Gallagher Bassett Insurance Services

Sr. Resolution Manager

AmTrust Financial Services, Inc.

Sr. Liability Claims Adjuster

York Risk

•	Evaluate insurance coverage based on claim report, the insurance policy, endorsements, applicable statutes and case law to determine if a claim can be accepted as within coverage.
•	Partner with Defense counsel to bring litigated matter to an amicable resolution or prepare for trial.
•	Monitor for red flags indicative of potential Insurance Fraud and implement special procedures if fraud is suspected.
•	Establish and maintain relationships with Risk managers, Client, insureds as well as internal customers.
•	Comply with all statutory and regulatory requirements in all applicable jurisdictions.
•	Interview, telephone, and/or correspond with claimant and witnesses; medical personnel and attorney.
•	Obtain and review police reports, medical records, appraisals and repair estimates to aid in my evaluation of injuries and property damage.  
•	Adhere to “Best Practices” as established by the company.
•	Establish and Revise case reserves based on developments in the course of adjusting the claim.
•	Settle claims within assigned levels of authority. 
•	Effectuate prompt payment to claimants and service providers
•	Select and manage experts.
•	Provide claim-specific guidance and direction to property and material damage adjusters, appraisers, and independent adjusters.
•	Share my experience and expertise with co-workers as a seasoned adjuster.

Senior Liability Claims Specialist

Harleysville Insurance

•	Evaluate insurance coverage based on claim report, the insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage.
•	Identify key issues and investigation required.
•	Monitor for red flags indicative of potential Insurance Fraud and implement special procedures if fraud is suspected.
•	Comply with all statutory and regulatory requirements in all applicable jurisdictions.
•	Interview, telephone, and/or correspond with claimant and witnesses; medical personnel and attorney.
•	Obtain and review police reports, medical records, appraisals and repair estimates to aid in my evaluation of injuries and property damage.  
•	Adhere to “Best Practices” as established by the company.
•	Establish and Revise case reserves based on developments in the course of adjusting the claim.
•	Settle claims within assigned levels of authority. 
•	Effectuate prompt payment to claimants and service providers
•	Select and manage experts.
•	Provide claim-specific guidance and direction to property and material damage adjusters, appraisers, and independent adjusters.
•	Share my experience and expertise with co-workers as a seasoned adjuster.

Sr. Claims Specialist

Selective Insurance Company

Delivered superior customer service and satisfaction through effective interactions with insureds, agents and legal counsel.
Contributed to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
Provided accurate and timely expense and loss assessments on all assigned claims.
Made decisions regarding payment amounts and claim settlements.
Appropriately communicated with internal and external customers relative to account trends, service issues and claim losses.
Consistently demonstrated fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
Ensured the establishment, documentation, and execution of appropriate strategies to bring early resolution to assigned claims.
Recognized and properly addressed coverage issues, potential fraud, and subrogation; follow guidelines relative to completion of reporting forms.
Kept all files on a current diary system in order to timely monitor new developments, follow up on outstanding requests, update management, and respond to all other diary activities.

Litigation Technical Specialist

United National Insurance Company

Examined a variety of General Liability Claim both litigated and non-litigated
Handled Claims Nationwide
New York Labor Law Claims handled

Senior Claims Examiner

Utica National Insurance Group

Handled multi-line Litigated and non-Litigated claims from  intake through conclusion.
Specialized in Commercial Auto, General Liability and School District Legal Liability Claims.
As an experienced and seasoned Claims and Customer Service professional I assisted in Coaching younger less experience professionals in these arenas.

Sr Claims specialist

Chubb

Examined a variety of litigated claims which were generated through a special account which wrote non-traditional commercial policies
Most of the accounts carried a large deductible or had a Self Insured Retention (SIR)
Cases ranged in severity from soft tissue to wrongful death claims

General Liability Claims Examiner

Aetna, a CVS Health Company

Organized, evaluated and approved of litigated claims under automobile, homeowners and general liability policies 
Evaluated claims in relation to all provisions and exclusions of the insurance contract 
Worked with policyholders, claimants and attorneys to evaluate and decide upon claim settlements of small to large exposures for personal injury and some property damage claims

Liability Claims Representative

Hanover Insurance Company

Provided team leadership, direction and supervision for claims adjusters and support staff
Recruited, interviewed and hired staff
Wrote and administered performance reviews and recommended salary and bonus increases for staff
Developed and facilitated training for first and third party claims adjusters
Participated in Toastmasters and utilized my public speaking skills to speak to High School Student and Senior Citizen Groups about insurance issues.

Property Damage Claims Supervisor

An Experienced Property and Casualty Claims Professional seeking a challenging opportunity to utilize my Extensive and Superior Claims Management, Customer Service, Mentoring, Negotiation and Interpersonal skills

Specialties: customer service,  directing,  documentation,  forms,  insurance,  legal,  performance analysis,  policy analysis,  reports,  settlements,  sound,  supervisory skills,  teamwork,

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