Rebecca Taylor

• Examined claims, records and procedures to grant approval of coverage.
• Established proof of loss by studying documentation and assembling additional information from outside sources.
• Assessed medical records, witness statements, and police reports to evaluate liability.
• Negotiated settlements with claimants and attorneys.
• Resolved complex bodily injury cases involving multiple parties.
• Determined covered insurance losses by studying provisions of policies or certificates.
• Collaborated with outside vendors such as adjusters, investigators, and lawyers throughout the claims process.
• Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
• Signed payment approvals accepted claims.

Responsibilities:

• Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes Claims systems to document claims and to diary future events or follow-up.
• Within prescribed settlement authority for the line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level.
• Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting.
• Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment.
• Monitors the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority.
• Participates in Claims audit process.
• May provide claims marketing services by participating in meetings with brokers, risk managers and reinsurers.
• As required, maintains insurance adjuster licenses

• Ensured compliance with applicable laws regarding employment practices.
• Supervised staff members, organized schedules and delegated tasks.
• Reviewed completed work to verify consistency, quality and conformance.
• Answered phone calls, responded to emails, routed mail and coordinated courier services.
• Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
• Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
• Administered payroll and maintained proper documentation of employee personnel.