Justin Blechman

Investigation & Evaluation: Gather details from claimants, witnesses, physicians, and attorneys. Evaluate medical records and accident reports to determine liability, compensability, and the extent of policy obligations.

Compliance & Reporting: Prepare detailed investigation reports and ensure all claims comply with state laws and internal company guidelines.

Coverage Analysis: Evaluate policy language to verify coverage and communicate coverage positions

Liability & Reserving: Analyze liability, evaluate settlement value, and establish/maintain accurate financial reserves for exposure.

• Analyzed and evaluated bodily injury claims to determine settlement amounts.
• Collaborated with legal teams to gather necessary documentation for claims processing.
• Communicated effectively with policyholders to explain coverage and claim decisions.
• Reviewed medical records and bills to ensure accuracy in claim assessments.

• Evaluated property damage claims to determine liability and coverage under policies.
• Conducted thorough inspections of damaged properties, documenting findings with detailed reports.
• Collaborated with contractors and policyholders to facilitate timely repairs and settlements.
• Analyzed loss data to identify trends and improve claims processing efficiency.

• Negotiated settlements with claimants while adhering to company policies and guidelines.
• Implemented process improvements that enhanced claims handling efficiency and accuracy.
• Led initiatives to streamline workflows, resulting in faster claim resolution times.
• Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
• Participated in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.

• Investigated property damage claims to assess validity and determine appropriate settlements.
• Collaborated with clients to gather necessary documentation for claim processing.
• Evaluated repair estimates and negotiated with contractors to ensure cost-effectiveness.
• Utilized claims management software to track progress and maintain accurate records.
• Reviewed insurance policies and coverage details to provide informed guidance to clients.

• Prepared and presented complex cases to management, in-house legal team and Claims Committee.
• Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
• Interviewed relevant parties to determine claim denial or settlement.
• Coordinated independent medical examinations to verify injury severity when required.
• Improved claim resolution times by efficiently managing a caseload of 80-100 bodily injury claims.
• Evaluated coverage, liability and damages and investigated suspicious claims.
• Evaluated policy coverage details to ensure accurate application of benefits and limits in accordance with company guidelines.