•Responsible for determining negligence in fire and explosion investigations•Building and maintaining strong relationships with fire cause and origin experts•Responsible to secure evidence and pursue subrogation while hiring the proper experts or attorneys when necessary to assist in that pursuit •In charge of hiring experts or legal counsel to protect the interests of clients on liability losses to ensure a seamless legal defense•Manage an average of 10 mediations, arbitrations and/or trials per year to ensure legal defense is properly monitored and settle the cases equitably •Investigate and assess bodily injury losses to ultimately reach settlements with the individual or their attorney/personal representative•Work with Special Investigation Unit (SIU) conducting background research on fraudulently filed claims Show less

Inside Claims Representative I, II & III

• Jun 2001 - Jul 2006

•Responsible for investigating auto, products and general liability claims to bring them to an equitable resolution•Directed and assigned the field staff in the investigation of claims handled within the claims service office•Collaborated with the Risk Management Department, underwriting and marketing representatives to manage loss prevention and assess risk exposure •Extensive experience in the litigation process through monitoring lawsuits with defense attorneys •Accountable for controlling legal expense by ultimately making litigation decisions and determining settlement values on litigated claims•Analyzed disputed cases, filed them into Inter-Company Arbitration and developed contentions influencing arbitrators to decide cases more favorably•Consulted with the Special Investigations Unit (SIU) on questionable losses and to find the proper evidence to pursue subrogation or indemnification Show less

Customer Service & Sales Representative

• Sep 1999 - May 2001

Part-time career during college offered experience in customer relations and service. Built life-long lessons in face-to-face interactions. Developed strong problem-solving skills and experience in product sales. Fielded customer complaints or questions about products and accessories. Managed inventory. Part-time career during college offered experience in customer relations and service. Built life-long lessons in face-to-face interactions. Developed strong problem-solving skills and experience in product sales. Fielded customer complaints or questions about products and accessories. Managed inventory.