Janet Klimo
Berea
Summary
Results-driven Insurance Claims Specialist with extensive experience in investigating and settling complex general liability and litigated claims. Skilled in achieving favorable settlements and optimizing claims payouts. Licensed across multiple states, demonstrating commitment to professional development through completed management training.
Overview
37
37
years of professional experience
Work History
Senior Claims Adjuster
Frankenmuth Insurance
04.2023 - Current
- Investigate and resolve product/general liability and bodily injury claims.
- Investigated and concluded automobile bodily injury claims, ensuring timely resolutions.
- Resolved claims within 90 days of receipt, meeting established company timelines.
- Maintained organized diary to track claims progress, facilitating efficient claims management.
- Adhered to company guidelines and metrics.
Senior Resolution Manager
Gallahger Bassett
10.2021 - 04.2023
- Investigated and concluded nationwide automobile and property damage and bodily injury claims.
- Improved workflow by reducing pending items, enhancing productivity, and complying with company metrics and guidelines.
Claims Examiner/Team Lead
Sedgwick
02.2016 - 10.2021
- Led a team of claims adjusters from August 2018, overseeing daily operations and workflow.
- Completed evaluations of bodily injury claims and negotiated resolutions, facilitating timely settlements.
- Investigated coverage and liability for automobile claims at Avis Budget Group, ensuring accurate assessments.
- Delivered quality claim files and met all company guidelines and requirements.
Claims Representative/Supervisor
The General
04.2010 - 02.2016
- Investigated and concluded claims for Florida, Ohio, Pennsylvania, Indiana, Illinois, ensuring adherence to state regulations.
- Achieved promotion to supervisory position, enhancing team leadership and guidance.
- Reduced pending items, increased productivity, and ensured compliance with all company metrics and guidelines.
Senior Claims Examiner
GAB Robins, North America
08.2006 - 12.2009
- Coordinated product inspections, determined liability, managed diary, and resolved product/general liability and bodily injury claims to support timely claim resolutions.
- Achieved recognition for fostering customer relations, delivering accurate recorded statements, and demonstrating expertise in customer products.
- Reviewed and processed complex claims for timely resolution.
- Collaborated with legal teams to assess claim validity.
- Mentored junior examiners on best practices and procedures.
Claims Examiner
Grange Insurance
09.2002 - 08.2006
- Executed thorough investigations of bodily injury claims; developed actionable plans for optimal settlement resolutions.
- Identified low velocity impact claims to effectively minimize client exposure.
- Evaluated insurance claims for accuracy and compliance with company policies.
- Reviewed documentation to determine claim eligibility and coverage limits.
- Communicated with clients to gather necessary information and clarify details.
Claims Examiner
National Interstate
07.2000 - 09.2002
- Investigated public transportation liability claims, analyzed exposure, and implemented resolution strategies to mitigate risk.
- Collaborated with defense counsel on litigated claims to achieve favorable outcomes.
- Reviewed insurance claims for accuracy and compliance with company policies.
- Analyzed claim documentation to determine validity and necessary actions.
- Collaborated with policyholders to gather information and clarify claim details.
Claims Adjustor
Westfield Group
09.1989 - 07.2000
- Conducted field investigations of property and casualty claims, formulating effective resolution strategies.
- Effectively direct defense counsel, participate in pre-trial and trial hearings, and facilitate the conclusion of simple and complex claims.
- Evaluated claims to determine validity and compliance with policy guidelines.
- Investigated incidents by gathering statements and evidence from involved parties.
- Collaborated with legal teams to resolve complex claims and disputes effectively.
Education
Bachelor of Arts - International St
Miami University
Oxford , OHSkills
- Claims investigation
- Liability assessment
- Claims negotiation
- Liability assessments
- Liability assessment
- Fraud detection
- Case management
- Negotiation techniques
Credentials
- AIC
- CCLA
Major Accomplishments
- AIC
- CCLA
Timeline
Senior Claims Adjuster
Frankenmuth Insurance
04.2023 - Current
Senior Resolution Manager
Gallahger Bassett
10.2021 - 04.2023
Claims Examiner/Team Lead
Sedgwick
02.2016 - 10.2021
Claims Representative/Supervisor
The General
04.2010 - 02.2016
Senior Claims Examiner
GAB Robins, North America
08.2006 - 12.2009
Claims Examiner
Grange Insurance
09.2002 - 08.2006
Claims Examiner
National Interstate
07.2000 - 09.2002
Claims Adjustor
Westfield Group
09.1989 - 07.2000
Bachelor of Arts - International St
Miami University