Isabel Nalley
Commercial Claims Professional
Greenville,TX
Summary
To excel in a dynamic, challenging team environment. Extensive experience, languages and negotiation skills have earned me an excellent reputation as a fair top-notch Litigation Manager, with the goal of expanding these skills in a growth-oriented opportunity.
Overview
19
19
years of professional experience
3
3
Languages
Work History
Litigated Commercial Claims
SRM CLAIMS- Superior Risk Management Commercial Claims
01.2021 - Current
- Managed the Cargo Solution Express, Inc. Program including litigated and non-litigated claims
- Continually met and exceeded cost containment strategies and expectations, negotiated fair and equitable settlements for up to a million dollars policy limits, and addressed extra-contractual indemnity and defense costs
- Attended numerous mediations and arbitrations and applied excellent negotiation skills on every claim I adjusted
- Mentored less seasoned adjusters and resolved disputes with other commercial carriers and legal teams representing companies such as Proctor and Gamble, FedEx and Amazon
- Reviewed complex coverage issues involving MCS-90 and DMV-67 and resolved both inter and intra state losses
- Sent ROR's when appropriate and investigated liability along with experts hired to complete scene investigations and EDR downloads, phone records, and law enforcement dash cams
- Selected and hired PI firms and medical document reviewers, experts, and other professionals to vigorously defend policyholders and insureds.
- Addressed defense tender requests and tendered defense to other carriers depending on contractual agreements
- I built a national network of both coverage and defense professionals and worked closely with SRM Management to produce optimum results for our insureds and their drivers.
- Worked well in a team setting, providing support and guidance.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging coverage and liability situations.
- Demonstrated leadership skills in managing projects from concept to completion.
Business Owner
Self-employed
04.2016 - 08.2020
- Business owner and Manager in France and adjusted litigated claims part time remotely for Jubilee Insurance, while living in Europe
- Boosted revenue by identifying new business opportunities and diversifying product offerings.
- Managed and audited claims remotely
- Established strong international customer relationships through excellent communication and attentive service.
Litigation Manager
Aggressive Insurance (Celestite Holdings, Inc)
09.2011 - 10.2015
- Responsible for Litigation activities and all aspects of policy servicing, client satisfaction, indemnity, and expense management and accountable for a team of Litigation Experts
- Reviewed all incoming suits and took appropriate measures to settle any filed or potential actions immediately, if possible, contingent on coverage and liability
- Assessed, evaluated and assigned suits, when necessary, if unable to settle promptly
- Established duties to defend and/or duties to indemnify
- Assigned suits to appropriate adjusters and/or attorney, on a case-by-case basis
- I defended insured(s) aggressively under terms of the policy in a fair, prompt, and professional matter
- Established and maintained a network of legal professionals and vendors in various venues and retained their services within agreed monetary guidelines
- Completed monthly reports requested by various carriers/underwriters
- Keep an eye out for hidden coverage issues, damages discrepancies and statute of limitations as well as changes of venues and resolve all suits accordingly.
- Established guidelines and a defense plan to include budgets, in conjunction with assigned Defense Attorney and followed up regularly on required processes, documents, filings, pleadings and defenses, De Novo/appeals, judgments and dismissals
- Assured deadlines were met in scheduling depositions and appointing experts
- Continually met or exceeded all deadlines and avoided defaults and excess judgments
- Prepared for and attended mediations and/or trials and ensured compliance to CMS, liens and structured settlements
- Successfully identified various venues, Plaintiff attorneys/firms and judges to properly evaluate and negotiate settlements accordingly
- Provided guidance, authority and instructions to Litigation Adjusters working suited claims
- Assisted in hiring and provided training sessions and materials to adjusting staff and mentored them in ways to negotiate settlements and avoid triggering legal action
- Maintained logs and spreadsheets of new suits and closures in assigned venues.
- Consistently retained 50-75% closing ratio which reflected 0 defense costs or settlements resulting in proper denials or no indemnity (CWP).
- Directed Declaratory actions, Offers of Judgment or Motions for Summary Judgments when appropriate.
- Demonstrated high levels of ethics and honesty at all times, in all circumstances.
Litigation Specialist
Gainsco Insurance
10.2007 - 08.2011
- Investigated, evaluated, negotiated and settled first and third-party law suits
- Assigned Defense Counsel and monitored suits to dismissal or resolution
- Evaluated Bodily Injury losses, attended mediations and negotiated via written correspondence, in person, telephone or e-mail
- Prepared files for trial
- Case load included legal actions in Texas, New Mexico, Arizona, Georgia, South Carolina and Nevada.
Senior Adjuster
Geico Insurance
04.2005 - 10.2007
- Successfully managed case load of 140-175 files from inception to completion
- Coordinated property damage, vendors, supplements, rental, subrogation, and produced top results in first call settlement and ALP ratios (Average Loss Payments)
- Adjusted losses in Texas, New Mexico, Colorado, Georgia, and various other states
- Excelled in complex liability and coverage issues
- Coordinated evaluation and settlement of complex claims and enforced state/federal laws and regulations in accordance with terms and conditions of various Insurance policies.
Education
BA Languages - French German Spanish
University of Oklahoma
Norman, OKSkills
Evaluations
Troubleshooting
Negotiations
Evaluations
Claims Management
Team building
Fluent in French and Spanish
Analytical and Critical Thinking
References
Available upon request
Timeline
Litigated Commercial Claims
SRM CLAIMS- Superior Risk Management Commercial Claims
01.2021 - Current
Business Owner
Self-employed
04.2016 - 08.2020
Litigation Manager
Aggressive Insurance (Celestite Holdings, Inc)
09.2011 - 10.2015
Litigation Specialist
Gainsco Insurance
10.2007 - 08.2011
Senior Adjuster
Geico Insurance
04.2005 - 10.2007
BA Languages - French German Spanish
University of Oklahoma