Kimberley Caselli
Folsom,CA
Summary
Dynamic Liability Claims Representative with a proven track record in evaluating claims, negotiating settlements, and ensuring policy compliance. Committed to delivering exceptional client support and efficient case management.
Overview
37
37
years of professional experience
Work History
Liability Claims Representative
Bridger Insurance Company
Pleasanton, California
12.2023 - Current
- Evaluated liability claims for coverage determination and policy compliance.
- Gathered essential claim information from clients to facilitate efficient claims processing.
- Ensured accuracy and completeness of documentation during claims processing to support effective decision-making.
- Collaborated with legal teams to analyze claim disputes and formulate resolutions.
- Provided guidance to clients regarding policy terms and claim procedures.
- Investigated incidents by gathering evidence and interviewing involved parties.
- Analyzed claim data including medical records, police reports and other documentation.
- Ensured that all payments are made accurately according to established guidelines.
- Researched insurance policy language to clarify coverage disputes.
- Reviewed existing policies and procedures for accuracy and compliance with regulations.
- Identified and recommended improvements in processes and procedures for handling claims to enhance overall efficiency.
- Prepared files for court hearings by gathering appropriate evidence and documents.
- Interviewed claimants, witnesses, medical providers and attorneys to obtain relevant information regarding claims.
Liability Claims Representative
Kemper Insurance
Sacramento, California
12.2000 - 11.2023
- Evaluated liability claims to determine coverage and policy compliance.
- Negotiated settlements with claimants or their representatives in order to reach a resolution.
- Investigated, researched and evaluated liability claims to determine coverage and damages.
- Implemented best practices for managing large volumes of pending claims efficiently.
- Developed strategies for reducing losses associated with liability claims.
- Interpreted and applied insurance policy provisions to determine coverage for each claim.
- Subrogation
- Total loss
- Commercial Liability
- Homeowner Liability
- Homeowner Property Damage
Liability Claims Representative
Calfarm Insurance
Sacramento, California
08.1989 - 01.2000
- Liability claim representative
- Handled claims for total loss incidents
- Managed subrogation claims to recover expenses
- Assessed auto property damage claims
- Evaluated homeowners liability claims
- Investigated homeowners property damage claims
- Managed commercial liability claims
- Handled garage keepers liability claims
Education
High School Diploma -
Lindhurst Highschool
06-1989
Skills
- Litigation adjuster
- Evaluating claims
- Negotiating settlements
- Claims investigation
- Policy interpretation
- Case management
- Customer relationship management
- Front Line claim adjuster
Timeline
Liability Claims Representative
Bridger Insurance Company
12.2023 - Current
Liability Claims Representative
Kemper Insurance
12.2000 - 11.2023
Liability Claims Representative
Calfarm Insurance
08.1989 - 01.2000
High School Diploma -
Lindhurst Highschool