Caryn Shevlin
Carlisle,PA
Summary
Dedicated and focused individual who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Experienced with claims assessment, negotiation, and resolution. Utilizes strategic problem-solving to manage high-volume claims efficiently. Track record of enhancing team performance and ensuring compliance with regulatory standards. Prior extensive background in retail supervision and customer services aides in proven professionalism.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Resolution Claims Manager
Gallagher Bassett
11.2021 - Current
- Investigated and evaluated insurance claims to determine coverage, liability, and settlement options
- Conducted thorough interviews with policyholders, witnesses, and other relevant parties to gather necessary information for claim assessment
- Reviewed policy terms and conditions to ensure accurate interpretation and application during the claims process
- Collaborated with legal counsel on complex or disputed claims to negotiate settlements within policy limits
- Communicated regularly with insured individuals or their representatives regarding claim status updates and any additional documentation required
- Prepared detailed reports outlining investigation findings, including coverage analysis, liability determination, damage assessments, and recommended settlements
- Assessed property damage through physical inspections or review of repair estimates provided by contractors or repair shops
- Provided exceptional customer service throughout the entire claims process by addressing inquiries promptly and professionally
- Maintained accurate documentation of all interactions, relevant findings, and decisions made during the claims handling process
- Investigated subrogation potential by identifying responsible parties, recovering costs from liable individuals or entities when applicable
- Cultivated positive relationships with insurance agents, brokers, and other industry professionals through effective communication and collaboration efforts
- Directed claims negotiations within allowable limit of $50,000 and supported successful litigation for advanced issues.
Liability Claims Adjuster
Nationwide Mutual Insurance Company
10.2016 - 11.2021
- Duties include investigating personal lines auto claims to determine liability
- Resolving claims quickly and efficiently while staying customer focused
- Strong attention to detail and written skills
- Recent accomplishments include being mentored for special investigation unit
- Currently mentoring new hire
- Volunteer for QA round tables for review and discussion
- Piloted Nationwide's new team email concept set guidelines for being part of email team
- Licensed for Rhode Island and all New England states
- Well versed in NJ, PA, NY claims
Teller
Orrstown Bank
06.2015 - 09.2016
- Adhered to Orrstown Bank security and audit procedures
- Balanced daily cash deposits and bank vault inventory with zero error rate
- Processed cash withdrawals
- Researched and resolved customer issues on personal savings, checking and lines of credit accounts in person and by phone
- Delivered prompt, accurate and excellent customer service
- Completed daily branch reports and balancing
- Assisted in head teller responsibilities including audits, alarm testing, daily and monthly reports and vault control
Medical Benefits Coordinator
Highmark Blue Shield
11.2004 - 06.2011
- Worked closely with medical providers and customers to determine accurate claim payment over multiple policy coverage
- Coordinated and processed Medicare, dental and personal medical claims
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Ensured compliance with federal and state regulations by maintaining accurate records of all benefits-related documentation.
Education
No Degree - Business Administration
Harrisburg Area Community College
Harrisburg, PASkills
- Office Suite
- Problem Solving
- Organizational Skills
- Coaching
- Training
- Claims investigation and research
Certification
Licensed insurance adjuster, Arkansas, 04/13/22, 19855236, Connecticut, 04/12/22, 19855236, Delaware, 04/12/22, 3001889560, Florida, 05/19/22, W859433, Georgia, 05/11/22, 3519542, Idaho, 04/12/22, 19855236, Indiana, 04/13/22, 3786634, Kentucky, 04/14/22, DOI-1198616, Louisiana, 04/13/22, 1005775, Maine, 04/13/22, ADN415981, Michigan, 04/14/22, 19855236, Minnesota, 04/13/22, 40797295, Mississippi, 04/12/22, 10846646, Montana, 04/12/22, 3001889532, New Hampshire, 04/12/22, 19855236, New Mexico, 05/17/22, 19855236, Nevada, 04/12/22, 3786298, Oklahoma, 04/13/22, 3001892243, Oregon, 04/14/22, 19855236, Rhode Island, 04/01/21, 3001246368, Texas, 02/18/22, 2801754, Utah, 04/26/22, 925195, Vermont, 04/13/22, 3657662, Washington, 05/12/22, 1157888, West Virginia, 04/15/22, 19855236, Wyoming, 04/19/22, 507395
Additionalinformation - Skills
Excel, Office Suite, Outlook, PowerPoint, Word, Problem Solving, Calendaring, Organizational Skills, Proofreading, Research, Scheduling, Reviews, Coaching, Training
Timeline
Resolution Claims Manager
Gallagher Bassett
11.2021 - Current
Liability Claims Adjuster
Nationwide Mutual Insurance Company
10.2016 - 11.2021
Teller
Orrstown Bank
06.2015 - 09.2016
Medical Benefits Coordinator
Highmark Blue Shield
11.2004 - 06.2011
Licensed insurance adjuster, Arkansas, 04/13/22, 19855236, Connecticut, 04/12/22, 19855236, Delaware, 04/12/22, 3001889560, Florida, 05/19/22, W859433, Georgia, 05/11/22, 3519542, Idaho, 04/12/22, 19855236, Indiana, 04/13/22, 3786634, Kentucky, 04/14/22, DOI-1198616, Louisiana, 04/13/22, 1005775, Maine, 04/13/22, ADN415981, Michigan, 04/14/22, 19855236, Minnesota, 04/13/22, 40797295, Mississippi, 04/12/22, 10846646, Montana, 04/12/22, 3001889532, New Hampshire, 04/12/22, 19855236, New Mexico, 05/17/22, 19855236, Nevada, 04/12/22, 3786298, Oklahoma, 04/13/22, 3001892243, Oregon, 04/14/22, 19855236, Rhode Island, 04/01/21, 3001246368, Texas, 02/18/22, 2801754, Utah, 04/26/22, 925195, Vermont, 04/13/22, 3657662, Washington, 05/12/22, 1157888, West Virginia, 04/15/22, 19855236, Wyoming, 04/19/22, 507395
No Degree - Business Administration
Harrisburg Area Community College
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