- Examined claims forms and other records to determine insurance coverage.
- Analyzed information gathered by investigations to report findings and recommendations.
- Reviewed police reports, and physical property damage to determine extent of liability.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Documented all investigation activity and presented reports to management.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Investigated and assessed damage to property and reviewed property damage estimates.
· Manage and effectively communicate processes that impact customer experience while managing loss costs to maintain and exceed AOR goals of a 90% 7-days to investigate, a 65% availability, and a lower than peer average of financials to open claims ratio, resulting in a 2021 Golden Compass recognition Award and consistent “better than expected” end of year rating.
· Research and respond to inquiries within service levels, including with all claim’s participants, that produce high customer satisfaction and manage impacts to future work stream demands through critical and creative thinking.
· Manage lost cost impacts through rapid relation building and effective negotiation of claims settlements, utilizing technology to approve and process property inspections with claims payments.
· Leveraged organizational efficiencies to manage desk load on seven new claims daily while consistently maintaining an Expected to Better Than Expected rating.
· Design and facilitate peer-to-peer development sessions in collaboration with leadership teams.