Claims Examiner

• May 2022 - Present

Claims Adjuster - General Liability

• Nov 2020 - May 2022

· Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.· Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Takes necessary statements.· Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.· Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves.· Negotiates settlements for prompt, cost effective, and proper disposition of all claims within delegated authority.· Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. Show less

Claims Adjuster - First Party Medical

• Jul 2017 - Nov 2020

Review and analyze coverage and applying policy conditions, provisions, exclusions and endorsements, and how jurisdictional issues impact the claim. Investigate each claim to obtain relevant facts necessary to determine coverage, causation/ damages, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). Manage file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. Show less

Paralegal

• Jul 2014 - Jul 2017

•Sole overseer of calendaring meetings, depositions, conference calls and court appearances •Drafting correspondences, pleadings, discovery demands and motions. •Managing over one-hundred accounts and records of clients with the highest levels of confidentiality and discretion. •Investigating facts and laws to determine causes of action in preparation for upcoming cases. •Communicating pertinent information on a daily basis to clients, attorneys and members of the court via phone, email and mail. Show less