Caroline Amoah
Rancho Cucamonga,CA
Summary
Litigation and Liability Adjuster with extensive claim experience. Very strong investigations along with well written evaluations of medical injuries. Extensive experience in property, auto, bodily injury commercial general liability claims. Strong communication skills with physicians, policyholders, defense counsel and plaintiff attorneys. Handles claims in most of the 50 states and District of Columbia with continuing education hours up to date on all licenses. Consistently maintains a closing ratio of 1:1 or better. Possess deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle liability claims. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
16
16
years of professional experience
Work History
Liability & Litigation Adjuster
Pacesetter Claims Service - Hippo Insurance
06.2023 - Current
- Casualty cases with high exposure, including fatalities and high exposure injuries.
- Deposition experience through plaintiff attorney's.
- Detailed coverage analysis including writing disclaimer and reservation of rights letters.
- Thorough investigations including recorded statements from all parties when warranted.
- Extensive use and direction of defense counsel to assist with settling litigated cases.
- Excellent monitoring of accruing legal expenses, directing defense counsel to submit timely reports and resolution where economically practical.
- Extremely accurate case valuations, authority requests and settlements.
- Presents complex cases to upper management to request authority via roundtable meetings.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Examined claims forms and other records to determine insurance coverage.
- Negotiated with claimants to reach mutually satisfactory resolutions.
- Documented all investigation activity and presented reports to management.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Negotiated settlement agreements to resolve disputes.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Prepared summaries of damage, payments, and policy coverage.
General Liability Adjuster - Temporary Hire
State Farm
08.2021 - 04.2023
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims.
- Examined claims forms and other records to determine insurance coverage.
- Negotiate and settle Bodily Injury claims.
- Verified insurance claims and determined fair amount for settlement.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments, and policy coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Substantiated legitimate claims and denied unjustified claims.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Customer Service Executive
KKM Infosec System
08.2017 - 07.2021
- Described product and service details to customers to provide information on benefits and advantages.
- Utilized customer service software to manage interactions and track customer satisfaction.
- Developed customer service policies and procedures to meet and exceed industry service standards.
- Developed and maintained relationships with customers and suppliers through account development.
- Accomplished multiple tasks within established timeframes.
- Negotiated and managed third-party contracts related to project deliverables.
- Maintained open communication by presenting regular updates on project status to customers.
- Verified quality of deliverables and conformance to specifications before submitting to clients.
- Tracked project and team member performance closely to quickly intervene in mistakes or delays.
- Developed working relationships with internal and external customers while assisting with account management duties.
- Employed comprehensive benchmarks to establish and monitor customer service standards.
- Resolved customer billing errors by researching issues in system, asking open-ended questions, and determining root causes of problems.
- Asked open-ended questions and researched issues in system to resolve various customer billing errors.
Valuation Analyst
Densu Group
04.2008 - 07.2017
- Conducted due diligence on potential projects and presented findings to investors.
- Assisted in preparation of presentations, data tables and other documents for investor meetings.
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
- Validated results and performed quality assurance to assess accuracy of data.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
- Generated reports detailing findings and recommendations.
- Devised and implemented processes and procedures to streamline operations.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Created and managed project plans, timelines and budgets.
Education
License - Insurance Adjuster
The Adjuster School
Texas2020
Bachelor of Science - Land Economy
Kwame Nkrumah University of Science And Technology
Ghana2003
Skills
- High exposure claims experience
- Reserve planning knowledge
- Risk management
- Investigations expertise
- Insurance policy coverage knowledge
- Valuation knowledge
- Legal Knowledge
- Litigation Management
- Claims Investigation
- Property Valuation
- Advanced Computer Skills
- Advanced oral and written communication skills
Timeline
Liability & Litigation Adjuster
Pacesetter Claims Service - Hippo Insurance
06.2023 - Current
General Liability Adjuster - Temporary Hire
State Farm
08.2021 - 04.2023
Customer Service Executive
KKM Infosec System
08.2017 - 07.2021
Valuation Analyst
Densu Group
04.2008 - 07.2017
License - Insurance Adjuster
The Adjuster School
Bachelor of Science - Land Economy
Kwame Nkrumah University of Science And Technology
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