Inger Bautista
Wake Forest,NC
Summary
CLAIMS & INVESTIGATION
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. 15+ years of experience interviewing specialists, witnesses and claimants to compile information in the investigation and analysis of property damage and bodily injury claims. Deep understanding of case management, insurance contracts, Medicare reporting guidelines and responsibilities. Highly effective customer service skills with demonstrated ability to work in collaborative fashion. Demonstrated excellence in communication, time management, problem-resolution, and proactive follow-through skills. Makes timely, appropriate decisions with exceptional work ethic.
Overview
16
16
years of professional experience
Work History
Senior Desk Adjuster
The General Insurance Company
02.2022 - Current
- Manage coverage investigation, liability evaluation, negotiation and settlement resolution regarding settlement of claims for casualty, material damage and property for personal lines, including severe/complex bodily injury, extensive material damage and questionable liability for attorney represented claimants efficiently while maintaining high levels of accuracy in documentation, minimizing errors that could lead to miscommunication or delays.
- Licensed claims professional managing auto and homeowner claims for both attorney represented and claimant files for multiple states, including NC, TX, OK, KY, VA, SC, AR, TN, AL, MO, LA and licensed in NH, DE, CT, NM, NH, RI, WY, VT and FL
- Provide timely and accurate setting of reserves within authority; investigate insurance coverage and determine liability status
- Received 200 abandoned pending exposures to handle on merits to completion.
- Mentored junior Claims Handlers, providing guidance on best practices and fostering professional growth within the team.
- First Recipient of The Sunshine Award, Member of Adjuster Council.
Accounting Specialist/ Tax Auditor
State Of North Carolina
01.2020 - 02.2022
- Knowledge of governmental accounting principles and practices, governmental accounting methods, procedures, and financial practices
- Assist with the preparation of complex financial analysis, reports and statements
- Managing full cycle work orders for all rural, urban and regional transportation systems within an assigned area with accuracy, integrity, and conformance to rules, regulations, standards from beginning to closeout
- Responsible for preparing contracts and awards, reviewing supporting documentation and approving requests for reimbursement
- Preparation of financial/compliance information deviations. Knowledge of accounting practices and procedures
- Able to verify the accuracy and validity of moderately complex and non-complex transactions and documents
- Directly responsible for implementing fiscal policies and guidance for the Federal Section 5303, 5307, 5309/5339, 5310 and 5311 programs, CARES funding.
- audit of Partnership Tax Returns and filings
Bodily Injury Medicare Specialist, II
Nationwide Insurance Company
01.2012 - 12.2020
- Process Medicare enrollments, manage billing process, assist in determining payment eligibility and ensure compliance with federal laws regarding approval processes
- Licensed claims professional managing auto and homeowner claims for both attorney represented and claimant files for multiple states, including NC, SC, VA, AR, TN, AL, MS and GA
- Provide timely and accurate setting of reserves within authority; investigate insurance coverage and determine liability status; attend settlement mediations between claimants and company pertaining to coverage or liability disputes and serve on arbitration panel. Received 120 abandoned pending claims for 5 new states and closed/resolved them without litigation; assisted with pending and training work processes and procedures
- Manage coverage investigation, liability evaluation, negotiation and settlement resolution regarding settlement of claims for casualty, material damage and property for personal lines, including severe/complex bodily injury, extensive material damage and questionable liability
- Provide defense counsel direction for claims in litigation
- Engagement Ambassador. Participated in poverty simulation to help coworkers understand local impact,
- Serve as President of Military Associate Resource Group
FNOL/Accounts Payable Coordinator
Horace Mann Insurance Companies
01.2008 - 01.2012
- Served as first point of contact for insured claims reporting, setting expectations for proper handling
- Managed all accounts payable processes and coordinate with vendors to recover overdue payments
- Process claim detail supporting insured’s losses for timely and accurate processing of claim to meet regulatory standards
- Handled accounts payable process for independent adjusters, resulting in company savings by addressing over billing.
- Backup Dispatcher for material damage assignments
Education
Master’s - Accounting, Forensic Accounting
Southern New Hampshire University
Manchester, NHBachelor of Science - Business Administration
East Carolina University
Greenville, NCMBA -
University of Arkansas Grantham
Little Rock, AR05.2024
Skills
- GuideWire, CCC and ADP Audatex,
- Xactimate
- Critical Thinking
- Claims Investigation
- Time Management
- Fraud Detection
- Claims
- Regulatory Compliance
Timeline
Senior Desk Adjuster
The General Insurance Company
02.2022 - Current
Accounting Specialist/ Tax Auditor
State Of North Carolina
01.2020 - 02.2022
Bodily Injury Medicare Specialist, II
Nationwide Insurance Company
01.2012 - 12.2020
FNOL/Accounts Payable Coordinator
Horace Mann Insurance Companies
01.2008 - 01.2012
Master’s - Accounting, Forensic Accounting
Southern New Hampshire University
Bachelor of Science - Business Administration
East Carolina University
MBA -
University of Arkansas Grantham
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