Summary
Overview
Work History
Education
Skills
Timeline
Generic

GABRIEL MAYFIELD

Analyst
Dallas,TX

Summary

I am an empathetic listener as well as persuasive speaker, and I hold over fifteen different state adjuster licenses. I have over six years of casualty experience that includes handling first and third-party attorney involved injury claims, and I am a subject matter expert in both auto liability and general liability lines of business. I have exceptional communication skills and have demonstrated this by proficiently liaising with policyholders, attorneys, risk managers and other stakeholders. I have a proven ability to manage complex and challenging claim scenarios with poise, integrity, and empathy, while preserving positive relationships. This CV will show that I am adept at prioritizing tasks in a demanding and fast paced environment and can multi-task across technical claim related systems. I have a proven ability to meet stringent demand deadlines, all while maintaining the highest quality of work. What has made me successful is seeking out constructive criticism and then applying that feedback to grow as an insurance professional

Overview

9
9
years of professional experience

Work History

Senior Claims Analyst

Thaxton & Associates
10.2023 - Current
  • Analyze all claims and litigation involving our clients and develop recommended options and action plan(s).
  • Facilitate the retrieval, investigation and management of internal information, documentation and personnel necessary to meet needs.
  • Report to Management, producers, and senior account analysts the status of cases/assignments.
  • Contact with outside counsel to facilitate legal handling of client litigation.
  • Work with management to provide direction to outside counsel in the handling of client litigation.
  • Direct and facilitate support staff in the receipt and reporting of all claims. This position is the primary contact for insurance reporting of potential and actual claims.
  • Respond to client and carrier related claim requests.
  • Provide legal assistance to corporate projects as requested.
  • Perform legal research upon request.
  • Research, analyze and prepare presentations relating to regulatory, legislative and litigation developments impact clients and/or carriers.

Casualty Liability Adjuster -AT&T Liability

Sedgwick Claims Management
Dallas , TX
01.2023 - 10.2023
  • Handle high- value claims in litigation
  • Managing current case load of over 400 claims with more than 700 features
  • Prepare settlement authority request (SAR) for losses with exposure greater than $100k
  • Performed thorough investigations and liability assessments related to police reports, client and claimant statements, surveillance tapes, videos, fraud, depreciation of value, medical records, and injury.
  • Negotiate settlements with insureds and claimants both in the demand phase and during litigation cycle
  • Handle general liability, auto liability, construction defect and first party injury claims
  • Manage claim-related activities; liaise with AT&T legal and risk management

Casualty Adjuster

Hallmark Insurance
11.2021 - 01.2023
  • Worked in team lead capacity training new hires; recognized by peers and management as high performer
  • Streamlined training to assist coverage analysis and claims process
  • Championed peer-to-peer mentorship to boost team performance
  • Managed over 50 calls per day with average talk time of 3-4 hours
  • Conducted detailed coverage and liability negotiations
  • Evaluated and resolve complex auto losses and multi competes
  • Produced on average more than one hundred closures per month
  • Explained basis for decisions made, and when necessary, negotiate value of loss
  • Effectively manages caseload by setting reserves to help forecast claim cost
  • Conducted fire and theft investigations
  • Managed claims in Texas, Arkansas, Oklahoma, New Mexico Arizona, Nevada, and Louisiana
  • Decreased overall pending by more than fifty percent
  • Steered enterprise to exceed monthly inventory goal
  • Streamlined estimate and repair process

Injury Claims Adjuster-Level III

Gainsco, MGA
03.2020 - 11.2021
  • Established proof of loss by evaluating and/or investigating documentation submitted
  • Managed pending by conducting streamlined coverage investigations and produced over sixty quality closures each month
  • Secured additional information from claimants, witnesses, physicians, employers, hospitals, and other insurance companies to properly investigate claims
  • Initiated investigation of claims involving complex coverage concerns, with strong knowledge of comparative negligence and awareness of causation and mechanism of injury concerns
  • Used effective investigations skills to bring files to amicable resolution with specific knowledge of litigation handling, effective verbal and written communication and demonstrating knowledge of coverage issues
  • Ensured legal compliance by following guidelines, company policies, and state and federal insurance regulation
  • Referred questionable claims to SIU
  • Directed claims negotiations within allowable limit of $7,500

