Adept Risk Insurance Examiner with a proven track record at Oregon Health Science University, showcasing expertise in policy analysis and exceptional communication skills. Excelled in claim investigations and policy reviews, ensuring compliance and accuracy. Notably collaborated with FEMA for COVID reimbursement, demonstrating a strong ability to work in multi-disciplinary settings and deliver results.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Risk Insurance Examiner
Oregon Health Science University
Portland
06.1995 - Current
Investigated properties, classified damages and created estimates outlining repair costs.
Investigated auto claims, classified damages and created estimates outlining repair costs.
Investigated GL claims, classified damages and created estimates outlining repair costs.
Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Assist in renewal of all lines of organizations insurance portfolio
Worked closely with FEMA on COVID reimbursement for the organization
Analyzed information gathered by investigations and reported findings and recommendations.
Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
Reviewed policies, endorsements, riders, and policy forms to ensure accuracy and compliance with applicable laws.
Provided technical assistance to help management develop effective internal controls.
Discussed current cases and issues in claim committee meetings.
Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
Evaluated insurance applications for completeness and accuracy.
Input claim information and payments into company database.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Inspected records of insureds to determine coverage limits, deductibles, exclusions.
Collaborated with other departments within the agency to coordinate activities.
Managed and member of a pediatric neonatal medical transport team for Doernbecher Children's Hospital (OHSU)
Education
Master of Science - Healthcare Administration
Oregon Health Science University
Portland, OR
06-2007
Master of Arts - General Science With Minor in Biology
Portland State University
Portland, OR
06-2003
Skills
Claim investigation
Policy analysis
Data interpretation
insurance law expertise
Policy investigations
Working closely in multi disciplinary settings
Communicate clear & concisely
Certification
Associate in Risk Management (ARM)
Casualty Claim Law Specialty (CCLS)
Timeline
Risk Insurance Examiner
Oregon Health Science University
06.1995 - Current
Master of Science - Healthcare Administration
Oregon Health Science University
Master of Arts - General Science With Minor in Biology
Portland State University
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