Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Personal Injury Claims Adjuster
Kahalas Law Firm
Boston, MA
10.2025 - Current
Evaluated and processed claims to ensure compliance with legal standards and company policies.
Collaborated with clients and attorneys to gather necessary documentation and resolve disputes efficiently.
Conducted thorough investigations to assess damages and determine liability for various claim types.
Mentored junior staff on best practices in claims processing and customer service protocols.
Implemented process improvements that enhanced claim turnaround times and increased customer satisfaction.
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Examined claims forms and other records to determine insurance coverage.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Prepared summaries of damage, payments, and policy coverage.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Researched claims and incident information to deliver solutions and resolve problems.
Investigated and assessed damage to property and reviewed property damage estimates.
Negotiated claim settlements agreements to resolve disputes.
Regional Claims Consultant
A.I.M. Mutual Insurance
Burlington, MA
11.2024 - 10.2025
Maintain an engaging work environment by acting and communicating in a manner that cultivates positivity and builds relationships with brokers, policyholders, customers, vendors, co-workers, and management.
Review loss runs and collaborate with Underwriting and Injury Prevention and Worksite Wellness (IPWW) representatives during the policy renewal process.
Provide claim updates to insureds' consultants that have provided necessary authorizations.
Work in conjunction with the Claim Department, policyholders, claimants, and defense counsel to ensure an efficient claim handling process.
Meet with new policyholders to explain A.I.M. Mutual Insurance Companies' approach to handling claims.
Train policyholder personnel, including the claim coordinator and/or line supervisors who directly interface with employees, on reporting an injury and the claims process.
Conduct service calls with policyholders on a case-by-case basis, including assisting the Claim Department with claim reviews.
Effectively handle 35-40 assignments per month, including investigation and conciliation assignments.
Assist policyholders with setting up or working with an occupational health center.
Assist policyholders with the management of Modified Duty programs.
Appropriately investigate potential third-party situations and involve experts, when necessary.
Complete monthly, claim, and conciliation reports by their specific deadlines.
Assist Underwriting and Injury Prevention Worksite Wellness (IPWW) to identify hazards, report findings, conduct training programs for policyholder management, and evaluate current policyholders and potential prospects for insurability.
Workers Compensation Manager
Town of Arlington
Arlington, MA
11.2018 - 03.2023
Ensured compliance with regulatory requirements and industry standards
Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency
Created monthly reports for senior management summarizing operational performance metrics
Ensured compliance with industry regulations and company policies
Ensured compliance with all applicable laws, regulations, industry standards
Monitored budgets and expenditures to ensure cost-effectiveness while maintaining quality standards
Maintained up-to-date records of employee attendance, payroll information, vacation requests
Negotiated contracts and agreements with vendors and suppliers to reduce costs
Managed annual budgeting and forecasting, optimizing resource allocation
Education
Suffolk Certificate - Local Government Leadership
Suffolk University
Boston, MA
04.2023
Certificate - Municipal Finance Management
Suffolk University
Boston, MA
04.2022
Bachelor of Arts - Leadership And Development
Bay Path University
Longmeadow, MA
05.2017
Skills
Settlement determinations
Claims Processing
Compliance Management
Liability management
Claims Investigation
Legal documentation and reporting, compliance and conciliation