Cheryse Revie

Oversee large catastrophic commercial auto and general liability. Liaise with brokers, TPA's, captive members and defense counsel on investigation, liability, reserves, medications and settlements.

Review files on diary to ensure claims are progressing and reserves are appropriate.

Review coverage and additional and contractual tender requests. Work in in-house and outside counsel to communicate denials, acceptance, and reservation of rights.

Manage communications between all parties as a final decision maker for claim settlements, authority and negotiations amongst involved parties.

Manage towers and reporting to reinsurance, excess carriers, and all other involved parties on multi-million dollar claim exposures.

• Mitigated potential losses by detecting fraudulent claims, conducting in-depth analysis, and escalating suspicious cases to the appropriate channels.
• Reduced payment discrepancies by meticulously reviewing claims, identifying errors, and coordinating with stakeholders for resolution.
• Developed and maintained detailed documentation of claim adjustment activities, ensuring a comprehensive record for future reference and audit purposes.
• Evaluated contract provisions for consistency with coverage determinations, ensuring accurate application of policy terms during the adjustment process.
• Streamlined claim processing by implementing efficient workflows and prioritizing tasks based on case complexity.
• Maximized customer satisfaction by promptly addressing inquiries and concerns related to payment adjustments, ensuring clear communication throughout the process.

• Consulted police and hospital records when needed.
• Interviewed claimants and witnesses to gather factual information.
• Examined photographs and statements.
• Coordinated with underwriters to review policy coverage details and ensure accurate claim assessments, reducing discrepancies in the adjudication process.
• Collaborated with cross-functional teams to expedite claim handling processes, enhancing overall efficiency and client satisfaction scores.
• Developed strong relationships with external partners such as repair shops, medical providers, and legal professionals to facilitate seamless claim resolutions.
• Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
• Worked on direct to consumer special teams cradle to grave in all states.