Lucy S. Fala
Peoria,AZ
Summary
To obtain a position that will enable me to use my strong organizational skills, strategies to develop and to expand my experience background in claims.
Overview
19
19
years of professional experience
Work History
Casualty Claims Examiner
Anchor General
San Diego, CA
10.2018 - 11.2024
- Investigated and evaluated damages of claims with varying complexity for auto losses. (First and Third-Party claims)
- Directed claims negotiations within allowable policy limits for bodily injury claims. For attorney and non-attorney for states of AZ, CA, and WA
- Evaluated and processed casualty claims to determine coverage and liability.
- Goals, 100% closures of claims each month , Managed emails, and faxes, within two hours. Returned all voice messages within two hours.
- Negotiated settlements with claimants while adhering to company policies and regulatory requirements.
Casualty Claims Adjuster II
USAA Insurance
San Antonio, TX
03.2017 - 08.2018
- Directed claims negotiations within allowable policy limits for bodily injury claims. For both attorney and non-attorney for the states of AZ, CA, and HI.
- Collaborated with policyholders to gather necessary documentation and information for claims resolution.
- Evaluated and processed casualty claims to determine coverage and liability.
- Negotiated settlements with claimants while adhering to company policies and regulatory requirements.
- Developed workflows that improved efficiency in claims processing and reduced turnaround times.
- Goals, 100% closures of claims each month , Managed emails, and faxes, within two hours. Returned all voice messages within two hours.
Casualty BI Claims Specialist II
Titan Insurance
Scottsdale, AZ
06.2015 - 02.2017
- BI claims for the states of AZ and CA. Investigated and evaluated bodily injury claims for both attorney and non-attorney
- Specialty products
- Goals, 100% closures of claims each month , Managed emails, and faxes, within two hours. Returned all voice messages within two hours.
- Negotiated settlements with claimants while adhering to company policies and regulatory requirements.
Casualty BI Claims Specialist II
Titan Insurance
Scottsdale, AZ
07.2005 - 04.2015
- Investigated and evaluated damages of claims with varying complexity for auto losses. (First and Third-Party claims).
- Also, analyzed coverage, identified coverage issues, and prepared coverage letters.
- PIP/ first party pip claims for about six months for the states of, WA, OR, UT and Kansas.
- 2008, became a Casualty BI Claims Specialist II, handling BI claims for the states of AZ and CA. Investigated and evaluated bodily injury claims for both attorney and non-attorney
- Specialty products
Education
Glendale Community College
Glendale, Arizona01-2002
High School Diploma -
Lenape High School
Medford, New Jersey01-1977
Skills
- Computer Skills, e-mail, internet, MS Word/Excel and MS Professional XP
- Claims processing
Timeline
Casualty Claims Examiner
Anchor General
10.2018 - 11.2024
Casualty Claims Adjuster II
USAA Insurance
03.2017 - 08.2018
Casualty BI Claims Specialist II
Titan Insurance
06.2015 - 02.2017
Casualty BI Claims Specialist II
Titan Insurance
07.2005 - 04.2015
Glendale Community College
High School Diploma -
Lenape High School
Qualifications
- Strong organizational skills; Able to prioritize effectively
- Adaptable to ever-changing work environment
- Team player with demonstrated leadership abilities who assist in training of newly hired employees
- Detailed-oriented and analytical in investigative situations
Comment
Enjoy a challenge, quick learner, team player and willing to work hard.