Danielle Malone
Thompson,CT
Summary
Proven Senior Homeowner Liability Adjuster from American Family Insurance, adept in claims investigation and showcasing exceptional dispute resolution skills. Increased client satisfaction through innovative claim handling and fraud detection, while ensuring regulatory compliance. Holds a Texas Claims Adjuster License, demonstrating advanced communication abilities and a commitment to professional excellence.
Overview
23
23
years of professional experience
Work History
Senior Homeowner Liability Adjuster
American Family Insurance
10.2021 - Current
- Managed complex claims requiring multi-faceted approaches such as subrogation recovery efforts, minimizing company exposure to financial losses.
- Managed high case volume while maintaining exceptional customer service and attention to detail.
- Enhanced customer satisfaction by effectively managing liability claims and providing timely resolutions.
- Collaborated with medical professionals when assessing bodily injury claims to ensure proper evaluation of injuries sustained during accidents or incidents involving insured parties or third parties involved.
- Coordinated with appraisers and estimators regarding property damage evaluations; this collaboration ensured accuracy in repair cost estimates.
- Continuously sought professional development opportunities, staying abreast of industry changes and advancements to better serve clients and improve claim handling skills.
- Reviewed policy documents and endorsements, determining appropriate coverage levels for each claim scenario presented.
- Maintained compliance with state regulations by keeping up-to-date on laws and policies governing liability insurance.
- Collaborated with legal teams to defend the company in litigation cases, minimizing financial losses
- Reduced claim processing time through efficient investigation and documentation of claim details.
- Developed strong relationships with clients, increasing trust and loyalty in our services.
- Identified fraudulent claims by conducting thorough investigations and coordinating with law enforcement agent
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
Senior Casualty Claims Adjuster
MAPFRE Insurance
10.2001 - 10.2021
- Handled large loss exposures with professionalism and composure under pressure, ultimately resolving cases favorably for both company interests and client satisfaction.
- Managed a high caseload of complex casualty claims while maintaining accuracy and efficiency.
- Negotiated favorable settlements by effectively communicating with all involved parties, including attorneys, medical providers, and insureds.
- Improved claim resolution times by streamlining the claims investigation process.
- Increased customer satisfaction with timely and fair claim settlements.
- Provided exceptional customer service during the entire claims process, fostering strong relationships with clients and policyholders.
- Achieved cost savings through meticulous evaluation of medical bills and negotiation of provider fees.
- Implemented fraud detection measures that resulted in reduced fraudulent claim payouts.
- Reduced company expenses for outsourced services by handling complex casualty claims inhouse.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Evaluated policy coverage, determined liability, and negotiated settlements in a fair and equitable manner, ultimately maximizing client satisfaction.
Education
High School Diploma -
Tourtellotte Memorial High School
North Grosvenorda, CT05.2007
Skills
- Claims Investigation
- Insurance policy knowledge
- Liability Analysis
- Regulatory knowledge
- Dispute Resolution
- Assertiveness
- Policy Interpretation
- Influencing skills
- Independent Judgment
- Highly motivated
- Claims Processing
- Caseload Management
- Advanced oral and written communication skills
- Texas Claims Adjuster License (Able to adjust property/bodily injury claims throughout the United States)
- Innovation and Creativity
- Best Practices Implementation
- Regulatory Compliance
Timeline
Senior Homeowner Liability Adjuster
American Family Insurance
10.2021 - Current
Senior Casualty Claims Adjuster
MAPFRE Insurance
10.2001 - 10.2021
High School Diploma -
Tourtellotte Memorial High School