Evaluate bodily injury claims by reviewing medical records, billing, diagnostic findings, treatment history, causation, pre-existing conditions, and claimed damages to establish appropriate claim valuations and settlement strategies.
Independently negotiate bodily injury settlements with both unrepresented claimants and plaintiff attorneys while balancing claim exposure, litigation risk, policy limits, and appropriate resolution strategies.
Manage claims involving disputed or complex liability, conducting detailed investigations
Participate in minor prove-up proceedings
Maintain detailed claim documentation, timely reserves, evaluations, and action plans for claim resolution.
Exercise independent judgment and settlement authority in the evaluation, negotiation, and resolution of complex bodily injury claims.
Claims Generalist, Intermediate (ARBI UM/UIM)
Progressive
San Antonio, USA
08.2024 - 09.2025
Negotiated settlements with first party attorney's regarding our insured's bodily injury claim in specific to UM UIM coverage
Identified and evaluated pertinent information to consider in injury evaluations and attorney negotiations
Reviewed in depth coverage investigations to determine applicable coverages
Actively sought out new sources of information which could be used to support a claim decision.
Verified information with reviews of police reports, medical treatment histories and other records to determine risk analysis and liability
Claims Generalist, Intermediate (URBI)
Progressive
San Antonio, USA
05.2023 - 08.2024
Negotiated settlement of claims with unrepresented claimants
Interviewed and investigated claimants to determine pertinent claim information
Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
Determined reserves for each claim based on estimated costs of settlement
Claims Generalist Associate (PCS)
Progressive
Austin, USA
08.2021 - 05.2023
Investigated coverage and liability investigations
Handled property damage repairs and total loss resolutions
Investigated coverage and liability for all claims
Communicated effectively with Insured and claimants on their claim updates, requested items, and claims processes
Set up repairs and total losses as needed
Reviewed and analyzed claims in order to effectively get to resolution
Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.