Michael Brown
Melbourne
Summary
Dynamic insurance professional with expertise in claims processing and policy interpretation at Citon Claims Solutions. Proven track record in mitigating fraud risks and facilitating successful subrogation recoveries. Strong analytical and critical thinking skills, complemented by a commitment to coaching and mentoring team members for enhanced operational efficiency.
Overview
5
5
years of professional experience
Work History
Claims Examiner I
Citon Claims Solutions
Melbourne, FL
05.2024 - Current
- Evaluated claims for accuracy and compliance with established guidelines while maintaining an 11 day cycle time.
- Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
- Mitigated fraud risks by identifying suspicious patterns in claims data and escalating concerns to appropriate teams for further investigation.
- Conducted thorough investigations of complex claims, gathering relevant documentation and interviewing witnesses when necessary.
- Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
- Assisted in training new team members on claims processing procedures and best practices for efficiency.
Policy Administration
Orion180
Melbourne, FL
03.2023 - 05.2024
- Assisted agents with understanding underwriting guidelines and policy language.
- Evaluated complex risks, ensuring sound underwriting decisions that balanced profitability and risk management objectives.
- Reviewed inspections to identify adverse conditions and used best judgement to provide recommendations to remediate adverse conditions where applicable.
440 Servicing Agent
Viera Insurance Agency
Melbourne, FL
10.2022 - 03.2023
- Maintained accurate records of client communications, transactions, policies, and other relevant documentation for seamless operations within the agency.
- Analyzed and communicated coverage exclusions and limitations for insureds, ensuring comprehensive understanding and informed decision-making across diverse insurance carriers.
- Managed policy renewals, cancellations and rescission's to ensure there was no gap in coverage and assisted with binding replacement policies where applicable.
Project and Purchasing Coordinator
Brevard Construction Company
Cocoa, FL
09.2020 - 10.2022
- Coordinated purchasing activities to ensure timely material availability for construction projects.
- Managed vendor relationships to negotiate favorable terms and maintain product quality standards.
- Documented change order approvals, revised estimates to reflect increased cost of projects and communicated changes to the field.
- Coordinated material selection and inventory management to support seamless installation timelines for clients.
Education
High School Diploma -
Crestview High School
Crestview, FL05-1999
Skills
- Claims processing
- Policy interpretation
- Microsoft Office Suite
- Coverage analysis
- Investigative skills
- Customer service and support
- Critical thinking
- Fraudulent claims investigation
- Coaching and mentoring
Timeline
Claims Examiner I
Citon Claims Solutions
05.2024 - Current
Policy Administration
Orion180
03.2023 - 05.2024
440 Servicing Agent
Viera Insurance Agency
10.2022 - 03.2023
Project and Purchasing Coordinator
Brevard Construction Company
09.2020 - 10.2022
High School Diploma -
Crestview High School
Licenses
- Alabama
- Arizona
- Florida
- Georgia
- Indiana
- Mississippi
- North Carolina
- South Carolina
- Texas