Christina Jones
Forest HIll,MD
Summary
Senior Claims Representative with 20 +years of industry experience. Successful at meeting customer and company needs with fair and equitable approach to claims process. Detail-oriented, systematic and skilled in identifying exposures and proposing actionable solutions.
Well-versed in handling claims with a consistent approach. Knowledgeable about determining coverage and liability, completing documentation and uncovering fraudulent claims. Forward-thinking and resourceful with strong communication and organizational abilities.
Overview
20
20
years of professional experience
Work History
Sr. Claims Representative
PMA
04.2023 - Current
- Recommended and set reserves based on expected payouts.
- Collaborated with legal department on important claims.
- Selected and managed expert witnesses and litigation managers for investigations.
- Updated field operations staff on status of open claims and current actions.
- Conducted investigations into complicated mid- and high-exposure claims.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Investigated accidents or incidents to determine cause and extent of damages.
- Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
- Monitored and managed claim expenses to control costs and maximize profitability.
Sr. Resolution Manager
Gallagher Bassett Services Inc.
01.2007 - 04.2023
- Oversaw workers compensation claims, MD, DC and VA cases involving construction, CCIP, hotel, and service industry clients.
- Resolved litigation cases with settlements.
- Reviewed policies to determine appropriate coverage according to policy limits.
- Analyzed policies to determine coverage limitations and values within policy limitations.
- Prepared and presented summary reports as part of claims review process.
- Calculated and disbursed wages, expenses and loss of wages.
- Reviewed claims for settlements, litigation and reserves.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Sr. Claims Representative
Harord Mutual Insurance Company
04.2003 - 01.2007
- Recommended and set reserves based on expected payouts.
- Collaborated with legal department on important claims.
- Selected and managed expert witnesses and litigation managers for investigations.
- Updated field operations staff on status of open claims and current actions.
- Developed and implemented strategies to improve claim processes.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
Skills
- Investigations Expertise
- Reserve Planning Knowledge
- Accident Review
- Customer Relationship Management
Timeline
Sr. Claims Representative
PMA
04.2023 - Current
Sr. Resolution Manager
Gallagher Bassett Services Inc.
01.2007 - 04.2023
Sr. Claims Representative
Harord Mutual Insurance Company
04.2003 - 01.2007
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