Nicole L. Busch
Marshall
Summary
Dynamic Liability Team Lead with extensive experience in the insurance industry, excelling in litigation oversight and team mentoring. Proven track record in managing high-value claims and collaboration. Skilled in injury evaluation and negotiation strategies, consistently achieving audit scores above 90% while fostering strong relationships with clients and stakeholders.
Overview
17
17
years of professional experience
Work History
Liability Team Lead
Wisconsin Municipal Mutual Insurance Company
Madison
07.2023 - Current
- Managed 160 to 270 liability claims under a unique General Liability Policy. Claim coverages included Employment Practices Liability, Auto Liability, Personal Injury, and other general liability matters.
- Oversaw all reinsurance claims and reporting processes.
- Handled over 70% of litigation assignments, primarily in federal court.
- Participated in continuing education events through CLM and PRIMA for professional development.
- Maintained strong relationships with Mutual Company members to enhance collaboration.
- Mentored liability department staff to improve skills and performance.
- Contributed to focus groups and claim review committees addressing high-value losses exceeding $500,000.
Senior Claims Specialist
QBE the Americas
Sun Prairie
10.2017 - 06.2023
- Managed 105 to 120 Commercial General Liability Claims, with 80 to 85 percent in active litigation.
- Attended numerous ongoing education seminars on topics like litigation management and claims best practices.
- Collaborated with attorneys across 25+ states to oversee litigated file handling.
- Analyzed claim documentation to detect fraudulent activities and reduce risks.
- Reviewed complex insurance claims for accuracy and compliance with regulations.
- Maintained comprehensive records of claims activity in proprietary management systems.
Claims Representative II - Major Case Unit
NSI a Division of West Bend Mutual Insurance
Middleton
06.2016 - 10.2017
- Managed over 100 claims files valued between $500 and $1,000,000.
- Investigated unique claim matters, including Employment Practice Liability and Directors and Officers coverage.
- Reviewed policy coverage and authored complex first-party denials.
- Achieved audit scores exceeding 90% consistently.
- Communicated with clients to clarify claim specifics and gather essential information.
- Educated policyholders on coverage options and claims processes effectively.
- Processed high volumes of claims while maintaining quality standards.
Claims Representative
QBE The Americas, Inc.
Sun Prairie
03.2009 - 06.2016
- Completed eight weeks of training in insurance fundamentals, focusing on bodily injury analysis.
- Developed and distributed training guides to enhance efficiency in claim handling processes.
- Maintained over 26 state licenses by successfully passing multiple state examinations.
- Achieved audit scores exceeding 90% through meticulous attention to detail.
- Delivered quality customer service throughout claims processes to ensure timely resolution for insured parties and claimants.
- Adhered strictly to confidentiality guidelines while managing sensitive personal information.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
Education
Bachelor of Science - Criminal Justice
University of Wisconsin - Platteville
05.2004
Skills
- Injury evaluation and claim investigation
- Customer and agent management
- Active listening
- Microsoft Office proficiency
- Claim system expertise (ClaimCenter and Origami)
- ImageRight Desktop usage
- Auto and general liability knowledge
- Municipal claim management
- Litigation oversight
- Problem solving
- Team mentoring
- Negotiation strategies
Affiliations
Volunteer, Scouting America - Troop Committee Chair
Timeline
Liability Team Lead
Wisconsin Municipal Mutual Insurance Company
07.2023 - Current
Senior Claims Specialist
QBE the Americas
10.2017 - 06.2023
Claims Representative II - Major Case Unit
NSI a Division of West Bend Mutual Insurance
06.2016 - 10.2017
Claims Representative
QBE The Americas, Inc.
03.2009 - 06.2016
Bachelor of Science - Criminal Justice
University of Wisconsin - Platteville