Francine Stewart
Claims Examiner
Grayson,GA
Summary
Reliable candidate ready to take on challenges using problem-solving and task prioritization skills to help team succeed. A dedicated claims examiner with strengths in customer service, time management and claim resolution. Excellent verbal and written communicator with strong background in cultivating positive relationships and exceeding goals.
Overview
21
21
years of professional experience
1
1
Languages
Work History
Claims Adjuster
Sedgwick Claims
08.2024
- Responsible for the handling and the investigation of homeowner claims for Chubb.
- Investigating and reviewing coverage issues
- Assigning Independent adjusters and engineers as needed
- Conferring with insured and agents on their claims
- Setting reserves
- Preparing and sending denial, ROR and payment letters
- Temporary
Senior Litigation Examiner
Berkshire Hathaway
10.2020 - 08.2024
- Responsible for the handling of Litigated Business General Liability, Commercial Auto, Bodily Injury claims.
- Investigating and identified coverage issues.
- Assigned Defense Counsel, examined reports, medical records, and oversaw the settlement of litigated files up to two million dollars, as well as the monitoring of diaries and reserves.
- Proficient in report writing, organizational skills, and time management, with a strong ability to prioritize tasks.
- Managed a large pending.
Sr. Claims Examiner
Allied American Adjusters
10.2018 - 10.2019
- Responsible for the handling, investigation of commercial property damages and BI losses for HOA developments in the states of Florida, Texas, California.
- Responsible for the reviewing and assigning of litigated files, while preparing the file for litigation and communicating with Defense Counsel.
- Delivered professional customer service by answering questions and concerns from injured parties.
- Setting proper reserves for property damage and liability claims.
- Responsible for the handling of large losses and preparing large loss reports.
Senior Liability Adjuster
Gallagher Bassett Services
01.2015 - 08.2017
- Responsible for the handling commercial losses for the counties in the State of Georgia, which entails the settling of business interruption, property damage, total loss, handling salvage and litigation claims.
- Communicated regularly with policyholders, claimants, attorneys, and other involved parties throughout claims process.
- Set up new losses following corporate policies and procedures.
- Also, monitored the ARMS system.
- Developed strategies for managing potential fraud cases by identifying red flags during investigation process.
Senior Claims Adjuster
State Farm
02.2012 - 01.2015
- Handled liability claims, Litigation, BI, PD, PIP, UM, Total Loss.
- Investigated claims to determine extent of liability and scope of coverage.
- Collaborated with legal counsel on complex cases requiring litigation or arbitration.
- Identified subrogation opportunities by thoroughly reviewing all available information related to particular claim.
- Evaluated claim information, including medical records, police reports, and witness statements to assess validity.
Education
Bachelor of Arts (B.A.) - Urban Studies and Architectural Science
High School - Academic Studies
Skills
Licensed in adjuster in FL, NV, GA, LA, and TX
Litigation experience
Proficient use of Microsoft Office: Word, Excel, Power point, and Outlook
Problem Solving
Analytical Thinking
Written Communication
Multitasking
Adaptability and Flexibility
Conflict Resolution- Mediation and Arbitration
DESIREDPOSITION
Claims Examiner
Timeline
Claims Adjuster - Sedgwick Claims
08.2024
Senior Litigation Examiner - Berkshire Hathaway
10.2020 - 08.2024
Sr. Claims Examiner - Allied American Adjusters
10.2018 - 10.2019
Senior Liability Adjuster - Gallagher Bassett Services
01.2015 - 08.2017
Senior Claims Adjuster - State Farm
02.2012 - 01.2015
Rutgers University - Bachelor of Arts (B.A.), Urban Studies and Architectural Science
Central High School - High School, Academic Studies