Khristina Murrieta
Tucson,AZ
Summary
Skilled claims professional with strong background in managing bodily injury/litigation claims. Adept at evaluating complex cases, negotiating settlements, and ensuring compliance with regulatory standards. Highly focused on team collaboration and adapting to changing needs. Reliable and results-driven, with expertise in customer communication, legal documentation, and conflict resolution.
Overview
11
11
years of professional experience
Work History
Bodily Injury and Litigation Specialist
Aspire General Insurance
08.2023 - Current
- Investigate, evaluate, and resolve automobile claims in a timely and efficient manner;
- Document investigations, evaluations, recommendations, and plans of action;
- Ensure ongoing adjudication of claims within company standards, industry best practices, and all state and federal regulations;
- Produce grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation;
- Complies with state and federal laws, Department of Insurance criteria, and insurance carrier criteria and follows Aspire General Insurance/partner’s policies, procedure, and work rules;
- Regular and predictable punctuality and attendance;
- Investigates and manages complex claims that are likely to proceed to legal action.
- Gathering evidence, assessing liability, negotiating settlements, and working closely with defense attorneys to achieve favorable outcomes in court for Property Damage and Bodily Injury Claims.
Claims Resolution Specialist III
Liberty Mutual
06.2022 - 08.2023
- • Manages, investigates and evaluates coverage, liability and damages, in order to effectively negotiate and settle moderate claims within prescribed authority levels.
- • Plans and conducts investigations of claims to analyze and confirm coverage and determine liability, compensability and damages.
- • Effectively utilizes tools to evaluate claims. Determines need for, and requests authorization to engage, independent adjusters, cause and origin experts and independent medical examiners.
- • Ensures adequacy of reserves.
- • Presents cases to senior leadership for reserves and evaluation authority as required by preset value ranges. • Accountable for security of financial processing of claims, as well as security information contained in claims files.
- • Handle the claim file through various phases of litigation.
- • Develop a litigation strategy and action plan after thoroughly reviewing the initial complaint and any amended actions. Review the applicability of coverage and civil law as well as local statutes. Recognize coverage issues and what policy language and facts should be considered. Attend mandatory and court ordered litigation events.
- • Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines.
- • Prepare detailed and comprehensive initial reports and follow up reports with concise and effective action plans designed to move the claim towards resolution.
- • Identifies potential suspicious claims and refers to the Special Investigation Unit and identifies opportunities for third party subrogation.
- • Accountable for security of financial processing of claims, as well as security of information contained in claims files. Negotiates settlements with attorneys, claimants, and/or codefendant's.
- • May be involved in special projects and/or mentor and train others.
Auto Liability Claims Manager
Kemper Insurance Company
07.2019 - 06.2022
- Responsible for the management and oversize of a claims team that ranges from 5 to 7 adjuster who process and assist customers in the claims process
- • Oversee and have direct management of the Claims Adjusters.
- • Responsible for the direct management of claims for the state of California.
- • Provide technical expertise, staff development and guidance on California claims handling practices/ procedures
- • Provide training as appropriate and necessary.
Bodily Injury Adjuster
GEICO
08.2016 - 06.2019
- Settled minor to complex auto bodily injury claims after monitoring ongoing medical treatment and/or other ongoing procedures for appropriateness.
- Work directly with customers and guided them through the claims process and negotiated fair and equitable settlements.
- Managed multiple cases simultaneously and document every step of activity for each claim.
- Investigated, evaluated, and negotiated auto accident claims, in order to reach a fair and equitable settlement for all parties involved in a fast-pace environment.
Liability Claims Adjuster
USAA
01.2016 - 07.2016
- Responsible for investigating, evaluating, negotiating client claims and adjusting low to moderately complex auto claims. I would also provide service to clients while confirming coverage and determining legal liability.
- Completed auto adjuster III training
- Obtained Texas Adjuster Licensing 2016-2018
Liability Claims Adjuster
GEICO
09.2013 - 10.2015
- Responsible for assisting customers throughout the claims process and settling disputed and first party medical claims.
- Overseeing and managing Medical Payment's and PIP claims.
Education
High School Diploma -
Palo Verde High School
Tucson05-2010
Skills
- Document organization
- Policy investigations
- Witness interviews
- Corporate transactions
- Insurance policy coverage knowledge
- Keyboarding
- Negotiation
- Transcription
- Complex coverage issues
- Insurance policy coverage expertise
- Bodily injury settlements proficiency
- Proficiency of bodily injury claims
Timeline
Bodily Injury and Litigation Specialist
Aspire General Insurance
08.2023 - Current
Claims Resolution Specialist III
Liberty Mutual
06.2022 - 08.2023
Auto Liability Claims Manager
Kemper Insurance Company
07.2019 - 06.2022
Bodily Injury Adjuster
GEICO
08.2016 - 06.2019
Liability Claims Adjuster
USAA
01.2016 - 07.2016
Liability Claims Adjuster
GEICO
09.2013 - 10.2015
High School Diploma -
Palo Verde High School
Similar Profiles
Sedrick GregorySedrick Gregory
Total Loss Adjuster - Remote at Aspire General InsuranceTotal Loss Adjuster - Remote at Aspire General Insurance
Brenda UgaldeBrenda Ugalde
Complex Claims Adjuster at Aspire General InsuranceComplex Claims Adjuster at Aspire General Insurance
Lorena SanchezLorena Sanchez
Commercial Auto Insurance Underwriter at Kemper InsuranceCommercial Auto Insurance Underwriter at Kemper Insurance
Andrew FlekierAndrew Flekier
Order Pick-Up Fulfillment/Grocery Team Member at TargetOrder Pick-Up Fulfillment/Grocery Team Member at Target
Ashley StewartAshley Stewart
Member Outreach Specialist at TEKsystemsMember Outreach Specialist at TEKsystems