Christy-Ann Berard
Barre
Summary
Results-driven professional with extensive experience in managing complex claims processes and efficiently resolving disputes. Advanced analytical skills and deep industry knowledge facilitate precise case assessments, ensuring meticulous evaluation of all details. A proven track record of leveraging strong negotiation abilities to secure favorable outcomes underscores a commitment to excellence in every engagement. Dedicated to delivering high-quality results while fostering positive relationships with clients and stakeholders.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Claims Adjuster
Acadia Insurance
Bedford, NH
06.2025 - Current
- Evaluated complex claims to determine liability and settlement options.
- Collaborated with legal teams to resolve disputes and negotiate settlements.
- Mentored junior adjusters on best practices for claims assessment and processing.
- Implemented process improvements, enhancing efficiency in claims handling workflow.
- Conducted thorough investigations, including interviews with claimants and witnesses.
- Reviewed documentation for accuracy, ensuring compliance with regulatory standards.
- Developed training materials for new staff, promoting knowledge sharing and skill development.
- Consulted police and hospital records when needed.
- Interviewed claimants and witnesses to gather factual information.
- Examined photographs and statements.
- Optimized workload management, prioritizing time-sensitive cases to ensure timely resolutions for clients.
- Expedited claims settlements with successful negotiation strategies and effective communication skills.
- Collaborated with cross-functional teams to expedite claim handling processes, enhancing overall efficiency and client satisfaction scores.
- Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
- Managed complex workers' compensation claims from inception to resolution.
- Analyzed claim files and medical records to ensure compliance with regulations.
- Collaborated with legal teams to negotiate settlements and mitigate risks.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained contact with claimants and attorneys to determine treatment status.
- Directed claims negotiations within allowable limit of $[Amount] and supported successful litigations for advanced issues.
- Negotiated [Type] settlement agreements to resolve disputes.
Senior Claims Specialist
Corvel Corporation
07.2024 - 06.2025
- Responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims by thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
- Determine if claims are valid under applicable workers’ comp statutes.
- Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
- Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
- Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
- Consult with attorneys regarding litigation management, settlement strategy and claim resolution
Workers Comp Claims Adjuster II
AmTrust Financial
09.2022 - 07.2024
- Responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims by thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
- Determine if claims are valid under applicable workers’ comp statutes.
- Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
- Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
- Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
- Consult with attorneys regarding litigation management, settlement strategy and claim resolution.
- Settle claims with in my authority
- Set appropriate reserves within my authority limits.
- File appropriate forms with the states (VT & NH) statues
- Attend mediations and informal hearings
Workers Comp Claims Adjuster
Vermont School Boards Insurance Trust-Berlin, VT
Berlin, VT
05.2018 - 07.2022
- Responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures, and claimants
- Work within authority limit of 125k
- Negotiate the settlement of claims within authorized amounts or specific file authority Work closely with defense counsel in litigation
- Attending depositions, mediations and trials for specific claims analysis and audit legal invoices that are received on a monthly basis
- Claims count ranged from 120 to over 200
Multi-line Claims Adjuster
Vermont School Boards Insurance Trust-Berlin, VT
Berlin, VT
05.2017 - 05.2018
- Responsible for investigating property & casualty claims & worker’s compensation claims for our members (School’s in Vermont)
- Apply pertinent federal, state and local laws for codes and worker’s compensation laws
- Set and review for appropriate reserves on a file
- Negotiate the settlement of claims within authorized amounts or specific file authority Work closely with defense counsel in litigation
- Attending depositions, mediations and trials for specific claims analysis and audit legal invoices that are received on a monthly basis
- Providing accurate and timely information to our members in regard to their files
- Provide in person site visits of property claims with the possible reserve over $5000
- Extensive knowledge of our property, casualty & workers compensation coverage documents
- Document all substantive activity on assigned claims in STARS and Image Right
- Provide back up to supervisor to assign claims to co-workers when supervisor is unable to do so
- Take recorded and written statements for investigation purposes
- Attend continuing education seminars, i.e PLRB conventions, worker’s compensation workshops
Claim Adjuster
Vermont Mutual Insurance Group
01.2014 - 05.2017
- Investigate all assigned claims.
- Negotiate the settlement of claims within authorized amounts or specific file authority. Maintain accountability for all assigned claims until disposition is reached.
- Document all substantive activity on assigned claims using notepad in Image Right. Review diaries on new losses and open losses to ensure reserve adequacy while keeping superiors informed developments.
- Review coverage questions and work with supervisor or claim management for help and approval.
- Ensure appropriate file handling, documentation, and reporting over all files handled. Provide accurate and timely information to all external and internal customers concerning claim status and other claim inquiries.
- Perform diverse clerical and administrative tasks in support of the unit and department.
- Provide backup phone & diary for other team members when needed
- Extensive knowledge of Vermont Mutual’s personal auto policies in Vermont, Maine, New Hampshire, Massachusetts.
Customer Support Specialist
Union Mutual Fire Insurance Co.-Montpelier, VT
Montpelier, VT
01.2013 - 01.2014
- Acts as first point of contact for phone inquiries from agents, insureds and business partners
- Processes transactions necessary to support policy functions including but not limited to: quotes, new business, endorsements, cancellations, claims and renewals
- Performs various clerical and technical accounting tasks, including but not limited to: daily cash processing deposits and control sheets
- Performs variety of liaison functions with agents, marketing representatives, underwriters, and policy holders via phone or written correspondence, answering inquires, investigating account problems and/or discrepancies
- Process and distributes incoming mail
- Prepares claims, policy and other related documents for imaging, images documents to appropriate work flows/locations.
- Researches, identifies and obtains missing policy and account information
- Assists with special projects, i.e. SPI upgrade
- Actively pursued peer development, mentoring and sharing job knowledge
Education
Bachelor's Degree - Business
Johnson State College
01.2011
Skills
- Claims management expertise
- Insurance policy sales
- Legal compliance
- Policy interpretation
- Claims investigation
- Regulatory awareness
- Investigative tools
- Teamwork and collaboration
- Customer service
- Problem-solving
Accomplishments
- Achieved Certificate of Mental Claims Specialist by completing Workers Comp College Course
- Received AIC Designation
Certification
- WC Licensed in VT and NH
- Completed AIC, AINS, SCLA designations
Timeline
Senior Claims Adjuster
Acadia Insurance
06.2025 - Current
Senior Claims Specialist
Corvel Corporation
07.2024 - 06.2025
Workers Comp Claims Adjuster II
AmTrust Financial
09.2022 - 07.2024
Workers Comp Claims Adjuster
Vermont School Boards Insurance Trust-Berlin, VT
05.2018 - 07.2022
Multi-line Claims Adjuster
Vermont School Boards Insurance Trust-Berlin, VT
05.2017 - 05.2018
Claim Adjuster
Vermont Mutual Insurance Group
01.2014 - 05.2017
Customer Support Specialist
Union Mutual Fire Insurance Co.-Montpelier, VT
01.2013 - 01.2014
Bachelor's Degree - Business
Johnson State College