Daniele Jones

• Manages time and resources to make sound claims adjusting decisions.
• Investigates and determines insurance policy coverage and the extent of liability concerning loss or damages involving commercial vehicles, using discretion and independent judgment.
• Determines the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensures that conditions are set for a timely and accurate assessment of damages, including the movement of vehicles to the appropriate location for inspection and repair.
• Interviews, collects and documents information from customers, agents and witnesses. Reviews police reports, medical information, and other data when appropriate.
• Interprets commercial policies and analyzes information gathered to determine course of action.
• Investigates facts of loss and ensures that coverage and liability decisions are consistent with the report of the accident.
• Recognizes applicable exposures and endorsements and refers if appropriate.
• Identifies potential fraud and refers for investigation.
• Proactively communicates, updates and responds timely to customer concerns.
• Collaborates on property damage with other claims adjuster(s) as to liability, coverage and damage resolution as needed.
• Makes decisions about subrogation referral or if in Subrogation, handles and resolves subrogation referrals.
• Negotiates with customers and claimant carriers to ensure coverage and liability are assigned properly.
• Manages claims inventory workload, including claims paperwork, diaries, and communications (hard copy, electronic mail and phone communications); issues payments as appropriate.
• Monitors and makes decisions related to rental, including availability and length of rental period; may also negotiate loss of use.
• Identifies, negotiates and resolves claims including total losses.
• Identifies, mitigates, and negotiates down time and/or related lost time for small business owner/operations.
• Sets clear and accurate expectations for repairs, including estimating the details, outcome, and financial obligations to expedite resolution of the claim and minimize loss of use.
• Identifies additional line coverage and injury exposures as presented during L5
• No regular travel required
• Able to work assigned schedule subject to Progressive's flexible schedule policies and practices.
• Able to work variable and flexible hours, such as nights, weekends, and holidays in response to business needs.

For those handling bodily injury:

• Provides claims litigation expertise and manages outside counsel through the litigation process including; selection of experts, preparation of critical depositions, mediation, arbitration or trial on high exposure commercial specific claims and execution of claims payment.
• Utilizes guidelines and general knowledge of state regulatory and statutory requirements for a multi-state region.
• Holistically manages dispute resolution situations with an advanced level of skill regarding extra-contractual damages.
• Maintains direct control over counsel through litigation process as well as directs experts in other disciplines (scene reconstruction, civil engineering, forensics, biomechanics, etc.)
• Properly prioritizes and evaluates claims with focus on mitigation of risk; regularly presents at round tables, provides recommendations to senior decision-makers for settlement and reserving on the highest complexity files.
• May conduct negotiations including meditations, arbitration and trials.
• Determines the cost of treatment or compensation for injury/casualty situations, business interruption, and discerns merits of the case.� (Determines lost wages, employee injuries, workers comp).
• Sets and adjusts reserves as needed.
• Evaluates negotiates and settles attorney represented bodily injury claims.
• Able to work variable and flexible hours, such as nights, weekends, and holidays in response to business needs.

• Identified fraudulent claims through careful analysis of data, protecting company assets from potential losses.
• Handled complex cases with multiple parties involved, effectively managing priorities and deadlines to ensure timely resolutions.
• Manages. investigates. and resolves claims. Investigates and evaluates coverage. liability. damages, and settles claims
• within prescribed authority levels
• Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation
• Confers with trial counsel and prepares trial reports
• Communicates with policyholders. Witnesses. and claimants in order to gather information regarding claims. refers tasks to auxiliary resources as necessary and advise as to proper course of action.
• Responds to various written and telephone inquiries including status reports.
• Ensures adequacy of reserves.
• Recommends reserve increases on cases in excess of authority
• Accountable for security of financial processing of claims. as well as security information contained in claims files.
• Responsible for managing the practices and billing activities of outside and in-house counsel.
• May assist in the absence of the Claims Manager. representing the company on matters involving state or federal regulatory agencies.
• May be involved in special projects and/or mentoring at the direction of local manage

• Settle Bodily Injury. Uninsured and Underinsured claims with attorneys by negotiating an amount for their clients' injuries. Receives suit documents: analyze allegations. attend trials and mediations to direct defense attorneys in the settlement of claims. ensures adequacy of reserves and recommend reserve increase on cases in excess of authority. Determine liability and coverage issues. Analyze claims to determine extent of company's liability. make approval or denial decisions and negotiate settlements With claimants in accordance With policy provisions. Handle claims with high profile claimants and insured

Conduct necessary investigations to determine policy coverage and details of the loss.

Analyze information and determine the Company's liability under the policy contract. Evaluate and settle third party injury claims including Holt Demands With claimants or claimant's attorneys. ensures adequacy of reserves and recommend reserve increases on cases in excess of authority. Attend settlement conferences with attorneys in an attempt to settle third party injury claims Handle secured Associate losses and Commercial Claims.

• Settle Personal Injury Protection. Holt Claim Demands. Medical or Total Theft payment claims. Evaluate claims and negotiate Property Damage settlements. Determine possible payment recovery.

• Effectively coach and mentor by developing their claims technical and customer ser,'ice skills Monitor calls taken by Claims Service Representatives assessing strengths. weaknesses and coaching opportunities. Provide daily feedback to Claims Service Representatives through call coaching and one-on-one instruction. Complete weekly summary reports of monitoring results. observations and trends from call coaching/training sessions. Assist claims trainers and supervisors by answering questions and with administrative functions. Conplete special projects for management as requested.

• Reviewed information and verified the Company's loss payment exposure under the policy contract. Verified necessary accident facts and determined policy coverage. Received inquiries from policyholders, claimants. or repair shops and resolved questions and complaints. Settled first and third party non-questionable. non-injury claims. Made vehicle assignments to auto damage.
• Accompanied underwriters and insurance agents in the field to investigate claims and determine cause and extent of damages.
• Developed a strong understanding of insurance policies and legal issues through completion of a series of INS classes coupled with in-depth. multi-week claims training