Karen Ogborn

Helped husband

• Managed day-to-day paperwork needed to help with record keeping to be sent to CPA.
• Collaborated with co-owner on strategic planning initiatives for long-term business success.

• Improved claim resolution times by efficiently managing caseloads and prioritizing urgent cases.
• Reduced litigation expenses for the company by negotiating fair settlements with claimants and attorneys.
• Collaborated with fraud investigators to identify suspicious claims, resulting in significant cost savings for the company.
• Developed strong relationships with repair vendors, ensuring prompt service for clients and accurate assessments of damages.
• Enhanced team performance by leading training sessions on best practices for claims adjusting and industry updates.
• Conducted thorough investigations of complex claims, gathering information from various sources to make informed decisions on coverage eligibility.
• Provided expert guidance to junior adjusters, fostering a supportive work environment and increased efficiency within the department.
• Managed litigated claims through settlement negotiations or trial preparation, minimizing potential financial exposure for the company.
• Contributed to a positive work culture by mentoring new hires and providing ongoing support as they acclimated to their roles.
• Increased accuracy of loss evaluations by conducting comprehensive reviews of property damage estimates submitted by contractors or appraisals performed internally.
• Maintained open lines of communication with policyholders throughout the adjustment process, providing updates on claim status and addressing any concerns that arose.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Examined claims forms and other records to determine insurance coverage.
• 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.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Researched claims and incident information to deliver solutions and resolve problems.
• 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.
• Analyzed information gathered by investigation and report findings and recommendations.
• Reviewed new files to determine current status of injury claim and to develop plan of action.
• Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
• Maintained contact with claimants and attorneys to determine treatment status.
• Directed claims negotiations within allowable limit of $[Amount] and supported successful litigations for advanced issues.

Investigated Property and Casualty claims including Worker Comp. claims and made payment or denial according to the facts.

I handled the claims from start to finish and had day to day contact with insureds, claimants, body shops, agents, other insurance companies, attorneys, etc. I took recorded statements and verbal statements from insureds, claimants, witnesses and any one involved who could help make a determination of the facts of the claim.