Results-oriented leader with more than 10 combined years of experience in all lines adjusting and litigation. Dedicated Professional with a wealth of diversified knowledge in litigation strategies, management, administrative professionalism, claims processing, quality assurance, risk management, monetary control/recovery, workflow development, and training.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Litigation Specialist/Corporate Representative
Bradley Stinson and Associates Inc. (Assigned to Citizens Property Insurance Company)
05.2022 - Current
Manage 70+ Litigated claims for Citizens Property Insurance Company
Evaluate the validity of claims and determine if coverage should have been extended based on policy terms prior to litigation ensuing
Review and analyze claims to determine best defensive strategy
Analyze data and formulate detailed reports
Prepare legal documents such as responses, affirmative defenses, motions, affidavits, witness/exhibit list and discovery to be filed with the court's judicial assistant and associated parties
Approve defensive counsel's legal documents such as responses, affirmative defenses, motions, affidavits, witness/exhibit list and discovery to be filed with the court's judicial assistant and associated parties
Manage legal correspondence via email, mail or fax
Prepare and attend depositions, mediation and trial as representative for CPIC
Manage claim reserves
Manage payments to defensive counsel, opposing counsel, public adjusters, vendors, contractors and insured
Manage a calendar diary to make sure court docket deadlines, meetings, reports and Citizens guideline management are done in a timely manner
Present case updates at 45-day, 90-Day, 120-Day and Trial Preparation Conferences
Manage daily billing for payroll disbursement
Negotiate settlements with counsel, insured or other parties involved in litigation process
Remote
Total Loss Adjuster
Liberty Mutual
09.2021 - 05.2022
Investigate complex liability auto claims, reviews and evaluates claim based on evidence obtained to determine responsible parties, liability exposure, questions of fraud or other pertinent information for 1st and 3rd parties.
Handled cases directly with attorneys/public adjusters and provided guidance with authority for litigation filing, modification, damages and repairs.
Review bodily injury and property damage of presenting parties.
Interact with policy holders/claimants and notate statements of the accident or incident; also, with other involved parties, attorneys, and paralegals for litigation purposes.
Take recorded statements as necessary.
Reviews policy details accurately, ensuring state/federal guidelines are being followed.
Evaluate settlement alternatives by reviewing regulatory compliance, adjust claims within limits of authority, make decisions based on best practices.
Subrogate negligent parties for carrier recovery.
Review, approve and submit all qualifying documents and photos for arbitration.
Complex Claim Specialist
State Farm
03.2020 - 09.2021
Steward over 120+ claims
Examined claims forms and other records to determine insurance coverage.
Verified insurance claims and determined fair amount for settlement.
Evaluated insurance policies and analyzed damages to determine coverage.
Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Prepared summaries of damage, payments and policy coverage.
Documented all investigation activity and presented reports to management.
Answered questions posed by insured and attorneys.
Negotiated settlement agreements to resolve disputes.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Independent Adjuster
Various IA Firms
02.2016 - 03.2020
Company Overview: (Eberl, Renfroe, Pilot, Bin-tech)
Conducted prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss. (Complex Liability, Bodily Injury and Total Loss)
Affirmed or denied coverage of claims based on facts and policy terms and conditions, developing information necessary to make advance, partial and final payments when appropriate.
Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
Analyzed information gathered by investigations to report findings and recommendations.
Partnered with legal counsel on litigation cases once complaint served.
Contacted clients to schedule appointments and discuss progress of cases.
Completed full desk review of loss in auto and property.
Coordinated Inspection times and dates
Explained policy coverage and exclusions to insureds or their representatives
Subrogate negligent parties for carrier recovery
Completed Recorded Statements
Reviewed policy for coverage and exclusions
Processed payments for the loss when applicable
Presented all settlement candidates and motion for summary judgement candidates to management for approval in defense cost, based on the merits of the claim.
Education
Public Relations
Norfolk State University
Norfolk, VA
Skills
Acuity Claim Center Citrix Proof Notary Outlook Teams Microsoft Word Excel PowerPoint Xactimate XactAnalysis ECS ISO Mitchell Guidewire ICS NADA Lexis Nexis Auto Source Accurint iWork Salesforce CoFee SSP Tap Vendors - Copart - IAA - Agero
Certification
All lines Claim Adjuster License
STATE FARM AUTO AND PROPERTY
MITCHELL CERTIFICATION
TOWER HILL
TWIA
Timeline
Litigation Specialist/Corporate Representative
Bradley Stinson and Associates Inc. (Assigned to Citizens Property Insurance Company)
Senior Director, Enterprise Business Agility at Citizens Property Insurance CorporationSenior Director, Enterprise Business Agility at Citizens Property Insurance Corporation