Experienced US veteran with a strong background in insurance adjustment. Proven track record of successfully handling complex claims and providing exceptional customer service. Skilled in accurately assessing damages, negotiating settlements, and ensuring timely resolution. Detail-oriented professional with excellent communication and problem-solving skills, dedicated to delivering optimal results for clients.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Total Loss Adjuster
The Best Claims Solutions
12.2021 - Current
Investigated potential fraud cases, protecting company assets from false or exaggerated claims.
Improved overall efficiency within the department by contributing ideas for procedural improvements during team meetings.
Reduced processing time for total loss claims by implementing more efficient documentation practices.
Enhanced customer satisfaction by promptly and accurately assessing total loss claims.
Negotiated settlements with claimants, achieving mutually beneficial outcomes for all parties involved.
Conducted thorough investigations to determine accurate claim payouts, resulting in fair resolutions for clients.
Approved payment of claims within certain monetary limit.
Evaluated and investigated over 3000 auto claims in 2024 and decided whether insurer should pay claim.
Subrogation Claims Representative
SUPERIOR RISK MANAGEMENT LLC
12.2023 - 07.2024
Managed a high volume of complex cases, demonstrating adaptability and excellent time-management skills.
Maintained compliance with industry regulations and company policies through regular training sessions and adherence to best practices.
Collaborated with teammates to identify trends in claim data, developing strategies to improve overall recovery efforts.
Contributed to a positive work environment by actively participating in team meetings, offering suggestions for improvement, and supporting colleagues as needed.
Assisted in the development of departmental goals and objectives aimed at increasing overall productivity and efficiency within the subrogation team.
Assisted management in identifying areas for improvement within the department, leading to ongoing enhancements in processes and procedures.
Managed approximately 30 incoming calls, emails and faxes per day from customers.'
Enhanced customer satisfaction by providing timely updates on the status of their subrogation claims.
Reduced cycle times for subrogation claims by consistently meeting or exceeding established performance metrics.
Developed strong relationships with external partners such as law enforcement agencies and other insurers for improved collaboration on joint efforts.
Strategically prioritized workload based on claim complexity, potential recovery amounts, statute limitations, and other factors critical to achieving successful outcomes.
Expedited claim processing by maintaining organized files and diligently tracking ongoing cases.
Streamlined communication with claimants, insurance adjusters, and attorneys for more efficient case management.
Identified potential fraud indicators during claim investigations, taking appropriate action to protect company interests while adhering to legal guidelines.
Implemented cost-saving measures throughout the claims process without sacrificing quality or customer service standards.
Subrogation Specialist
DAVIES CLAIMS SULUTIONS
08.2021 - 12.2021
Evaluated liability determinations using critical thinking skills combined with industry knowledge, leading to accurate assessments of fault distribution.
Enhanced recovery rates by implementing effective subrogation strategies and procedures.
Leveraged negotiation skills to secure favorable settlements from third-party insurers, maximizing recovery amounts.
Participated in cross-functional team meetings to share insights and collaborate on strategies for maximizing recovery efforts.
Negotiated settlements with responsible parties, securing favorable outcomes for clients.
Conducted thorough investigations to identify subrogation opportunities and gather supporting evidence.
Directed claims negotiations within allowable limit of $25,000.00 and supported successful litigations for advanced issues.
SURBROGATION SPECIALIST
KEMPER INSURANCE
09.2018 - 08.2021
Review claims for 1st and 3rd parties.
Verify coverage is available to pay claim.
Review files for policy limits.
Prorate Demands from subrogation work sheets from Insurance Companies and Claimants demands.
Update exposures, send out status letters and extend offers to Insurance Company, 3rd Party Claimants, and attorneys.
Converse with attorneys on their client's demands and loss of use numbers.
Negotiate settlements and send out offers and releases to pay claims.
Review claims to make sure all interested parties have their demands in file do pro rata letter, contact all parties to make offers and send out releases.
Once releases are obtained pay claim.
Send out checks review claims to make sure payments have posted close claims.
Negotiated settlements with responsible parties, securing favorable outcomes for clients.
Developed reports tracking the progress of ongoing cases, resulting in increased transparency and accountability within the department.
Established productive relationships with external partners such as attorneys, expert witnesses, and insurance adjusters.
Conducted thorough investigations to identify subrogation opportunities and gather supporting evidence.
Improved client satisfaction by providing regular updates on case status and addressing inquiries promptly and professionally.
Streamlined case management for improved efficiency and faster claim resolutions.
Managed a high-volume caseload while maintaining strict adherence to deadlines and quality standards.
Evaluated liability determinations using critical thinking skills combined with industry knowledge, leading to accurate assessments of fault distribution.
Total Loss Insurance Adjuster
NATIONAL GENERAL INSURANCE COMPANY
08.2016 - 10.2017
Review claims for 1st and 3rd parties.
Verify coverage is available to pay claim.
Make 24-hour contact with insured or claimant to advise of the total loss process.
Establish ownership of the vehicle for insured or lien holders
Process vehicle license fees, by running VLF and TLO.
Run evaluation of the vehicle to get actual cash value.
Make sure all compliance letters are sent to insured or 3rd party claimants in a timely manner.
Converse with insured and claimants to make settlements of the claim.
Negotiate fair prices for the vehicles.
Once claim is settled on price find out if insured or claimant wants to do owner retain or surrender vehicle.
Calculate payment to issue payments.
Collect adequate documents needed to make payments.
Education
Associate of Science - Business Administration
Richland College
Dallas, TX
05-2004
Skills
Time Management
Judgment and Decision Making
Active Listening
Exceptional Negotiation Skills
Analytical Thinker
Customer Focused
Problem Solving
Microsoft Literate
Claims investigation
Total loss evaluation
Excellent written communication
Certification
Property & Casualty License – TX, AR, OK, CA, WV, AZ, LA, AL, CONN, DEL, FL, GA, KY,MN, MI, NC, NM, SC, VT, WA, WV &WY. Department of Insurance.
Timeline
Subrogation Claims Representative
SUPERIOR RISK MANAGEMENT LLC
12.2023 - 07.2024
Total Loss Adjuster
The Best Claims Solutions
12.2021 - Current
Subrogation Specialist
DAVIES CLAIMS SULUTIONS
08.2021 - 12.2021
SURBROGATION SPECIALIST
KEMPER INSURANCE
09.2018 - 08.2021
Total Loss Insurance Adjuster
NATIONAL GENERAL INSURANCE COMPANY
08.2016 - 10.2017
Property & Casualty License – TX, AR, OK, CA, WV, AZ, LA, AL, CONN, DEL, FL, GA, KY,MN, MI, NC, NM, SC, VT, WA, WV &WY. Department of Insurance.
Associate of Science - Business Administration
Richland College
Similar Profiles
LATISA GILESLATISA GILES
Claims Supervisor at The Best Claims SolutionsClaims Supervisor at The Best Claims Solutions