Open To Work
Donna Matthews
Surprise
Summary
Experienced Litigation/Liability Adjuster with an Arizona Adjuster License, seeking a Senior Claims Adjuster role. Expertise in exposure and reserve analysis enhances team performance and claims outcomes. Skilled in liability analysis, damage assessment, and claims investigation, with a solid background in litigation resolution. Proficient in mentoring, caseload management, and settlement negotiation, consistently resolving complex cases and improving client satisfaction.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Liability Claims Adjuster
Maricopa County Risk Management
Phoenix
02.2020 - 01.2026
- Investigates, evaluates, negotiates and concludes general liability, auto liability, medical malpractice and property (both building contents and structures), and vehicle damage claims.
- Investigated and evaluated property/casualty claims; developed action plans to resolve claims within delegated authority, maximizing outcomes.
- Manage and work closely with County and outside appointed attorneys on litigated claims.
- Coordinated activities with attorneys, County employees, supervisors, and department managers regarding claims, insurance coverage, and loss exposures to ensure alignment and clarity.
- Interviews claimants and witnesses to secure claim/accident facts, coverage information, police and medical reports and necessary documents to evaluate and conclude claim.
- Maintained up-to-date claim files and established adequate case reserves based on exposure and case value to mitigate financial risks.
- Manage subrogation claims for restitution of funds paid by the County.
- Obtains the optimum repair cost for county-owned and claimant vehicles.
- Report claims to excess insurance carrier in a timely manner.
- Studies current court decisions, trends and developments relative to claims resolutions.
Claims Adjuster III
Liberty Mutual
Chandler
05.2017 - 02.2020
- Multi-Line adjuster: Liability, Bodily Injury, UM, UIM, Personal HO and Litigation.
- Collected statements, police reports, scene photos, and diagrams to determine liability for 1st and 3rd party claims.
- Obtain and review medical records, bills, wage verification to evaluate the claim.
- Verify and apply Medicare, State Insurance and any applicable offsets.
- Monitored and adjusted reserves regularly to maintain accurate financial assessments.
- Evaluated, negotiated, and settled attorney-represented and non-represented injury claims, ensuring fair resolutions.
- Addressed weekly time limit demands for summons and complaints, ensuring timely responses to offers of judgments.
- Work closely with Defense attorneys to resolve litigated files timely, to include strategy calls, mediations and arbitrations.
- Work with Plaintiff attorneys to resolve prior to mediations, arbitrations and trials.
Bodily Injury/Property Claims
Alliance United
Phoenix
11.2015 - 05.2017
- Evaluate, negotiate, and settle attorney-represented and non-represented injury claims to achieve timely resolutions.
- Determine Liability for property and casualty first & third party injury claims.
- Conducted thorough investigations to confirm insurance coverage for claims.
- Addressed and resolved coverage issues on insurance policies to ensure compliance.
- Monitored and adjusted reserves weekly to ensure accurate financial forecasting.
- Respond within time limit and policy limits demands weekly.
- Maintained high closing ratio of pending inventory, managing 3-6 claims daily.
- Property damage and casualty claims adjusting.
- Provided mentorship and training to less experienced adjusters to enhance their skills.
Claims Manager/Specialist
Matrix Absence Management
Phoenix
05.2014 - 05.2015
- Interpret and apply FMLA, State, Company and Work Comp benefits, while being the liaison between employee and employer.
- Reviewed ADA Amendments Act requests for accommodation and coordinated solutions with employers to support employee needs.
- Investigated, recorded, and analyzed data to make timely determinations based on policy contract terms and company guidelines.
- Review Medical and Physician Statements, Interpret ICD9 and CPT codes to evaluate severity of injury and return to work guidelines.
- Excellent communication with claimants and clients on the claims process via phone or written correspondence.
- Obtained necessary documentation to facilitate claims processing.
- Assisted in implementing and integrating short term disability and absence management programs to enhance employee support.
- Coordinate investigative services and provide information on claims being appealed.
Claims Manager/Specialist
Prudential
Scottsdale
01.2013 - 05.2014
- Approved and authorized claims, determining benefits due based on clients' disability and total absence plans to ensure timely support.
- Manages disability claims according to plan ensuring compliance with duration and guidelines.
