Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Courtney Pringle

Dallas,TX

Summary

Analytical Claims Manager managing internal functions of teams, promoting high levels of quality production and overseeing specialized operational functions. Constructed concurrent objectives to promote efficiency and influence positive outcomes. Dedicated to team success while solving problems with minimal oversight.

Dedicated to Complex Property claims with extensive experience in handling commercial claims, managing high-value catastrophes, and providing exceptional customer service. Seeking to leverage skills in claims investigation, negotiation, and fraud prevention in a dynamic claims management role.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Commercial Claims Manager

American Claims Management
Dallas, TX
05.2020 - Current
  • Investigate the cause and extent of damage, obtain repair estimates, and prepare proof of loss documents
  • Negotiate settlements and analyze complex insurance claims to prevent fraud
  • Organize and present claim review plans, resolve claims promptly, and review new claims reports
  • Collect visual evidence, visit damage or injury sites, and view incident reports
  • Make decisions on payouts and provide recommendations to insurers for final coverage decisions
  • Maintain workflow by corresponding with claimants, insureds, and attorneys
  • Assign appropriate files to defense counsel and reconcile invoices for billed Defense Services
  • Provide timely updates to all relevant parties, ensuring effective communication.

Litigation Claims Adjuster

Liberty Mutual
Plano, TX
01.2016 - 05.2020
  • Review claim files referred to litigation in order to determine potential exposures, identify cases that should be recommended for settlement, and develop strategic plans with defense counsel to resolve litigated claims in an efficient, cost-effective manner
  • Reviewing files to determine potential exposures; identifying impediments/extra-contractual obligations; analyzing cost effectiveness of litigation versus settlement; collaborating with defense counsel on the claim handling strategy, roles and responsibilities, and the budget
  • Ensures legal compliance by accurately documenting findings and recommendations; handling litigated file according to established guidelines and procedures within specified timelines; attending mediations and trials
  • Maintains workflow by corresponding with claimants, insureds and attorneys; assigning appropriate files to defense counsel; directing and monitoring cases assigned to defense counsel; reconciling invoices for billed defense.

Education

Associate's in Health Science -

Tyler Junior College
06.2023

Lindale High School

Health Science -

Carrington College

Skills

  • Claims Investigation
  • Negotiation
  • Customer Service
  • Fraud Prevention
  • Advanced Technology Utilization
  • Performance Monitoring
  • Team Management
  • Personnel Training
  • Team Motivation
  • MS Office Suite
  • Legal Compliance
  • Policy Interpretation
  • Quality Assurance
  • Regulatory Knowledge
  • Property Damage Estimation
  • Catastrophe Management
  • Planning and Organization
  • Claims Processing

Certification

Licensed Property & Casualty Agent

Additional Information

Proficient in Administration Procedures, Law, Ethics, and Pre-Authorizations of Claims., Skilled in Customer Relations, Case Presentation, and Management Handling., Strong understanding of Verification of Insurance, AR/Check and Balance Handle Production.

Timeline

Commercial Claims Manager

American Claims Management
05.2020 - Current

Litigation Claims Adjuster

Liberty Mutual
01.2016 - 05.2020

Associate's in Health Science -

Tyler Junior College

Lindale High School

Health Science -

Carrington College

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Courtney Pringle