Well-qualified claims professional with a perceptive and organized approach to handling litigation and settlements. Detail-oriented and results-driven with a highly productive and attentive nature. Experienced in most licensing state in the US.
Overview
8
8
years of professional experience
Work History
Senior BI / GL/ UM/ PD Resolution Manager
Gallagher Bassett Services Inc.
Covington, LA
01.2022 - Current
Reviewing Coverages
Making contacts with all parties involved
Taking recorded statements
Handling litigated and non litigating files
Conducting and organizing round tables with defense, claim directors and clients to discuss settlement strategy as well as updating current reserves
Attending and participating in mediations
Reviewing and settling injury demands up to million dollar limits
Reviewing and paying legal invoices
Running and reviewing ISO reports
Reviewing UM coverage
Reviewing and putting excess carriers on notice
Setting up surveillance with vendors as well as running background, social media and asset checks
Liability / Bodily Injury / UM Claims Adjuster ,
Sedgwick CMS
Mandeville, LA
02.2017 - 01.2022
Reviewing coverage
Confirm correct policy is attached to claim
Contact all parties involved with recorded or non recorded statement
Conducting thorough investigations to identify damages and injuries for all involved parties
Requesting and reviewing appropriate information such as; police reports, dash cam videos ,video surveillance and witness statements
Assigning vehicle inspections Reserving rental vehicles Issuing payments accordingly (estimates, medical bills, rental bills and invoices)
Contact other insurance companies to discuss liability and coverage
Obtaining total loss information for vehicle owners Moving vehicles to salvage and transferring to total loss if needed Running ISO reports on injured parties Confirming injuries with all parties
Evaluating injuries and concluding with appropriate settlement Speaking with attorneys about coverage as well as reviewing injury demands
Reviewing PD and BI sub demands
Reviewing UM demands Confirming insufficient coverage with other insurance companies
Negotiating UM demands with attorneys Reviewing and paying medical bills Handling and evaluating arbitration claims
Catastrophe Claims Adjuster
Worley Claims Services LLC
Frederick, MD
07.2016 - 10.2016
Review coverage
Confirm loss is related to catastrophe
Set up vehicle inspections
Set up rental reservations
Move vehicles to salvage
Issue payments for vehicle repairs
Obtaining salvage quotes
Calculating total loss offer amount for owner and non owner retain values
Sending correct total loss paper work out to owner Reviewing total loss paper work to make sure title transfer is done correctly
Liability And Total Loss Adjuster
Wardlaw Claims Services
Colombia , MO
07.2015 - 06.2016
Confirm Valid Coverage
Take recorded and non recorded statements from all parties involved
Establish Liability
Confirm injuries
Issue payment accordingly
Set up Rental reservations
Set up vehicle inspections
Move vehicles to salvage Obtaining salvage quotes Calculating total loss offer amount for owner and non owner retain values
Sending correct total loss paper work out to owner Reviewing total loss paper work to make sure title transfer is done correctly
Catastrophe Claims Adjuster
Worley Catastrophe Response, LLC
Dallas, TX
02.2015 - 07.2015
Review coverage
Confirm loss is related to catastrophe
Set up vehicle inspections
Set up rental reservations
Move vehicles to salvage Issue payments for vehicle
Repairs
Catastrophe Claims Adjuster
Worley Catastrophe Response, LLC
Dallas, TX
08.2014 - 02.2015
Review new claims established by homeowners and determine if coverage will apply.
Explain and guided homeowners through claims process.
Set up inspection with field representative or when applicable, wrote estimates based on photos and measurements provided by
Send appropriate documents and payments according to various state guidelines.
Send appropriate documents and payments according to various state guidelines
Scheduled re-inspections of property when supplement did not agree with original inspection.
If denying estimates or supplements, sent appropriate documentation to Insureds in accordance to company guidelines.
Extensive knowledge of residential construction including, flooring, plumbing, electrical, roofing, siding and painting.
Examined claims forms and other records to determine insurance coverage
Education
Southeastern Louisiana University
Hammond, LA
05.2014
Skills
Document Summarization
Legal Processes
Claims Assessments
Scheduling and Coordinating
Litigation Resolution
Complex Claims
Case Management
Special Handling
Claims Inspections
Critical Thinking Abilities
Reservation Processing
Property Claims
Action Planning
Settlement Determinations
Timeline
Senior BI / GL/ UM/ PD Resolution Manager
Gallagher Bassett Services Inc.
01.2022 - Current
Liability / Bodily Injury / UM Claims Adjuster ,
Sedgwick CMS
02.2017 - 01.2022
Catastrophe Claims Adjuster
Worley Claims Services LLC
07.2016 - 10.2016
Liability And Total Loss Adjuster
Wardlaw Claims Services
07.2015 - 06.2016
Catastrophe Claims Adjuster
Worley Catastrophe Response, LLC
02.2015 - 07.2015
Catastrophe Claims Adjuster
Worley Catastrophe Response, LLC
08.2014 - 02.2015
Southeastern Louisiana University
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