Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kirra Orr

Addison,United States

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

11
11
years of professional experience
1
1
Certification

Work History

TPA Account Manager

Adair Horne & Associates
11.2022 - Current
  • Manage claims for various clients under Lloyds of London umbrella consistent with corporate policies, procedures, and best practices in accordance with any statutory, regulatory and ethical requirements.
  • Review and approve multi-line claims in accordance with established claim handling standards and laws.
  • Provide oversight of claims activity and adjustment.
  • Ensure all claims are supported with relevant documentation from insured and/or claimant, and claims file contains sufficient evidence to reach sound conclusion regarding coverage, loss potential and reserving.
  • Ensure all claims are subject to regular diary management and are managed effectively to ensure appropriate and fair customer outcomes and compliance with service standards.
  • Establish reserves and/or provide reserve recommendations within established reserve authority levels. Proactively ensure claim reserves are up to date and adequate.
  • Appoint third party experts from approved list of vendors including but not limited to, appraisers, engineers, assessors, lawyers, coverage counsel or other parties necessary to evaluate claims.
  • Negotiate settlements in accordance with company policy, client specific handling instructions, and state laws, when appropriate.
  • Authorize and submit request for payment(s) of claims and third party invoices in accordance with claim procedures and within established authority.
  • Invoice files and submit invoice payments.
  • Identify potential recovery/subrogation opportunities
  • Manage all claim handling through FileTrac.

CAT Claims Desk Adjuster

Team One Adjusting Firm
09.2018 - 02.2020
  • Prepared summaries of damage, payments and policy coverage.
  • Examined claims forms and other records to determine insurance coverage.
  • Maintained over 70 CAT claims data in Carina, Symbility, Xactanalysis, and Wilbur systems.
  • Assigned field adjusters and contractors for complete necessary roof and interior inspections; viewed policy for applicable coverages and endorsements prior to assigning vendors for repair or replacement.
  • Substantiated legitimate claims and denied unjustified claims.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Collected all documents to verify damage of property from customers to complete claims and legal files.
  • Processed property damage claims; assessed damage, made payments, and ensured claim files were properly documented and correctly coded based on policy.
  • Developed and maintained action plans to ensure state required contract deadlines were met
  • Identified and pursued subrogation opportunities
  • Communicated claim action/processing with insured, client, and agent or broker when appropriate.
  • Maintained professional client relations.
  • Performed coverage, liability, and damage analysis on all claims assignments.

Workers Compensation Specialist

Teleperformance USA
08.2013 - 09.2018
  • Analyzed and processed workers compensation claims by investigating and gathering necessary information to determine the exposure of the claim.
  • Processed complex claims, calculated and set reserves within authority, and continued to monitor reserve adequacy throughout the life of the claim
  • Administered high volume workers compensation claims through Ventiv Claims. Managed an average weekly caseload of 100 open claims across multiple states
  • Coordinated with subcontractors, safety, and other related departments as necessary for accident investigation and claim administration
  • Communicated with occupational health center nurse, case manager, defense counsel, and insurance company regarding diagnosis course of treatment, and claim resolution.
  • Managed aggressive return to work program to minimize days away restricted or transferred rates
  • Coordinated with safety and employee manager to determine an appropriate work assignment within the scope of the employees restrictions.
  • Recommended actions to verify the validity of a claim of occupational injury.
  • Partnered with environmental health and safety department to proactively identify and correct potentially unsafe situations.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Examined claims forms and other records to determine insurance coverage.

Education

Bachelor of Science - Business Management

ITT Technical Institute
Arlington, TX
05.2015

Skills

  • Property Claims
  • Xactanalysis
  • Customer Experience
  • Reserves Adjustment
  • Communicative and articulate
  • Symbility, Wilbur, Carina, and Teams

Certification

Claim adjuster licensed in TX, FL, SC, MN, OK, GA, LA, NC, NY, MS, IN, KY, MI

TWIA Certification

State Farm Auto Certification

State Farm Policy Certification

State Farm Estimatics Certification

Xactimate Certification



Timeline

TPA Account Manager

Adair Horne & Associates
11.2022 - Current

CAT Claims Desk Adjuster

Team One Adjusting Firm
09.2018 - 02.2020

Workers Compensation Specialist

Teleperformance USA
08.2013 - 09.2018

Bachelor of Science - Business Management

ITT Technical Institute

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Kirra Orr