Overview
Work History
Education
Skills
Yearsofexperience
Timeline
Generic

Eva M. Trahan

Houston,TX

Overview

20
20
years of professional experience

Work History

Senior Complex Litigation Adjuster

Travelers Insurance
04.2024 - Current
  • Managed a high volume of cases while maintaining organization and prioritizing tasks according to deadlines.
  • Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
  • Conducted comprehensive claim investigations to gather evidence, interview witnesses, and obtain relevant documentation.
  • Streamlined internal processes by implementing efficient workflows that reduced overall time spent on administrative tasks.
  • Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
  • Balanced competing priorities under tight deadlines without compromising quality or attention to detail in case management.
  • Evaluated policy coverage by analyzing insurance contracts and determining the applicability of specific provisions to each claim.
  • Utilized advanced technology tools for efficient data management, reporting functions, and streamlined communications among team members.
  • Supported attorneys in trial preparation by organizing materials, conducting research, and drafting legal documents.
  • Reduced company exposure by accurately assessing risk factors and recommending appropriate settlement options.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Preserved confidentiality of sensitive information while effectively communicating case details with involved parties as needed.
  • Expedited claim resolution by promptly responding to inquiries from both insureds and claimants alike.
  • Enhanced negotiation skills through continuous professional development opportunities, including training seminars and workshops.
  • Leveraged strong analytical abilities to identify subrogation opportunities for cost recovery efforts in complex cases.

Senior Litigation Claims Adjuster

Allstate Insurance Co
01.2022 - 04.2024
  • Handle the largest and most complex bodily injury, uninsured, and underinsured liability claims including coverage and liability dispute on litigated and non-litigated claims
  • Substantiated legitimate claims and denied unjustified claims
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs
  • Trained other claims staff members on proper handling and evaluate injury
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors
  • Documented information gathered in field and uploaded data to company database for efficient processing using multiple systems
  • Synthesized data into comprehensive quarterly written reports
  • Testified on behalf of agency as part of criminal and civil proceedings
  • Presents cases recommendations for authority to management at roundtables
  • Manage litigated claims by developing litigation plans, strategies to direct defense counsel litigation in accordance with litigation management protocols
  • Negotiate and communicate effectively with medical providers, attorneys, customers, and vendors for resolution of claims
  • Attend Subrogation, arbitrations, mediations, and trials for claim resolution
  • Make equitable inability decisions by regularly resolving disputes between all parties while obtaining recorded statements, reviewing police reports, and contacting and obtaining witness statements
  • Provide litigation management through assessing the strengths and weaknesses of lawsuits and develop plans of action for defending and disposing
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Prepared summaries of damage, payments, and policy coverage.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Answered customer questions regarding deductibles.
  • Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
  • Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
  • Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
  • Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.

