I am a goal-oriented and highly motivated individual with demonstrated ability to meet deadlines and objectives. I have an extensive customer service background, ability to establish and maintain strong working relationships, and excellent organizational and communication skills.
Overview
14
14
years of professional experience
Work History
Senior Claims Representative
Agency Insurance Company of Maryland
01.2015 - Current
Consistently exceed monthly production goals averaging 104% in 2022
Investigate claims and obtain relevant facts to determine coverage, loss and liability
Interact effectively with customers, agents, police, attorneys and other public personnel involved in the claims process
Conduct analysis, planning, decision-making and problem-solving activities to support claim settlement
Oversee legal and medical aspects of complex claims
Review bodily injury claims, review medical records, and negotiate settlements
Communicate effectively the claim status to supervisor and customers on a regular basis
Contact outside agents for claim investigation if needed
Work in compliance with state regulations and applicable jurisdictions
Manage claim settlements within authority limits.
Claims Specialist II
Liberty Mutual
01.2013 - 01.2015
Contacted policyholders, claimants, attorneys, body shops and medical staff to determine
injuries and other
relevant information stemming from auto or premises accidents
Evaluated policy coverage, confirmed or denied coverage and liability and advised
policyholders and claimants as to proper course of action
Responded to various written and telephone inquiries including status reports
Ensured adequacy of reserves
Planned and conducted investigations (including but not limited to interviewing parties
involved, collecting and evaluating documentation and securing evidence and protecting the
chain-of-custody) to analyze coverage, determine liability, compensability, and extent of
damages
Maintained accurate records and handled administrative responsibilities associated with
processing and payment of claims
Recorded and updated status notes, and documented
results of contacts, relevant medical reports and duration information per company standards
Determined need for independent adjusters, cause and origin experts, independent medical
examiners, economists, accident re-constructionists, and engineers
Evaluated claim for potential fraud
Assessed actual damages associated with claims and conducted negotiations for settlement
with attorneys, claimants and/or co-defendants
Made effective use of loss management techniques (Direct Dealing; ICP; open end release;
first call settlements).
Sr. Customer Claims Representative
Liberty Mutual
01.2011 - 01.2013
Obtained information and maintained records of accidents or personal property losses for
policyholders and claimants through telephone and written reports
Arranged appraisals, reviewed appraisal reports and communicated with policyholders,
claimants, physicians, medical providers, attorneys and repair shops
Secured essential facts about accidents, assessed liability and compensability, negotiated
settlements and explained denials to policyholders and claimants
Registered claims, updated status notes, established target dates, scheduled appointments
and released payments on an automated system.
Loan Officer
American Federal Savings Bank
01.2010 - 01.2011
Received, analyzed and processed high volume of client loan applications
Helped clients identify financial goals and recommended ways to reach them
Reviewed financial, property and credit status to qualify clients for proper programs
Promoted company’s products, originated loans for home purchases, refinance and debt
consolidation
Reviewed agreements to ensure compliance with company and industry policies.
Education
Bachelor of Arts - Russian/East European Studies and Political Science
University of Vermont
Burlington, VT
05.2004
Skills
Legal Guidelines Understanding
Vendor Management
Investigations Expertise
High Exposure Claims Experience
Decision Making
Claims Investigation
Settlement Negotiation
Insurance Knowledge
Timeline
Senior Claims Representative
Agency Insurance Company of Maryland
01.2015 - Current
Claims Specialist II
Liberty Mutual
01.2013 - 01.2015
Sr. Customer Claims Representative
Liberty Mutual
01.2011 - 01.2013
Loan Officer
American Federal Savings Bank
01.2010 - 01.2011
Bachelor of Arts - Russian/East European Studies and Political Science
University of Vermont
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