Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Debra O'Steen

Westminster,MD

Summary

Motivated Senior Claims Adjuster committed to diligently investigating, evaluating and negotiating Bodily Injury claims for policyholders. . Trained and knowledgeable in state, federal and local laws. Skilled in recognizing potential fraudulent claims.

I have over 20 years experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing case facts. Handle a pending of approximately 150 cases and provides exceptional customer service to policyholders.

Overview

13
13
years of professional experience

Work History

Senior Claims Examiner

Philadelphia Insurance
Bala CynWyd, PA
08.2016 - Current
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Examined claims forms and other records to determine insurance coverage.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Resolved complex, severe exposure claims using high service oriented file handling.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.

Claims Exaimne

Travelers Insurance
Baltimore, MD
08.2009 - 08.2016
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Interviewed claimants and witnesses to gather factual information.
  • Verified insurance claims and determined fair amount for settlement.
  • Finalized files for insurance claim payment release.

Education

GED -

Southwestern High School
Baltimore Md

Associate of Arts - Accounting

Community College of Baltimore
Baltimore Maryland

Skills

  • Administering Claims
  • Liability Determinations
  • Carrier Policies
  • Settlement Negotiation
  • Legal Documentation
  • Claims Evaluations
  • Customer Satisfaction
  • Maintaining Closing Ratios

Accomplishments

I have taken numerous claims related classes and have my SCLA designation

Timeline

Senior Claims Examiner

Philadelphia Insurance
08.2016 - Current

Claims Exaimne

Travelers Insurance
08.2009 - 08.2016

GED -

Southwestern High School

Associate of Arts - Accounting

Community College of Baltimore
Debra O'Steen