Erin Callahan Warner
Glen Oaks,NY
Summary
I work independently with minimal supervision, I take initiative and constantly look for better ways to learn and improve my skills
Overview
6
6
years of professional experience
Work History
PIP Claims Adjuster
National General Insurance Company
Glen Oaks, NY
02.2024 - Current
- Evaluated complex claims to determine coverage and liability issues.
- Trained new adjusters on company policies, procedures, and best practices in claims handling.
- Conducted thorough investigations, gathering evidence and documentation to support claim decisions.
- Implemented process improvements that enhanced efficiency in claims processing workflows.
- Mentored junior staff, providing guidance on challenging cases and fostering professional growth.
- Examined claims forms and other records to determine insurance coverage.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
PIP Medical Arbitration claims specialist
GEICO
Melville, NY
07.2020 - 02.2024
- Responsible for identifying, evaluating and analyzing Medical claims. Able to independently determine respective rights and obligations of Company, Insured, Claimants and others under insurance contracts applicable to assigned claims. Negotiate and resolve assigned claims in accordance with insurance contracts and applicable law and within documented authority or submit authority request and recommend resolution to PIP Unit Supervisor. Maintain and timely review diary of assigned claims. Process payments and identify and report potential fraud to PIP Unit Supervisor and to Special Investigation Unit.
PIP Claims adjuster
GEICO
Woodbury, NY
11.2019 - 06.2020
- Responsible for investigating and confirming the facts of loss for advanced automobile accidents to include PIP and/or Medical Payment Coverage claims. Determines coverage and injuries.Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and departmentDetermines subrogation or fraud potential and how to handleIdentifies customer needs and works to meet those needs using appropriate customer service skills
Education
Bachelor Of Arts - Theater And House Management
Adelphi University
Garden City, NY05-2007
Skills
- Customer service, Communication skills, Time management, Microsoft excel, Documentation review, Leadership, Microsoft word, claims handling trainer,Analytics of complex claims,People skills, Problem solving and Regulation 68 compliance
Timeline
PIP Claims Adjuster
National General Insurance Company
02.2024 - Current
PIP Medical Arbitration claims specialist
GEICO
07.2020 - 02.2024
PIP Claims adjuster
GEICO
11.2019 - 06.2020
Bachelor Of Arts - Theater And House Management
Adelphi University