Organized and detail-oriented Investigator dedicated to risk management, improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
5
5
years of professional experience
3
3
Certification
Work History
Senior Bodily Injury Adjuster
Allcat Claims Service
02.2023 - Current
Evaluated insurance policies and analyzed damages to determine coverage.
Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
Applied insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Determined subrogation or fraud potential.
Resolved soft tissue to complex bodily injury claims by evaluating medical bills, medical records, and accident details to help determine appropriate settlement range.
Directed defense counsel to insure proper defense of insureds.
Hire proper experts to assist in gathering information to make informed decisions on liability, causation, and mechanisms of alleged injuries.
Directed claims negotiations within allowable limit of $50,000 and supported successful litigations for advanced issues.
Independent Claims Adjuster
Alacrity
01.2021 - 04.2023
Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
Developed and maintained working relationships with public adjusters and contractors to assist in prompt claims handling.
Used Xactimate, Symbility to compile estimates for personal property and structure damage.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Analyzed and processed complex and technically difficult workers compensation claims by investigating and gathering information to determine exposure, managed claim through well developed action plans to achieve appropriate and timely resolution.
Analyzed potential fraudulent insurance claims and ensured documented referral to SIU.
Total Loss Claims Adjuster
TheBestIRS, Insurance Recruiting Specialists
01.2020 - 04.2021
Diligently handled investigations regarding all aspects of advanced auto claims (coverage, liability, and damages) with discretion and independence within level of authority.
Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
Completed vehicle inspections, wrote estimates, determined total loss evaluations, and set clear expectations and timelines.
Documented information related to assigned claim and made decisions consistent with claims standards and local laws.
Reviewed and determined validity of any supplement requests.