Summary
Overview
Work History
Education
Skills
CORE COMPETENCIES
Additional Information
Timeline
Generic

Daniel Lund

Cypress

Summary

Dynamic Senior Resolution Manager with extensive experience at Gallagher Bassett, excelling in claims investigation and settlement negotiation. Proven track record of managing complex claims with authority, achieving high accuracy in documentation and compliance. Strong analytical skills combined with exceptional communication abilities ensure effective resolution and client satisfaction.

Overview

15
15
years of professional experience

Work History

Senior Resolution Manager

Gallagher Bassett
Houston
09.2022 - Current
  • Investigated, evaluated, and disposed of settlement payments on the most complex and highest exposures with minimal supervision.
  • Reserved claims and set reserves with authority up to $100,000 for specific clients.
  • Exercised proper judgement and decision making to analyze claims exposure, to determine proper course of action and to appropriately settle the claim.
  • Maintained consistent contact with insured’s, claimants, attorneys and defense counsel throughout the life of each claim to maintain proper handling and accuracy per each state’s guidelines.
  • Handled case load of 170 claims from start to finish with minimal supervision.
  • Recognized and pursued excess insurance recoveries from different carriers and tendered files to appropriate carriers that were deemed at fault.
  • Completed quarterly claims reviews on all files over $25,000 to ensure proper handling.

Senior Liability Adjuster (Litigation)

Corvel Inc
Houston
07.2021 - 09.2022
  • Manage litigated 1st and 3rd party complex auto and General Liability claims claims for Bed Bath and Beyond nationwide.
  • Confirm policy coverage and acknowledgement of each litigated claim received.
  • Assign and confer with legal counsel on all litigated files.
  • Adhere to the clients’ guidelines and participate in claim reviews every 3 months.
  • Pay and process settlement payments up to $75,000 without authorization.
  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Adjust reserves or provide reserve recommendations every 30 days to ensure that reserve activities are consistent with corporate policies.
  • Maintain accurate and precise claim notes detailing all conversations and claims activity.
  • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Senior Liability Adjuster

Capstone ISG
Houston
11.2020 - 06.2021
  • Evaluate coverage based on the claim report, the insurance policy, endorsements, and applicable statutes and case law.
  • Possess in-depth knowledge of multi-jurisdictional claims handling issues.
  • Conduct interviews of all involved parties as requested by the insurance carrier. Complete recorded statements by telephone or in-person.
  • Complete investigations by obtaining and reviewing police and other official reports, hospital records, appraisals, and repair estimates to evaluate injuries and property damage.
  • Obtain medical authorizations to secure records and bills to evaluate injury claims.
  • Analyze injury information to set case reserves over $100,000 for specific clients.
  • Negotiate and settle claims of varying complexity with minimal supervision.
  • Prepare settlement letters, coverage and liability denial letters, Reservation of Rights letters, and other letters as needed.
  • Establish initial contact with all parties involved and maintain current follow-ups in all files.
  • Provide exceptional customer service to clients and other parties involved and kept them informed about the claim status with clear, timely, and accurate written reports.
  • Manage expected caseload between 70-100 claims.

Casualty Adjuster

Crawford and Company
Houston
02.2016 - 11.2020
  • Managing liability claims for large corporations utilizing time management skills and multitasking abilities to ensure superb customer service experiences.
  • Demonstrated the ability to deliver quality results, achieving scores between 90-100% on Crawford’s quality scoring program.
  • Prepared timely and accurate reports to insurance carriers of information obtained during a claims investigation and provided recommendations and conclusions to the file.
  • Maintain accurate field notes through CMS2 claims server and monitor a daily diary to ensure time management and efficiency on all claims.
  • Review, interpret and enforce, insurance policies to determine coverage for a loss.
  • Conduct thorough investigations through field visits, phone contact, obtaining medical reports, conducting insured, claimant, and witness statements to establish liability.
  • Attend trials, arbitrations and manage bodily injury claims until a settlement is reached.

Auto Property Damage Adjuster

Farmers Insurance
Houston
01.2014 - 02.2016
  • Negotiate and settle first party and third-party auto property damage claims.
  • Investigate facts of loss and conduct scene investigation to assist with liability determination.
  • Assist our Special Investigations department to identify and combat fraudulent claims.
  • Manage communication between repair facilities, rental agencies, and parts vendors to provide customers with status updates, streamline process of repairs, and minimize expenses.
  • Communicate and enforce best practices to produce high levels of customer service, and to identify areas for improvement.
  • Review, interpret and enforce, insurance policies to determine coverage for a loss.

Personal Injury Protection Adjuster

Allstate Insurance
Houston
03.2013 - 01.2014
  • Investigate complex auto claims (e.g. material misrepresentation, fatality losses according to state specific guidelines, and impact losses with injury claims).
  • Answer questions from insureds, claimants, and attorneys to resolve problems and concerns.
  • Documents files and pays submitted bills according to procedures.
  • Achieves targeted performance goals to manage costs and support Allstate’s industry-leading operational standards.
  • Manage over 400 open claims on a daily basis.

Claims Adjuster

The Hartford Insurance Group
Houston
08.2010 - 03.2013
  • Built strong relationships with Claims Plus clients, which are specifically insured accounts with a minimum premium of $400,000 of more.
  • Verified the nature and extent of a work injury by obtaining appropriate medical records while maintaining a high level of positive working relationships with internal and external customers.
  • Initiate point of contact investigation with patient and employer to expedite establishing a worker’s comp claim. Calculated accurate benefit payments and services while managing claim costs and expenses.
  • Demonstrated efficient and accurate processing of claim documents; compliant with the Texas Department of Insurance, Rules & Regulations TWCC, avoiding fines.

Education

Bachelor of Arts - Corporate Organizational Communication

Texas Tech University
Lubbock, TX
05.2010

Skills

  • Microsoft Office proficiency
  • Claims investigation and evaluation
  • Settlement negotiation
  • P&C All Lines license
  • OSHA guidelines expertise
  • Analytical and communication skills
  • Litigation management
  • Policy interpretation
  • Compliance management
  • Documentation and reporting
  • Adaptability
  • Reserve setting
  • Regulatory compliance

CORE COMPETENCIES

  • Complex Claims & Litigation Management
  • Liability Evaluation & Negotiation
  • Client & Legal Communication
  • Reserve Setting & Financial Authority
  • Multi-State Regulatory Compliance
  • Performance Reviews & Quality Control
  • P&C All Lines Licensed (TX)

Additional Information

  • Enthusiastic, knowledgeable, responsible, organized, passionate, and a self-motivated individual
  • Ability to adapt well to various work environments, and to obtain knowledge quickly
  • Excellent written and verbal communication skills, and outstanding analytical/research skill

Timeline

Senior Resolution Manager

Gallagher Bassett
09.2022 - Current

Senior Liability Adjuster (Litigation)

Corvel Inc
07.2021 - 09.2022

Senior Liability Adjuster

Capstone ISG
11.2020 - 06.2021

Casualty Adjuster

Crawford and Company
02.2016 - 11.2020

Auto Property Damage Adjuster

Farmers Insurance
01.2014 - 02.2016

Personal Injury Protection Adjuster

Allstate Insurance
03.2013 - 01.2014

Claims Adjuster

The Hartford Insurance Group
08.2010 - 03.2013

Bachelor of Arts - Corporate Organizational Communication

Texas Tech University

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