Senior Liability & Injury Claims Adjuster Supervisor

GEICO Insurance
01.2014 - 01.2021
  • Responsible for the analysis and management of claim files within both the property and bodily injury units
  • Provide daily support to claim staff on claim management and filing activities
  • Resolve escalated customer concerns and complaints promptly and fair
  • Negotiate and communicate effectively with medical providers, attorneys, customers, and vendors for resolution of claims
  • Prevent losses due to insurance fraud working alongside Special Investigations Unit
  • Make equitable inability decisions by regularly resolving disputes between policy holders and claimants by obtaining recorded statements, reviewing police reports, and contacting and obtaining witness statements
  • Provide litigation management by assessing the strengths and weaknesses of lawsuits and develop plans of action for defending and disposing
  • Attend depositions, mediations, and trials/court appearances for settlement of Auto BI, PD UMBI, UIMBI & PIP claims
  • Create claim file documents complying with company and state regulations
  • Addressed escalations customer questions regarding deductibles
  • Prepared summaries of damage, payments, and policy coverage
  • Evaluated insurance policies and analyzed damages to determine coverage
  • Substantiated legitimate claims and denied unjustified claims
  • Conduct comprehensive witnesses and claimants' interviews gathering evidence
  • Reviewed police reports, medical treatment records, and physical property damage to determine validity and extent of liability
  • Researched and analyzed policy contracts to verify proper payment of claims
  • Document all investigation activity and presented reports to management
  • Negotiate with policyholders and claimants to reach mutually satisfactory resolutions
  • Deliver exceptional service by communicating important information as concise and patiently while actively listening and engaging the interviewer for undiscovered issues
  • Applied strong leadership and critically resolve escalations while then teaching the skills to the claim owner, to maintain team efficiency, proficient and cohesive workflow
  • Monitored compliance of team workflows to improve employee average call handle, time management and call logs increase productivity while setting the culture to insure we consistently meet weekly, monthly, and quarterly metrics
  • Achieved measurable results working with staff to meet established targets and risk
  • Maintained compliance with company policies, objectives, and communication goals
  • Enforced rules and regulations outlined in company manual setting expectations comprehensibly and consistently in outlined performance actions for adjusters placed on Action Plans due to violation of TDI compliance and or company operations
  • Created successful work schedules for associate maintaining forecasted staffing needs
  • Conduct routine inspections, enforcing quality and compliance with established SOP's
  • Developed and implemented customer service policies to enhance satisfaction by risk assessment and thoroughly complying policy binders and re-writes
  • Generated reports detailing findings and recommendations
  • Created and managed project plans, timelines, and budgets
  • Devised and implemented processes and procedures to streamline operations
  • Maintained database systems to track and analyze operational data

Customer Service Representative

Travelers Insurance
01.2005 - 01.2013
  • Proactively sold personal insurance products as needed
  • Reviewed and corrected personal property and casualty policies
  • Compiled underwriting reports and perform statistical analysis
  • Mentored new hires for Personal Insurance Counseling
  • Developed underwriting and sales knowledge to counsel and sell available insurance products
  • Used a computer to effectively capture claim loss information from customers via phone in a prompt and efficient manner
  • Consistently provided top-tier, high-level customer service to ensure our customers feel secure, respected, and cared for
  • Used online reference material and resources
  • Shared customer concerns and any telephone or system issues with Unit Manager to promptly and effectively address or prevent any issues
  • Handled customer inquiries and suggestions courteously and professionally
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
  • Answered constant flow of customer calls with minimal wait times
  • Updated & maintain account information
  • Responded to customer requests for products, services, and company information
  • Processed customer service orders promptly to increase customer satisfaction
  • Maintained up-to-date knowledge of product and service changes

Education

Bachelor of Arts - Law

University of Arizona
Tucson, AZ
05-2026

Skills

  • Claims File Management Processes
  • Medical Terminology & Injury Evaluation
  • Data Analysis & Evidence Review
  • Insurance Policy Coverage Knowledge
  • Communication Interpersonal
  • Texas All- Lines Adjuster License
  • Settlement Determinations
  • Courtroom Procedures
  • Liability Determinations
  • Policy & Coverage Investigations
  • CCC Pathways
  • Best Practice Implementation
  • Underwriting Knowledge
  • Litigation Resolution
  • Complex Large Loss Cases
  • Regulatory Compliance
  • Cost Control & Appraisal Reviews
  • Service Quality Monitoring
  • Interviewing & Investigation
  • Verbal and Written Communication
  • Personal, Casualty and Property
  • Valuation Knowledge
  • Legal Processes & Litigation support
  • Risk Assessment Software
  • Reserves Recommendations
  • Legal Proceedings Knowledge
  • Negotiation and Mediation Skills
  • Subrogation Expertise
  • Claim Validity Determination
  • MS Office (Word, Excel, Outlook) & Cisco System

Yearsofexperience

20

Timeline

Senior Complex Litigation Adjuster

Travelers Insurance
04.2024 - Current

Senior Litigation Claims Adjuster

Allstate Insurance Co
01.2022 - 04.2024

Senior Liability & Injury Claims Adjuster Supervisor

GEICO Insurance
01.2014 - 01.2021

Customer Service Representative

Travelers Insurance
01.2005 - 01.2013

Bachelor of Arts - Law

University of Arizona

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Eva M. Trahan