Independent Auto Claims Adjuster With Questpro

Bluefire Ins. Co
11.2019 - 02.2020
  • Worked with attorneys in resolving serious and complex lawsuits which included conducting negotiations for settlements within authority
  • Managed legacy claims by conducting in-depth review of each claim to identify issues and points that may have been missed prior to re-assignment
  • Investigated coverage and documented all appropriate information with very limited supervisory involvement
  • Initiated investigations by gathering facts and evidence with all interested parties; completed appropriate reports; obtained recorded statements when necessary
  • Made appropriate contacts to discuss settlement; extended offers to appropriate party; documented all file activity and settlement information in file notes to clearly outline appropriate party; documented all file activity and settlement information in file notes to clearly outline basis for settlement

Casualty Adjuster II

Lyft, York Risk Services Group
09.2018 - 08.2019
  • Investigated liability and complex bodily-injury claims on attorney-represented first and third-party injury claims
  • Resolved soft-tissue injury claims when there was no attorney involvement, and in those instances worked directly with injured party
  • Settlement negotiation of moderate to complex auto bodily-injury claims consisting of both first and third-party injury exposures
  • Set appropriate reserves
  • Reduced loss ratios through fair and prompt evaluations
  • Investigated, evaluated, and negotiated auto accident claims in order to reach fair and equitable settlement for all parties involved in fast pace environment
  • Resolved large complex casualty claims while demonstrating thorough knowledge and practical use of medical and legal terminology, case law, statutes, regulations and company procedures
  • Established and maintained reserves through review and analysis of medical reports
  • Documented claim file with notes, evaluations, and decision-making process
  • Monitored files for incoming legal correspondences such as LORs, demand packages and notification of pending litigation
  • Managed defense counsel and experts on litigated files
  • Received claim assignments and reviewed claim and policy information to determine exposure amount and contractual obligation under policy
  • Obtained statements from all involved parties
  • Draft coverage letters
  • Conducted investigations into complex auto accidents, determined liability, and prepared claim summaries
  • Determined claim value and set appropriate reserve amount along with detailed summary of reserve rationale that supported stated range
  • Negotiated and settled claims based on comprehensive review of submitted specials and proprietary systems used in calculating general damages
  • Obtained signed releases
  • Identified claims with subrogation potential

Central Claims Unit Representative

Progressive Casualty Ins. Co
02.2015 - 05.2018
  • Maintained 24 -hour contact metric
  • Interviewed claimants and insureds
  • Managed high volume of claim files from beginning to end
  • Resolved and document auto claims as quickly and accurately as possible
  • Interviewed all involved in accident to determine coverage and liability decisions
  • Validated damage is consistent with report of accident
  • Independently made decisions related to liability and coverage
  • Answered telephone calls from insureds and claimants

Education

A.A.S - Paralegal Studies

ROBERT MORRIS UNIVERSITY
Chicago, IL
09.2009

Skills

  • Coaching and developing
  • High level negotiator
  • Skillful interviewer
  • Policy Interpretation
  • Managing litigation
  • Excellent communication skills both written and telephonically
  • Results driven

Timeline

Senior Claims Analyst

Thaxton & Associates
10.2023 - Current

Casualty Liability Adjuster -AT&T Liability

Sedgwick Claims Management
01.2023 - 10.2023

Casualty Adjuster

Hallmark Insurance
11.2021 - 01.2023

Injury Claims Adjuster-Level III

Gainsco, MGA
03.2020 - 11.2021

Independent Auto Claims Adjuster With Questpro

Bluefire Ins. Co
11.2019 - 02.2020

Casualty Adjuster II

Lyft, York Risk Services Group
09.2018 - 08.2019

Central Claims Unit Representative

Progressive Casualty Ins. Co
02.2015 - 05.2018

A.A.S - Paralegal Studies

ROBERT MORRIS UNIVERSITY

Similar Profiles

CREATE PROFILE
GABRIEL MAYFIELDAnalyst