Oreal Thornton
New Britain,CT
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. I am currently seeking to obtain a position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. I posses a proven track record of growth and current knowledge in coverage investigation with a focus on policy interpretation.
Overview
6
6
years of professional experience
1
1
Certification
Work History
General Liability Claims Adjuster
Progressive Insurance
09.2023 - Current
- Conducted thorough investigations of claims to determine coverage, liability, and damages.
- Reviewed police reports, obtain recorded interviews from all parties involved and review physical property damage to determine extent of liability.
- Managed a high-volume caseload while maintaining quality service standards and efficient resolution timelines.
- Collaborated with legal teams for successful litigation outcomes in complex cases.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Identified fraudulent claims by conducting comprehensive investigations and collaborating with SIU department as needed
- Negotiated fair and equitable settlements with claimants, attorneys, and medical providers
- Attended industry conferences and seminars to stay current on trends impacting the field of general liability claims adjusting.
- Developed strong working relationships with colleagues across departments to ensure efficient information sharing during the claims process.
- Enhanced client satisfaction with timely and accurate claim resolutions.
- Proactively identified potential subrogation opportunities to recover payouts from responsible third parties whenever possible.
- Demonstrated adaptability in handling a diverse range of general liability claims, resulting in well-rounded expertise and strong problem-solving skills.
Total Loss Claims Adjuster
Liberty Mutual
03.2022 - 07.2023
- Conducted thorough investigations to verify coverage and accurately determine liability in complex cases
- Reviewed police reports, photographs and other documentation to gain a complete understanding of the accident.
- Reviewed physical property damage to determine extent of liability
- Established productive relationships with vendors, effectively negotiating services that benefited both parties involved in claim settlements.
- Consistently managed a heavy project workload through exemplary organizational, time management and collaboration talents.
- Served as a liaison between policyholders, repair facilities, and other stakeholders to expedite claim resolution while maintaining open lines of communication
- Maximized recoveries from at-fault parties through diligent subrogation efforts, contributing to the company''s financial success.
- Enhanced customer satisfaction by efficiently managing total loss claims and providing timely resolutions.
- Contributed to team success by consistently meeting or exceeding performance metrics related to productivity, accuracy, and quality of work.
- Maintained compliance with state regulations by staying current on industry changes and applying them to claim evaluations.
- Leveraged strong analytical skills to assess vehicle damages accurately and determine appropriate settlement amounts based on market values.
Claims Adjuster
USAA Insurance
10.2018 - 03.2022
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Conducted comprehensive interviews of all parties involved to gather facts to determine coverage.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Education
Licensure - Associate in Claims (AIC)
The Institutes
OnlineSkills
- Texas, Connecticut Claims Adjuster License
- Seven years Claims adjuster experience
- Policy Interpretation
- Coverage Evaluation
- Caseload Management
- Liability Analysis
- Claims Investigation
- Legal knowledge
- Settlement Negotiation skills
- Advanced oral and written communication skills
- Advanced computer skills
- Technical knowledge
- Working knowledge of Regulatory Compliance
- Accident scene investigations
- CCC Reports
- Legal proceedings knowledge
- Familiar with fraud statutes
- Critical Thinking
- Decision-Making
- Active Listening
- Relationship Building
- MS Office
- Collaborated with bodily injury department on countless occasions for projects and claims resolution
Certification
Property and Casualty License
Timeline
General Liability Claims Adjuster
Progressive Insurance
09.2023 - Current
Total Loss Claims Adjuster
Liberty Mutual
03.2022 - 07.2023
Claims Adjuster
USAA Insurance
10.2018 - 03.2022
Licensure - Associate in Claims (AIC)
The Institutes
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