Ebony Archie
Dallas
Summary
Organized Insurance Claims professional offering expertise in investigation, litigation and settlements. Proficient in executing claims transactions and applying settlement protocols to foster timely, fair and accurate claims processing. Track record of superior performance in tea, leadership roles.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Commercial Bodily Injury Claims Examiner
Carolina Casualty
Irving
11.2021 - Current
- Conducted thorough reviews of each claim file to initiate prompt investigations on coverage, liability, and damages.
- Sets initial reserve, updates reserve, documents rationale and claim summary notes
- Evaluated claims for indicators of fraud and escalated findings when necessary.
- Utilized all available claims tools to assess liability and determine extent of damages.
- Investigated coverage inquiries under reservation of rights, advising Underwriting Department of adverse findings.
- Negotiated and settled claims within established authority, ensuring fair resolutions.
Senior Bodily Injury Adjuster
Liberty Mutual
Plano
10.2018 - 11.2021
- Reviewed treatment plans and evaluations using advanced medical terminology for accurate injury assessment.
- Collaborated with legal counsel to minimize financial risk in complex liability cases.
- Achieved favorable outcomes in litigated cases through effective collaboration during discovery and trial preparation.
- Designed and implemented a comprehensive training program for new Claims department hires.
- Maintained professionalism while engaging with claimants, witnesses, attorneys, and healthcare providers.
- Consistently settled claims below authority levels, exceeding performance metrics while ensuring customer satisfaction.
Auto Claims Adjuster
AAA
Coppell
01.2016 - 10.2018
- Gathered claim information and documentation through effective client communication.
- Reviewed police reports and related documents to confirm claim accuracy.
- Negotiated settlements with policyholders to facilitate efficient claims resolution.
- Advised clients on coverage options, claims processes, and subsequent actions.
- Determined liability based on information collected during investigations.
- Conducted interviews with claimants, witnesses, and relevant professionals to support claims.
- Processed payments in accordance with policy contract terms.
Education
High School Diploma -
Murrah High School
Jackson, MSSkills
- Claims investigation and management
- Legal compliance and policy interpretation
- Critical thinking and problem-solving
- Customer service excellence
- Time management strategies
- Team leadership and decision-making
- Adaptability and flexibility
Certification
- All Lines Adjuster License
Timeline
Commercial Bodily Injury Claims Examiner
Carolina Casualty
11.2021 - Current
Senior Bodily Injury Adjuster
Liberty Mutual
10.2018 - 11.2021
Auto Claims Adjuster
AAA
01.2016 - 10.2018
High School Diploma -
Murrah High School