ANDREA EHRGOOD
Winter Haven,FL
Summary
Dynamic claims resolution specialist with comprehensive experience in negotiating settlements and analyzing claims data for compliance. Expertise in litigation support and fraud investigation enhances collaborative efforts, driving successful outcomes and fostering a culture of mentorship among peers.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Claims Resolution Specialist, Complex
Liberty Mutual
01.2023 - 04.2026
- Reviewed demands and collaborated with attorneys to negotiate settlements, aligning with company standards and client expectations.
- Reviewed coverage and liability issues to resolve claim concerns, ensuring compliance with policy guidelines.
- Litigation adjuster with experience in mediation and settling claims to prevent trial
- Conducted investigations into suspicious activity to assess potential fraud cases, contributing to risk mitigation efforts.
- Completed specialized training program in Special Investigations Unit to enhance fraud detection skills.
- Analyzed claims data to identify trends and discrepancies.
- Offered mentorship to help new and existing associates enhance their skills and integration.
- Contributed to Valor mentorship initiative for two years, helping mentees develop their professional skills.
- Organized and facilitated team-building events for two years to enhance employee engagement.
CU Examiner
Geico
06.2018 - 12.2022
- Litigation adjuster with experience in mediation and settling claims to prevent trial
- Negotiate and settle bodily injury and uninsured motorist claims for both unrepresented and represented claimants with complex injuries.
- Analyzed insurance claims to ensure compliance with company policies and regulations.
- Investigate and resolve coverage and liability concerns
- Collaborated with team members to effectively resolve complex claim disputes, ensuring fair outcomes.
- Investigated inconsistencies in documentation from third parties to uphold accuracy in claims processing.
- Researched complex issues related to specific cases involving multiple parties or unusual circumstances.
- Trained new examiners on best practices and procedures to enhance team readiness.
- Received quick promotion based on demonstrated reliability and effective performance.
Education
BA - Accounting
Columbia College
Oak Harbor, WA01-2007
BA - Finance
Columbia College
Oak Harbor, WA01-2007
Skills
- Settlement negotiation
- Claims evaluation
- Regulatory compliance
- Claims investigation
- Fraud investigation
- Fraud assessment
- Litigation support
- Claims data analysis
- Policy interpretation
- Insurance terminology
- Team training
Certification
Associates in Insurance Studies 21A
Affiliations
Toastmasters member since 2019
BUSINESS OWNER
Whimsical Tea Parties Est. 2023
Timeline
Claims Resolution Specialist, Complex
Liberty Mutual
01.2023 - 04.2026
CU Examiner
Geico
06.2018 - 12.2022
BA - Accounting
Columbia College
BA - Finance
Columbia College