NACOLE CRAIG
Summary
Claims professional with over 12 years of experience in the insurance industry. Highly proficient and skilled in areas including bodily injury, attorney and non-attorney represented files, subrogation, liability, commercial, workers comp, property/residential/homeowners, property damage, comprehensive, negotiation, medpay, PIP (personal injury protection) pre-litigation, training other colleagues, team lead/supervisor, legal administrative skillset, and delivering outstanding customer service.
Motivated Insurance Adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
12
12
years of professional experience
Work History
CASUALTY CLAIMS SPECIALIST
THE BEST CLAIMS SOLUTIONS
03.2024 - Current
- -Reduced response time on attorney demands in overdue status to 15 days from receipt of demand. Evaluated medical records submitted by attorney’s, insured’s and claimants to assist in determining severity of injury and negotiation.
- -Managed 90 percent attorney represented files, and negotiated settlements on injury claims in pre-suit status. Provided fair resolution moving files to settlement and closure.
- -Determined liability, completed full coverage investigation, took recorded statements, reviewed attorney demands, and processed payments for settlements, including MEDPAY and PIP benefit payouts.
Claims Adjuster Specialist
Crawford & Company
01.2022 - 02.2024
- -Processed daily claims for different carriers in the areas of subrogation, general liability, auto liability, took statements for worker’s comp, and assisted SIU in investigations
- -Investigated potentially fraudulent claims resulting in limiting unnecessary costs for multiple carriers. Contacted insureds and third party carriers as necessary to gather information to create demand letters to recover funds for subrogation claims
- -Ordered police reports and completed liability investigations as necessary, set up rental, and handled attorney represented files for bodily injury claims. Retrieved estimates and medical costs from different insurance carriers to negotiate and recover funds owed for subrogation claims
- -Took recorded statements to complete coverage investigation and determination of liability for commercial auto claims involving single and multi-vehicle accidents.
Liability/Bodily Injury Adjuster
Gainsco
06.2021 - 12.2021
- -Made liability decisions, completed coverage investigations, and evaluated medical records for bodily injury claims. Ordered police reports, reviewed estimates, and conducted recorded statements
- -Set up rental reservations and/or towing as needed, explained policy coverage, negotiated with claimants and attorneys to settle bodily injury claims, responded to attorneys once LOR obtained
- -Estimated cost of injury and treatment for injury related claims and issued payment accordingly. Analyzed first report of loss and recorded statements for any possible inconsistencies to avoid potential fraud
Property Claims Adjuster
Pilot Catastrophe
08.2020 - 05.2021
- -Obtained facts of loss from insured and explained coverages and claims process. Scoped and photographed property for defects and damage, obtained accurate measurements
- -Wrote estimates and completed sketches in Xactimate, prepared sketch of floor plans and entered data into estimating software to determine cost of damage, and issued payments to insureds for residential claims
- -Well versed knowledge of residential construction such as foundation, roofing, siding, flooring, and painting, reviewed photos of property damage sent in by insureds via desk review. Drafted statement of loss to summarize damages, payments and underlying policy coverage. Made contact with field employees for any photos or additional information needed to settle claim and issue payment to insureds
- -Scheduled appointments with insureds to take contents and property damage photos as needed. Settled losses, Set Reserves and processed payments within my authority and explained possible supplement process. Reviewed policies and made payments to insureds for ALE/Additional living expenses. Used XACTAnalysis to send Field Adjuster Inspection Assignment
- (Allstate)
Alacrity Solutions
09.2013 - 05.2020
- -Investigated claims for fraud and SIU handling experience on suspicious claims for standard and nonstandard auto liability and bodily injury claims. Took recorded statements, explained coverages, ordered police reports, made liability decisions
- -Knowledge of CCC and Audotex for total loss evaluation, and determination of value of totaled vehicles. Offered settlements and negotiated total loss payments to insureds and claimants after evaluation of estimates. Negotiated any storage charges as necessary on behalf of insureds or claimants, arranged towing
- -Reviewed files for any comparative negligence and any possible recovery through subrogation efforts. Educated and informed the insured on the policy and claims process. Sent all necessary and state required correspondence to insureds/claimants that was necessary to settle total loss claims. Handled complex liability claims involving multiple vehicles
- SAFECQ AND LIBERTY MUTUAL
Education
Associate of Applied Science - Legal Assistant
ESS Business College
DallasProperty And Casualty License - Property & Casualty
Adjuster School
12-2011
Skills
- Typing of 65 words per minute, Modotech, Diamond, ECS, Peoplesoft, ImageRight, Claims Central, CCC, Symbility, Xactimate, Goldmine, Citrix, VMware, Guidewire, Navigator, Taleo, Data Entry, NextGen, Debt Settlement, Negotiation, Inside Sales, Theatrical/Arts Consultant, Writer, Legal Assistant, Stage Management
- Claims
- Liability determination
- Claims investigation
- Damage assessment
- Dispute resolution
- Policy interpretation
- Insurance policy knowledge
- Customer service and support
- Team leadership
Best Sales Consultant, Credit Solutions-2009
Best customer service retention rate in an environment of over 300 sales consultants. Closed 7 deals in one day within an 8 hour workday. Brought in over a million dollars revenue within 8 months of employment.
Timeline
CASUALTY CLAIMS SPECIALIST
THE BEST CLAIMS SOLUTIONS
03.2024 - Current
Claims Adjuster Specialist
Crawford & Company
01.2022 - 02.2024
Liability/Bodily Injury Adjuster
Gainsco
06.2021 - 12.2021
Property Claims Adjuster
Pilot Catastrophe
08.2020 - 05.2021
Alacrity Solutions
09.2013 - 05.2020
Associate of Applied Science - Legal Assistant
ESS Business College
Property And Casualty License - Property & Casualty
Adjuster School
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