Gina Poshard

Investigated moderate to complex claims to determine legal and contractual liability, analyzed and evaluated minor to catastrophic injuries for negotiations and settlement within appropriate authority guidelines.

Identified and confirmed coverage decisions. Investigated and resolved coverage questions in coordination with policy provisions. Assessed and escalated risks based on guidelines.

Adjusted attorney involved bodily injury/UM claims including cases in litigation. Collaborated with managers and legal counsel to make claims decisions aligning with governing laws.

Prioritized and managed workload to keep all involved parties informed and updated timely.

Effectively documented claims process from investigation through resolution.

Assessed and referred cases for potential subrogation.

Trained and supported new and less experienced claims representatives and associates .

• Analyzed and addressed escalated claims to resolve issues quickly.
• Collaborated with internal departments and external vendors to achieve fast resolution of claims.
• Maintained accurate and up-to-date records of claim information for future reference.
• Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
• Prepared insurance claim forms or related documents and reviewed for completeness.

• Generated, posted and attached information to claim files.

• Provided comprehensive product knowledge and guidance to help clients on product selection.
• Cultivated relationships with clients to identify and meet insurance needs and establish trust and rapport.
• Analyzed customer needs to provide customized insurance solutions.
• Educated clients on insurance policies and procedures.
• Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
• Attended industry conferences to stay informed of latest products and trends.
• Created sources for continuous client referrals within community and with businesses using extensive networking skills.

Data entry of life and health insurance application information for review and risk assessment.

Contacted applicants for personal health interviews to determine risk factors.

Request of pertinent applicant health and medical information from vendors and medical providers for review and risk assessment.

Copied and logged supporting documentation and placed all information in client files.

Maintained applicant files for privacy and accuracy.

Responded to customer and agent request via telephone and email and effectively answered questions and inquiries.

Compiled approved policies for distribution, verification, and signatures.

Promptly created concise and well written communication for denial of coverage.