Ashley M. McKan
Aubrey,TX
Summary
Experienced underwriting and claims professional with a substantial risk assessment and customer relations background. Skilled in negotiation, compliance, and litigation, showcasing exceptional time management abilities for effective multitasking and prioritization. Demonstrates a proven ability to perform effectively in dynamic and fast-paced environments.
Overview
14
14
years of professional experience
Work History
Case Manager, General Liability
Walmart
01.2023 - Current
- Manages approximately 15 new claims per week while simultaneously maintaining an inventory of 100+ claims
- Conduct thorough investigations and interviews with claimants to gather relevant information
- Analyze complex claims by reviewing a wide range of evidence, including photographs and CCTV footage, to support liability determination and assist in legal investigations
- Collaborate cross-functionally with the legal team, SIU, and other departments to present claim resolution information
- Prepares detailed reports for demand and settlement offers, providing comprehensive analysis and supporting documentation to negotiate and settle claims with attorneys and claimants
Injury Adjuster
USAA
04.2022 - 12.2022
- Managed approximately 130 claims each month, applying ten states' policies and regulations to determine coverage limitations and liability
- Analyzed insurance claims requirements to ensure compliance with policy terms and eligibility criteria
- Managed claim settlements, including negotiating settlements and ensuring compliance with all legal and regulatory requirements
- Handled $2.4M in claims in less than 8 months and received recognition from leadership for 97% accurate cases
- Served as a team champion, promoting positivity and development on the team
Senior Liability Adjuster
Root Insurance
05.2021 - 04.2022
- Served as SME for mechanism damages on a 12-person team and mentored four people, all of whom received promotions
- Encouraged strategic customer engagement techniques that reduced medical payouts
- Coordinated 40+ investigations each month and regularly managed various exposures to reduce insufficient limit potential
- Resolved issues related to non-compliance, such as fraud or misrepresentation, and took appropriate actions to mitigate risk
- Contributed to the standardization of automatic letters sent to claimants and policyholders, ensuring compliance with industry regulations and company policies
Bodily Injury Claims Specialist
State Farm
01.2019 - 11.2020
- Handled and recommended resolutions for injury claims worth up to $100K for six states by exploring complex coverage issues
- Reported fraudulent claims to the Special Investigations Department for closer monitoring and investigation
- Contained costs by highlighting discrepancies between claimants' injury claims, diagnoses, and vehicle damage reports
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements
- Performed administrative duties by verifying documentation, researching facts, and contacting other parties involved to determine fault percentages and minimize potential losses
Claims Examiner
Seibels
08.2016 - 12.2018
- Leveraged a team of 8 Examiners to identify coverage concerns, review prior loss history, and recommend solutions to SIU
- Provided coaching and guidance on claims investigation, evaluation, negotiation, settlement, and subrogation
- Successfully mentored claim trainees, resulting in a 100% promotion rate to Level One within the department
- Provided regular coaching and feedback to develop claim trainees and improve results
- Assisted with the development of comprehensive training materials to support the professional development of claim trainees, ensuring their readiness to handle complex claims and contribute to the department’s success
Underwriter
Seibels
03.2014 - 08.2016
- Performed risk analysis using technology as well as external data to quote, negotiate, and authorize the acceptance of risk
- Determined eligibility for policy renewals based on guidelines and retention goals of the company
- Reviewed various underwriting reports such as loss history and financial and underwriting inspections to verify the accuracy of information and eligibility
- Selected and renewed profitable business through risk, premium, and claims analysis with the assigned authority levels and adherence to the Underwriting manual
- Processed endorsements and cancellations promptly
Underwriter
Dovetail Insurance
01.2011 - 05.2013
- Evaluated 25 - 30 applications daily for insurance coverage to determine the level of risk involved
- Analyzed property information, inspection reports, and other relevant data to assess risk and determine premium rates
- Collaborated with agents and brokers to gather necessary information and clarify any questions regarding applications
- Worked cross-functionally with claim adjusters, customer service teams, and other departments regarding underwriting decisions and policy terms
- Drafted and issued insurance policies, ensuring alignment with company guidelines and regulatory requirements
Education
Bachelor of Science - Business Administration, Management
Western Governors University
Salt Lake City, UTAssociate in Insurance -
The Institutes
Skills
- Litigation Resolution
- Investigative Techniques
- Training and Development
- Conflict Resolution
- Policy Interpretation
- Regulatory Compliance
- Customer Advocacy
- Injury Evaluation
- Complex Claim Resolution
- Property Damage
- Commercial Claims Management
- Risk Management
- Investigation Techniques
- Policy evaluation
Timeline
Case Manager, General Liability
Walmart
01.2023 - Current
Injury Adjuster
USAA
04.2022 - 12.2022
Senior Liability Adjuster
Root Insurance
05.2021 - 04.2022
Bodily Injury Claims Specialist
State Farm
01.2019 - 11.2020
Claims Examiner
Seibels
08.2016 - 12.2018
Underwriter
Seibels
03.2014 - 08.2016
Underwriter
Dovetail Insurance
01.2011 - 05.2013
Bachelor of Science - Business Administration, Management
Western Governors University
Associate in Insurance -
The Institutes