Jennifer Miller
Bacliff,TX
Summary
Well-rounded insurance professional with 20+ years of experience in the industry ranging from Agency, Underwriting and Clams who has a demonstrated knowledge of analyzing and negotiating a variety of claims including Personal & Commercial Auto (Bodily Injury & Property Damage), Commercial General Liability, Complex Litigation and Construction Defect claims (CD). Looking to contribute excellent planning and problem-solving abilities to an industry leading company that values a strong work ethic but still possesses a "small company" culture.
Overview
21
21
years of professional experience
1
1
Certification
Work History
GL CLAIM SPECIALIST
Builders Insurance Group
07.2020 - Current
- Review insurance and claims documents to verify required information and secure any missing data for settlements
- Follow up with customers on unresolved issues
- Understanding the requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals
- Monitor compliance with regulations and industry best practices to promote fair and proper treatment for insured customers
- Respond to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Examine, investigate to conclusion complex General Liability / Construction Defect claims
- Analyze and draft coverage correspondence while keeping insureds, agents and brokers informed of liability and coverage positions
- Oversee and direct litigated claims by managing the work and expenses of investigative services and/or attorneys. If outside vendors or experts are needed, monitor and direct their work
- Evaluate claims to determine appropriate settlement value, set and review reserve adequacy making referrals to senior team members when necessary
- Formulate and execute negotiation and settlement strategies, able to think outside the box for creative resolutions
LITIGATION SPECIALIST
United Fire Group
03.2017 - 06.2020
- Handled a variety of high exposure Commercial General Liability cases including Commercial Auto (Property Damage and Bodily injury) and Construction Defect
- Analyzed and interpret contractual indemnity agreements and other contracts
- Collaborated with defense counsel on defense strategies
- Oversaw and direct litigated claims by managing the work and expenses of investigative services and/or attorneys
- Attended mediations
- Kept up-to-date on case progress by frequently reviewing records and reporting findings to clients
- Provided key administrative assistance to senior management
LITIGATION CLAIMS ADJUSTER
United Fire Group
05.2010 - 03.2017
- Evaluated insurance policies and analyzed damages to determine coverage
- Prepared summaries of damage, payments, and policy coverage
- Established relationships with clients and insurance companies to foster timely claims resolution
- Answered customer questions regarding claim status and next steps
- Examined claims forms and other records to determine insurance coverage
- Negotiated with policyholders and claimants on non-litigated files to reach mutually satisfactory resolutions
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability and damages
- Documented all investigation activity and presented reports to management
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
CLAIMS ADJUSTER
United Fire Group
09.2002 - 05.2010
- Investigated and adjusted to conclusion Personal and Commercial Auto (Bodily Injury and Property Damage) as well as General Liability claims
- Verified insurance claims and determined fair amount for settlement
- Established relationships with clients and insurance companies to foster timely claims resolution
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials
- Conducted day-to-day administrative tasks to maintain information files and process paperwork
- Analyzed information gathered by investigation and report findings and recommendations
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred
Education
High School Diploma -
CLEAR LAKE HIGH SCHOOL
Clear Lake, TX05.1996
Skills
- Efficient multi-tasker
- Critical thinker
- Team oriented and self-motivated
- Documentation Review
- Insurance Terminology
- Accident Investigations
- Attorney Collaboration
- Complex Coverage Issues
- Complex Problem-Solving
- Work Organizing and Prioritizing
- Conflict Resolution Techniques
- Client Relationships
Certification
- Adjusters License (TX, OK, GA, FL)
- Certified Claims Professional (CCP)
- Associate in Claims (AIC)
- Senior Claim Law Associate (SCLA)
- CLM Graduate
ABOUT ME
My compassion towards others and the ability to use a combination of objectivity and empathy has enabled me to negotiate and resolve many claims over the years while providing exceptional service and building on relationships with customers and colleagues. In my free time I enjoy camping with my family and taking long walks or hikes to reconnect with nature. I also believe that acquiring new hobbies and developing one's passions are important and strive to stay active and curious, as well as willing to learn new things.
References
References available upon request
Timeline
GL CLAIM SPECIALIST
Builders Insurance Group
07.2020 - Current
LITIGATION SPECIALIST
United Fire Group
03.2017 - 06.2020
LITIGATION CLAIMS ADJUSTER
United Fire Group
05.2010 - 03.2017
CLAIMS ADJUSTER
United Fire Group
09.2002 - 05.2010
High School Diploma -
CLEAR LAKE HIGH SCHOOL
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