Maily Waller
Land O' Lakes
Summary
Dedicated insurance professional with over 20 years of experience trained in all aspects of insurance. Detail-oriented litigation specialist and corporate representative with extensive experience in managing litigation processes, claims negotiation, and regulatory compliance. Demonstrated success in analyzing legal issues and implementing strategic plans to mitigate risks and enhance case outcomes.
Overview
2
2
Languages
1
1
Certification
23
23
years of professional experience
Work History
Litigation Specialist
Lozano Insurance Adjusters
Tampa
08.2021 - 08.2026
- Corporate Representative to assigned files attended depositions provided affidavits and reviewed answers and affirmative defenses
- Reviewed legal documents including pleadings, discovery requests, motions, and responses to ensure thorough preparation for litigation.
- Analyzed insurance claims to identify potential legal issues and risks.
- Conducted research on relevant laws impacting claims and litigation processes.
- Reviewed policy details to ensure compliance with regulations and guidelines.
- Participated in client meetings to discuss strategy for pending litigation, contributing to informed decision-making and case direction.
- Negotiated settlements on behalf of clients.
- Communicated with clients to gather information and clarify claim details, enhancing understanding of case elements.
- Managed case files to ensure organization and accessibility of information.
- Participated in client meetings to discuss strategy for pending litigation.
- Monitored court dockets and deadlines in multiple jurisdictions.
- Reviewed and analyzed legal documents such as pleadings, discovery requests, motions, and responses.
Remote/ Tier 3 Claims Advocate
Eberl Claim Service
Tampa
11.2020 - 08.2021
- Managed claims processing and documentation for timely resolution.
- Assisted clients in understanding policies and claims procedures.
- Provided support in dispute resolution and negotiation processes.
- Conducted thorough research to verify claim details and eligibility.
- Assessed the validity of claims based on established criteria and procedures.
- Ensured compliance with all relevant regulations governing the processing of claims.
- Negotiated settlements with claimants and providers within authority limits.
- Reviewed claims denials for accuracy prior to issuing final decisions.
- Researched policy provisions and applicable laws to verify coverage under policies.
- Advised clients on claim status updates as well as their rights and responsibilities under their policies.
- Maintained up-to-date knowledge of relevant legislation affecting the industry.
- Investigated and documented claims to determine eligibility for coverage.
- Identified and pursued opportunities for subrogation to recover funds from third parties responsible for losses.
- Evaluated and processed insurance claims according to company policies and industry standards.
Litigation Specialist
Homeowners Choice Insurance Company
Tampa
06.2018 - 11.2020
- Represented the corporation during mediation, arbitration and depositions
- Managed new and reassigned litigated files to its conclusion.
- Reviewed legal documents such as motions, pleadings, responses, discovery etc.
- Negotiated both complex, and non-complex claims with insureds, public adjusters and attorneys while recognizing and implementing alternative means of resolution.
- Established and maintained appropriate suit reserves
- Maintained an active and current diary and provided a clear and concise plan of action on every claim.
Insurance Claims Specialist
AAA Auto Club Group
Tampa
04.2003 - 08.2015
- Managed complex auto claims involving multi-car accidents, serious injuries, and fraudulent reports to ensure thorough investigations and fair outcomes.
- Worked with SIU and pursued insurance fraud with the state of Florida.
- Processed subrogation claims and participated in arbitration and mediation to secure appropriate reimbursements for incurred losses.
- Collaborated with policyholders to gather necessary documentation for claims processing.
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
- Addressed customer inquiries and complaints about claim statuses to enhance client satisfaction and trust in the claims process.
- Trained and guided new employees as a mentor.
- Collaborated with internal teams to facilitate licensing processes.
Education
Bachelor of Science - Healthcare Administration
Florida Metropolitan University
Tampa, FL01-2006
Skills
- Litigation oversight
- Litigation strategy
- Claims negotiation
- Deposition preparation
- Document review
- Policy compliance
- Risk assessment
- Subrogation recovery
- Case strategy
- Detail orientation
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Certification
- Professional Claims Adjuster License 5-20
- Notary Public
Timeline
Litigation Specialist
Lozano Insurance Adjusters
08.2021 - 08.2026
Remote/ Tier 3 Claims Advocate
Eberl Claim Service
11.2020 - 08.2021
Litigation Specialist
Homeowners Choice Insurance Company
06.2018 - 11.2020
Insurance Claims Specialist
AAA Auto Club Group
04.2003 - 08.2015
Bachelor of Science - Healthcare Administration
Florida Metropolitan University