Distinguished Senior Casualty Claims Representative with extensive experience in accident investigation, negotiation, and claims settlements. Expertise in overseeing diverse claims, including first-party bodily injury, third-party bodily injury, and property liability claims, ensuring equitable settlements while prioritizing customer satisfaction.
Overview
25
25
years of professional experience
Work History
Sr. Casualty Claims Representative III
Germania Insurance
Brenham, Texas
08.2019 - Current
Accident investigation to conclude liability, analyzing police reports, interviewing all parties involved, determining if scene investigation documents were necessary for liability, and communicating and collaborating with colleagues as needed.
Focus on customer centricity. Establishing contact with the insured party, representation, and all others involved; conveying empathy and concern for customers; ensuring customer confidence in the claims process.
Experience handling uninsured/underinsured, third-party, moderate, minor, and major bodily injury claims. Attorney representation, negotiation, and settlements; Evaluate, negotiate, and settle liability, auto, and injury claims with plaintiff attorneys; Work with legal representation to find a settlement that is fair to all parties involved; Attend mediations, arbitrations, and minor hearings.
Experience investigating and settling farm liability claims and homeowner liability claims. To include policy and coverage interpretation and investigation, valuing, and resolving injury claims.
Staff Claim Service Adjuster
Allstate Insurance Company
, USA
09.2000 - 01.2016
Accident Investigation to conclude liability
Analyzing police reports;
Interviewing all parties involved;
Determine if scene investigation documents were necessary for liability:
Communicate and collaborate with colleagues as needed.
Focus on customer centricity.
Establishing contact with insured party, representation, and all others involved;
Convey empathy and concern for customers;
Ensuring customer confidence with claims process;
Negotiate fair settlement of damages and injury.
Use multiple software technologies to assist with claim analysis and documentation;
Working knowledge of NextGen, Colossus, and MDP software;
Experience handling UM/UIM, 3rd party, Moderate, ICST, and Major Injury claims.
Evaluated, negotiated, and settled liability, auto, and injury claims with plaintiff attorneys;
Worked with legal representation to find a settlement fair to all parties involved;
Attended mediations, arbitrations, and minor hearings.
Chairman's Quality Award;
Outstanding Performance Bonus;
Recognition for settlements, quality, and internal and external customer service.
Education
Senior Claim Law Associate -
04.2006
Bachelor of Arts -
Texas A&M University
Texas
05.2000
Skills
Accident investigation
Liability assessment
Negotiation strategies
Claims settlement
Coverage interpretation
Customer relationship management
Risk evaluation
Effective communication
Software utilization
Claim resolution
Coverage verification
Payment processing
Allocating claims
Teamwork skills
Support litigation
Multitasking Abilities
Negotiation techniques
Expense control
Accomplishments
Chairman's Quality Award
Outstanding Performance Bonus
Recognition for settlements, quality, and internal and external customer service
Training
Senior Claim Law Associate, 04/01/06
Adjuster P&C License
Casualty Represented Skills Workshop
Department of TDY in Unrepresented Claims office (North Houston MCO), To further develop understanding of claims process