KEVIN COOPER
Frisco,TX
Summary
Analytical Claims Specialist with proven experience investigating and resolving property, Bodily injury and specialty claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.
Overview
6
6
years of professional experience
1
1
Certification
Work History
General Liability Litigated Claims Specialist
Zurich American Insurance Company
Dallas, TX
08.2023 - Current
- Adjudicated mid-complexity litigated claims under the Commercial General Liability policy.
- Investigated Claims to assess the details of the occurrence and determine scope of policy coverage liability on the part of the insured
- Managed claims by assessing the obtaining relevant information to assess file Quantum, Maintaining appropriate reserves and file disposition and bring files to resolution
- Managed litigated file to ensure steady litigation progress and provide lawyers with sufficient instructions
- Negotiated Bodily Injury and Property Damage files where appropriate settling with both represented and unrepresented claimants
Casualty Claims Adjuster
Aviva Insurance Company of Canada
Oakville, Canada
03.2020 - 08.2023
- Adjudicated claims for Commercial and specialty lines of business including bodily injury, commercial general liability and property damage liability
- Investigated Claims to assess the details of the occurrence and determine scope of policy coverage liability on the part of the insured
- Managed claims by assessing the obtaining relevant information to assess file Quantum
- Maintaining appropriate reserves and file disposition
- Managed litigated file to ensure steady litigation progress and Lawyers have sufficient instructions
- Negotiated bodily injury and property damage files where appropriate settling with both represented and unrepresented claimants
Inside Casualty Claims Adjuster
Crawford and Company Canada
Mississauga, Canada
03.2019 - 03.2020
- Claim Adjuster - Adjudicated claims for multiple lines of business including bodily injury, commercial general liability and product liability
- Worked as an independent adjuster for both insurers, self insured companies, and subscriber policies
- Determined insurance coverage levels and Liability by thoroughly examining claims forms and associated records
- Working with authority to resolve claims on a timely basis
- Notifying client where claim quantum exceeds authority
- Updating client on file progress, claim bordereau, and periodic reports
Education
Certicate of Risk Management -
University of Toronto
Toronto, ON12.2022
Chartered Insurance Professional -
Insurance Institute of Canada
Toronto, ON01.2019
Bachelor of Arts - Psychology
University of Western Ontario
London, ON06.2012
Skills
- Decision Making
- Coverage Determination
- Negotiation
- Coverage Assessments
- Critical Thinking
- Insurance coverage limits
- Claims Investigation
- Litigation Management
- Claim Amount Calculations
- Problem-Solving
- Complex claims consulting
- Customer Service
Languages
French
Professional
Certification
- Texas Department of Insurance - Adjuster All Lines
- Florida Department of Financial Services - Non-resident license
- Reciprocal Licenses with all Other States
- Able to be licensed in Canada
Timeline
General Liability Litigated Claims Specialist
Zurich American Insurance Company
08.2023 - Current
Casualty Claims Adjuster
Aviva Insurance Company of Canada
03.2020 - 08.2023
Inside Casualty Claims Adjuster
Crawford and Company Canada
03.2019 - 03.2020
Certicate of Risk Management -
University of Toronto
Chartered Insurance Professional -
Insurance Institute of Canada
Bachelor of Arts - Psychology
University of Western Ontario
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