Dynamic Claims Representative with extensive experience in casualty claims, excelling in injury claims evaluation and settlement negotiation. Proven track record of achieving favorable outcomes in complex litigated cases while delivering exceptional customer service.
Overview
31
31
years of professional experience
Work History
Claims Representative II
Sentry Insurance
10.2024 - 02.2026
Handled Auto Casualty Injury claims with efficiency, ensuring timely resolutions for all parties involved.
Investigated, evaluated, negotiated, and settled claims to reach fair and equitable settlements.
Evaluated injury claims to determine the appropriate settlement value.
Managed all elements of the claim file, conducting coverage investigations and executing settlements with limited supervision.
Interfaced with management, coworkers, policy holders, claimants, and attorneys to deliver exceptional customer service and support throughout claim processes.
Senior Casualty Examiner
Civil Service Employees Insurance
05.2018 - 09.2024
Handled complex litigated and non-litigated casualty and habitational claims, ensuring timely resolution and stakeholder satisfaction.
Investigated, evaluated, negotiated, and settled claims to reach a fair and equitable settlement for all parties involved.
Evaluated complex injury claims and determined the appropriate settlement value.
Managed all aspects of the claim file, conducting coverage investigations and effecting settlements independently.
Interfaced with management and coworkers to deliver exceptional customer service to policyholders, claimants, and attorneys, enhancing communication and claim resolution.
Litigation Specialist
Alliance United Insurance
04.2017 - 11.2017
Investigated, evaluated, and negotiated litigation claims, achieving fair settlements that satisfied all parties involved.
Evaluated complex injury claims and determine the appropriate settlement value.
Attended mediations, mandatory settlement conferences, and small claims hearings, facilitating resolution of claims effectively.
Work closely with defense counsel to develop legal action plans to bring matters to resolution.
Achieved performance goals to manage costs while ensuring equitable resolutions for claims.
Bodily Injury Examiner
Infinity Property & Casualty Company
11.2011 - 04.2017
Investigated, evaluated, and resolved complex bodily injury claims for 1st and 3rd party claimants.
Oversaw all aspects of claim files, including coverage investigation and settlements, ensuring compliance and accuracy with minimal supervision.
Ranked consistently in top tier for claims handling, focusing on timely resolutions and cost-effective strategies.
Interfaced effectively with management and coworkers to provide exceptional customer service to policyholders, claimants, and attorneys.
Claims Branch Manager
Mercury General Corporation
05.2007 - 11.2008
Managed fast paced claims branch of 32 employees including supervisors, litigators, field personnel, claim adjusters, and clerical staff.
Oversaw branch claims handling process, ensuring timely customer contacts, thorough claim and coverage investigations, and effective resolutions while maintaining reserve and settlement authority in compliance with Department of Insurance regulations.
Implemented short-range and long-range department objectives necessary to ensure proper reserve levels and to resolve policyholder liabilities in a timely, efficient, and equitable manner.
Collected and analyzed claims branch performance data on cost per claim for indemnity and expenses; implemented strategies to enhance year-to-year performance.
Monitored complex liability claim files with serious injuries and high exposures to ensure proper handling, limiting potential exposure for policyholders and the company.
Oversaw all aspects of personnel including hiring, training, employee development and motivation.
Executed the selection and hiring of defense counsel. Directed defense counsel on litigation goals. Monitored trials, arbitrations, and mediations.
Monitored claim staff to ensure a consistent high level of customer service.
Litigation Specialist
Mercury General Corporation
03.2005 - 05.2007
Negotiated high-value settlements for complex liability and bodily injury claims, achieving favorable outcomes efficiently and economically.
Guided defense counsel on settlement negotiations and litigation strategies to effectively advance case objectives.
Engaged and selected defense counsel and litigation experts to support case strategies.
Attended trials, arbitrations, mediations, settlement conferences, and depositions.
Claims Supervisor
Mercury General Corporation
04.1999 - 04.2005
Supervised staff including monitoring work product, providing performance feedback, and conducting disciplinary actions.
Supervised staff of five employees including litigators, field personnel, and claims adjusters.
Directed claims branch to monitor indemnity and expense impact.
Granted settlement and reserve authority to staff members to facilitate efficient claims resolution.
Monitored litigated cases and guided defense counsel on settlement and litigation strategy.