- Interpreted and applied FMLA, state, company, and work comp benefits, serving as liaison between employees and employers to facilitate effective communication.
- Review Medical and Physician Statements, Interpret ICD9 and CPT codes to evaluate severity of injury and return to work guidelines.
- Maintained current knowledge of industry trends in integrated disability and absence management to enhance decision-making and compliance.
- Collected necessary documentation to facilitate claims processing.
- Determines referral of claims to a third party vendor for surveillance, independent medical evaluation, peer review.
- Excellent communication with claimants and clients on the claims process via phone or written correspondence.
- Provided training and support to less experienced adjusters to enhance their skills.
Bodily Injury/Property Claims Adjuster/SIU
California Casualty
Glendale
08.2009 - 09.2012
- Investigating and handling of property and casualty first & third party injury claims.
- Evaluated and settled attorney-represented and non-represented injury claims, facilitating timely and fair resolutions.
- Monitoring and adjusting of bodily injury reserves.
- Investigate and confirm coverage for property and casualty claims.
- Investigated and resolved coverage questions for property and casualty claims, ensuring accurate claim processing.
- Maintain high closing ratio of pending inventory while taking an average of 6-10 claims per day.
- Guided and trained less experienced adjusters, enhancing their skills and contributing to overall team performance.
Bodily Injury Claims Adjuster
Permanent General
Phoenix
03.2007 - 08.2009
- Investigated coverage, liability, and damages of first and third party injury claims to ensure accurate claim assessments.
- Evaluating & settling of attorney represented and non represented injury claims.
- Responded timely to time limit and policy limits demands to maintain compliance and facilitate efficient claims processing.
- Monitoring and adjusting of bodily injury reserves.
- Utilize organizational, multi-tasking and communication skills to be proficient in the claims handling.
- Guided and supported less experienced claims adjusters to enhance their skills and improve overall team performance.
Bodily Injury Claims Adjuster
Insurance Overload Staffing
Phoenix
08.2006 - 03.2007
- Investigated and settled automobile and casualty claims across multiple insurance companies, ensuring fair and timely resolutions.
- Delivered service to internal and external customers through effective communication and diligent claim resolution.
- Resolved outstanding files and ensured desks were efficiently maintained.
- Adapted quickly to new operating systems and changing environments to maintain workflow efficiency.
Property, Bodily Injury, Commercial Claims Adjuster
Chubb Group of Insurance
Phoenix
02.2001 - 08.2005
- Personal and Commercial property damage and casualty claims adjusting.
- Investigated and handled property and casualty first and third party soft tissue injury claims, ensuring thorough assessment and resolution.
- Evaluated and settled attorney-represented and non-represented soft tissue injury claims, achieving fair outcomes for all parties involved.
- Investigated and confirmed coverage for property and casualty claims.
- Investigation and resolution of coverage questions of property and casualty claims.
- Managed closing ratio of pending inventory while processing 8-12 claims daily, maintaining workflow efficiency and timely resolution.
Skills
- Arizona Adjuster license
- Liability and risk analysis
- Policy and Coverage evaluation
- Damage assessment
- Exposure and Reserve analysis
- Settlement management
- Litigation support and resolution
- Negotiation strategies
- Regulatory compliance
- Caseload management
- Casualty, Property, Personal, Commercial
- Conflict resolution
- Mentorship
Certification
Arizona Adjuster License
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
$45000/yr - $200000/yrTimeline
Liability Claims Adjuster
Maricopa County Risk Management
02.2020 - 01.2026
Claims Adjuster III
Liberty Mutual
05.2017 - 02.2020
Bodily Injury/Property Claims
Alliance United
11.2015 - 05.2017
Claims Manager/Specialist
Matrix Absence Management
05.2014 - 05.2015
Claims Manager/Specialist
Prudential
01.2013 - 05.2014
Bodily Injury/Property Claims Adjuster/SIU
California Casualty
08.2009 - 09.2012
Bodily Injury Claims Adjuster
Permanent General
03.2007 - 08.2009
Bodily Injury Claims Adjuster
Insurance Overload Staffing
08.2006 - 03.2007
Property, Bodily Injury, Commercial Claims Adjuster
Chubb Group of Insurance
02.2001 - 08.2005