Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Christopher Anderson

Christopher Anderson

Dacula,GA

Summary

Accomplished senior claims specialist with 17+ years of experience in investigating and processing insurance claims. Adept with resolving issues, communicating with customers, paying attention to details, and collaborating with internal and external stakeholders. Excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Senior Claim Specialist II

Liberty Mutual
01.2022 - Current
  • I work on the Third-Party Administrator side, Helmsman Management Services, with our customer Uber, managing a complex inventory of mostly high value, litigated claims
  • Investigating complex coverage questions, using all available resources, including coverage counsel, to make a recommendation on coverage to management, as well as managing and overseeing coverage litigation
  • Developing and managing litigation plans while continually managing expense reserves
  • Managed litigated claims in California, Colorado, Connecticut, Delaware, District of Colombia, Florida, Georgia, Louisiana, Massachusetts, Missouri, Nevada, North Carolina, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Virginia, and Washington
  • Review medical records presented by parties alleging injuries to determine causation of injuries based on past medical history, determine if mechanism of injury existed, and if treatment was consistent with reported injuries
  • Evaluate injury cases and present to management and Customer for authority when appropriate
  • Negotiated proper injury settlements with pro se parties and attorneys to come to fair resolution within policy limits and working with excess carriers for claims exceeding policy limits
  • Actively participate in Mediations, Arbitrations, Court Mandated Settlement Conferences, and Trials
  • Able to work effectively and efficiently within claim handling guidelines provided by Liberty Mutual and our customer, all while working in a completely remote environment.

Senior Claim Specialist

Insurance House
02.2021 - 01.2022
  • Conduct investigations on Non-Standard Personal policies from start to finish of complex coverage questions where I make decisions and recommendations to management regarding extension or Denial/Disclaimer of coverage where applicable
  • Manage large and complex inventory, set, and update proper reserves, and exceed expectations for productivity while working from home and with minimal supervision
  • Drafted standardized letter templates that were used across the entire claim environment
  • Also lead instructional classes to teach professional writing techniques to claim’s employees
  • Investigate Liability claims by taking recorded statements from all parties, completing scene investigations, analyzing damages, and reviewing reports from contracted partners
  • Review medical records presented by parties alleging injuries to determine validity of injuries based on past medical history, determine if mechanism of injury existed, and if treatment was consistent with reported injuries
  • Evaluated presented injury cases and presented to management for authority when appropriate
  • Negotiated proper injury settlements with pro se parties and attorneys to come to a fair resolution.

Injury Claims Specialist

State Farm Mutual Insurance Companies
04.2006 - 07.2020
  • Completed coverage investigations on Personal and Commercial policies from start to finish of complex coverage questions where I made decisions and recommendations to management regarding extension or Denial/Disclaimer of coverage where applicable.
  • Use investigative resources including, police reports, conducting recorded interviews of parties involved and witnesses, completing scene investigations, and retaining services of experts in various fields to assess appropriate liability decisions, setting appropriate reserves and assuring claims database is accurate.
  • Investigated and managed first party Uninsured Motorist Bodily Injury claims.
  • Analyze, investigate, and resolve medical bills for third party bodily injury claims to maximize recovery and mitigate risk.
  • Exercise discretion while working and communicating in confidential settings with sensitive information
  • Communicate with customers and respond to questions
  • Review and process new auto injury claims, including fatality losses, and property damage claims
  • Manage litigation process of suit defenses and collaborate with internal and external defense attorneys
  • Member of team that developed training material and training curriculum for newly hired representatives
  • Also, worked with this training team to teach this curriculum to new hires.

Education

Bachelor of Science - Telecommunication Engineering, Business Management

Southern Polytechnic State University
Marietta, GA
12.2003

Skills

  • Reading Comprehension
  • Courtroom Procedures
  • Insurance Industry Experience
  • Dispute Resolution
  • Coverage Determination
  • Accident Investigations
  • Negotiation Leadership
  • Negotiation and Mediation Skills
  • Commercial Insurance
  • Medical Terminology
  • Litigation Resolution
  • Claims Investigations

Certification

  • Licensed Adjuster - AL, AR, CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, MT, NC, NH, NV, OK, OR, RI, SC, TX, UT, VT, WA, WV, WY
  • AINS - Associates in General Insurance - The Institutes - November 2012
  • CPCU - Chartered Property Casualty Underwriter - The Institutes - Ongoing

Timeline

Senior Claim Specialist II

Liberty Mutual
01.2022 - Current

Senior Claim Specialist

Insurance House
02.2021 - 01.2022

Injury Claims Specialist

State Farm Mutual Insurance Companies
04.2006 - 07.2020

Bachelor of Science - Telecommunication Engineering, Business Management

Southern Polytechnic State University

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