Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Amy Grace

Bay Village,OH

Summary

Experienced Field Claims specialist examines claims, negotiates and processes settlements and verifies insurance coverage. Attentive team player consistently processes claims quickly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.

Overview

27
27
years of professional experience

Work History

Claim Specialist

United Fire Group
02.2017 - Current
  • Collaborated with legal counsel to formulate defense strategies on litigated files
  • Escalated files with significant indemnity exposure to supervisor for further review.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Responded to inquiries by answering questions, providing information and directing insureds and agents to appropriate resources.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Conducted full claim investigations and reported updates and legal actions.

SENIOR FIELD CLAIMS REPRESENTATIVE

Hastings Mutual Insurance Company
09.2012 - Current
  • Reviewed coverage, liability, and damages on all types of property and casualty claims
  • Handled large percentage of large loss property files, including large personal and commercial claims
  • Completed Xactimate level one certification
  • Completed NICB and NSPII classes and handled some special fraud investigation claims
  • Completed my CPCU Designation
  • Worked as back up supervisor during vacations and leave in both the property and casualty departments.

FIELD PROPERTY REPRESENTATIVE

Westfield Group Insurance
07.2007 - 07.2010
  • Evaluated coverage, and estimated damages on both commercial and residential property claims
  • Utilized Xactimate estimating system to complete estimates of damage
  • Worked in several offices around the country in catastrophe situations
  • Settled claims involving damages to structure, personal and business property, additional living expense, loss of business income, and loss of rental income
  • Completed Haag engineering course on hail and wind damage to residential and commercial structures.

FIELD CLAIM REPRESENTATIVE

Westfield Group
12.1998 - 03.2003
  • Adjusted all varieties of claims including property, no-fault auto, general liability and workmen's comp
  • Specialized in all aspects of auto losses, including both property and injury settlements
  • Utilized Mitchell estimating system to complete auto, truck and heavy equipment estimates
  • Supervised and reviewed all claims in our direct repair facility program
  • Assisted inside claim representatives review and adjust auto estimates from photos
  • Excelled in first call injury settlements
  • Completed all total loss claims in our office, including disposition of salvage
  • Expanded my estimating skills to include tractor trailers, farm equipment, and boats, by obtaining additional training in these areas.

FIELD CLAIM REPRESENTATIVE

Westfield Group
06.1996 - 12.1998
  • Evaluated coverage, investigated liability and negotiated settlements on all varieties of claims
  • Completed property estimates using Boeckh estimating system
  • Supervised litigated files, coordinating communication between counsel and home office personnel
  • Worked with counsel for injured parties to resolve injury claims quickly and cost effectively
  • Managed reserves appropriately
  • Promoted sales by meeting with agents and providing outstanding customer service
  • Emphasis on commercial line claims, including both commercial property and liability.

Education

Chartered Property Casualty Underwriter, CPCU -

Insurance Institute of America
10.2015

Associate in Claims, AIC -

Insurance Institute of America
06.1998

B.A. Communication -

Ohio State University
06.1992

Skills

  • Complex Coverage Issues
  • Insurance Terminology
  • Commercial coverages and claims handling
  • Claims software, guidewire, xactimate, ISO
  • Attorney Collaboration
  • Written Communication

References

References available upon request

Timeline

Claim Specialist

United Fire Group
02.2017 - Current

SENIOR FIELD CLAIMS REPRESENTATIVE

Hastings Mutual Insurance Company
09.2012 - Current

FIELD PROPERTY REPRESENTATIVE

Westfield Group Insurance
07.2007 - 07.2010

FIELD CLAIM REPRESENTATIVE

Westfield Group
12.1998 - 03.2003

FIELD CLAIM REPRESENTATIVE

Westfield Group
06.1996 - 12.1998

Chartered Property Casualty Underwriter, CPCU -

Insurance Institute of America

Associate in Claims, AIC -

Insurance Institute of America

B.A. Communication -

Ohio State University

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