Dynamic Commercial Claims Adjuster with proven expertise at SGD, Inc., excelling in liability analysis and settlement negotiations. Achieved timely resolutions and enhanced client satisfaction through effective dispute resolution and advanced communication skills. Recognized for consistently exceeding performance metrics while managing complex claims and ensuring compliance with regulations.
Managed and resolved complex auto claims, including coverage issues, multiple car accidents,
Theft, Fire, and Total Loss claims.
Communicated extensively and appropriately with policyholders, witnesses, claimants, and agents to gather
information regarding claims.
Responded to various written and telephone inquiries, including status reports.
Negotiated coverage and liability decisions with insureds, claimants, and claimant carriers.
• Managed the oversight, investigation, and resolution of 1st and 3rd party commercial claims, including
evaluating coverage, liability, and damages.
• Provided excellent customer service by promptly addressing inbound customer calls related to claims files.
• Analyzed investigation data and policy terms to determine coverage, promptly notifying relevant parties of
coverage determinations.
• Established claim reserves and negotiated settlements within designated authority limits.
• Determines and negotiates settlement amount for damages claimed within assigned authority limits.
• Conducted statements when necessary and collaborate with the Field Appraisal, Subrogation, and Special
Investigative Unit (SIU) as appropriate.