- Cooking
- Community Cleanup
- Participating in local clean-up initiatives
- Historical Exploration
- Adventure Travel
- Backpacking and Hiking
- Passionate about balancing physical health with mental and emotional wellness
- Fundraising Events
- Participate in co-ed volleyball and [fast pitch softball], as recreational activities to maintain physical fitness
Craig Kueser
Lawrence
Summary
Claims professional who values precision and efficiency in claims evaluation and resolution. Proven track record of managing high caseloads and settling moderate to complex level claims accurately in compliance with company standards. Known for strong collaboration with team members and adaptability to changing needs, ensuring reliable performance and positive results.
Overview
44
44
years of professional experience
1
1
Certification
Work History
Casualty/Bodily Injury Tier 3 Claims Adjuster
Farmers Insurance Group
04.2024 - Current
- Evaluated insurance claims for accuracy and compliance with company policies.
- Investigated claim details by gathering relevant documentation and interviewing involved parties.
- Collaborated with legal and medical professionals to assess complex claim situations.
- Determined appropriate settlements based on policy guidelines and investigation outcomes.
- Mentored junior adjusters on best practices in claims processing and dispute resolution.
- Streamlined workflow processes to enhance efficiency in claims management operations.
- Implemented new software tools for improved tracking of claim statuses and communications.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Prepared summaries of damage, payments, and policy coverage.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Verified insurance claims and determined fair amount for settlement.
- Answered customer questions regarding deductibles.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
- Maintained claims data in Guidewire claim system.
- Collected pertinent information from customers to complete claims and legal files.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Rental Property Manager
Haag Management
05.2023 - 11.2023
- Responsible for overseeing maintenance and upkeep of rental apartment properties and tenant satisfaction.
- Schedule routine maintenance.
- Overseeing a team of resident and maintenance staff and enforcing lease rental terms and conditions.
- Apartment showings to prospective tenants.
- Lease signing with new tenants which included a thorough explanation of the terms and conditions of their lease.
- Performed administrative duties such as answering phone calls, emails, texts, and in office contacts by current tenants, prospective tenants, vendors, local law enforcement and maintenance staff.
- Scheduled apartment showing appointments.
- Maintained records about rental properties and lease agreements
Senior Auto-Property-Casualty Claims Adjuster
American Family Insurance
01.1999 - 05.2023
- Investigated, evaluated and determined liability for casualty claims.
- Analyzed claim information to determine coverage of insurance policies.
- Reviewed medical records and other documentation to evaluate the extent of losses.
- Interpreted policy language and applied relevant state laws in making decisions on claims.
- Negotiated settlements with claimants or their legal representatives.
- Determined financial responsibility for payment of benefits according to the terms of the policy.
- Identified potential areas of fraud by recognizing patterns or inconsistencies in claim data.
- Attended court hearings as necessary to represent the company's interests during litigation proceedings.
- Maintained detailed records of all claim activity including investigation results, settlement negotiations, and payments.
- Developed strategies to improve customer service levels while controlling costs associated with claims processing.
- Resolved customer complaints regarding denied claims or other issues related to their insurance coverage.
- Provided expert advice and guidance on complex casualty claims cases.
- Prepared reports containing findings from investigations, recommendations for resolution and estimated cost of damages.
- Drafted statement of loss to summarize damages, payments, and underlying policy coverage.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine the extent of liability.
- Gathered and documented evidence to support court proceedings.
- Investigated properties, classified damages, and created estimates outlining repair costs.
- Discussed current cases and issues in claim committee meetings.
Continuing Education Coordinator
Kansas Office of Judicial Administration
06.1996 - 12.1999
Fire Control Technician
United States Navy
11.1987 - 11.1996
Floor Sales/Warehouse-Delivery Manager
Winter Furniture
09.1991 - 05.1996
Farm Hand
Kueser Farms
06.1981 - 11.1987
Education
Bachelor of Science - Public Administration And Services
Emporia State University
05-1996
Auto Estimatics - Automobile Claims
Vale Technical School
Harrisburg, PA03-2010
Skills
- Maintenance Coordination
- Legal Compliance
- Property Inspections
- Property Maintenance
- Rent Collection
- Business Administration
- Tenant Relations
- Business Development
- Database Management
- Property Management
- Compliance Monitoring
- Maintenance Scheduling
- Lease Renewals
- Customer Service-Focused
- Skilled Multi-Tasker
- Adaptable
- Legal Knowledge
- Leasing and Sales
- Fair Housing Mandates
- Marketing and Advertising
- Tenant and Eviction Laws
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
- Team collaboration
- Advanced oral and written communication skills
- Decision-making
- Settlement negotiation
- Caseload management
- Policy interpretation
- Casualty and property loss
- Regulatory compliance
- Sales background
- Quality control
- Policy investigations
- Damage assessment
- Best practices implementation
- Accident scene investigations
- Advanced computer skills
- Auto damage estimation
- Innovation and creativity
- Legal compliance
- Coverage assessments
- CCC reports
- Healthcare common procedures coding system (HCPCS)
- Automobile claims specialist
- Customer service
- Problem-solving
- Attention to detail
- Multitasking and organization
- Empathy and patience
- Verbal and written communication
- Data entry
- Negotiation techniques
- Conflict resolution
- Ethical judgment
- Workflow management
- Liability assessment
- Estimation techniques
- Claims investigations
- Insurance policy coverage expertise
- Legal proceedings
- Insurance regulations
- Evidence reviews
- Interviewing techniques
- Automobile appraisals
- Medical terminology specialist
- Claims file documentation
- Claims negotiation
- Negotiation and mediation
- Claims
- Coaching and mentoring
Affiliations
- Avid nature lover and being outdoors, should it be landscaping, lawn care and maintaining his large rural property
- A diehard fan of local sports be it high school, college and professional individual and teams sports.
- Always curious about what is over the next hill. Loves traveling to new places and exploring new cuisine, cultures and history.
- A voracious reader. Always seeking to learn more about a wide variety of subjects.
Certification
- AIE - Accredited Insurance Examiner
- Auto Estimatics
Interests
Timeline
Casualty/Bodily Injury Tier 3 Claims Adjuster
Farmers Insurance Group
04.2024 - Current
Rental Property Manager
Haag Management
05.2023 - 11.2023
Senior Auto-Property-Casualty Claims Adjuster
American Family Insurance
01.1999 - 05.2023
Continuing Education Coordinator
Kansas Office of Judicial Administration
06.1996 - 12.1999
Floor Sales/Warehouse-Delivery Manager
Winter Furniture
09.1991 - 05.1996
Fire Control Technician
United States Navy
11.1987 - 11.1996
Farm Hand
Kueser Farms
06.1981 - 11.1987
Bachelor of Science - Public Administration And Services
Emporia State University
Auto Estimatics - Automobile Claims
Vale Technical School
Similar Profiles
Dominique WatsonDominique Watson
Customer Service Representative at Farmers Insurance GroupCustomer Service Representative at Farmers Insurance Group
Tayler WalkerTayler Walker
Claim Intake Specialist at Farmers Insurance GroupClaim Intake Specialist at Farmers Insurance Group
Marilyn HawkinsMarilyn Hawkins
Electronic Document Processor at Farmers Insurance GroupElectronic Document Processor at Farmers Insurance Group
Melinda HuntMelinda Hunt
Team Lead 2 at DemdacoTeam Lead 2 at Demdaco
Codi PresleyCodi Presley
Barback/Bartender at In the lowest fernsBarback/Bartender at In the lowest ferns