Regina Drummond

Reviewed, investigated, and evaluated complex claims caseload to ensure timely resolution of general liability, auto bodily injury, and property damage claims.

review and resolution of General Liability , Auto Bodily Injury and Property Damage Claims .

Verified and analyzed settlement data to facilitate timely resolution of liability and damages.

Negotiated settlements with claimants and their representatives to achieve equitable resolutions.

Capability to review video system, record and store data for all transportation modes. Review internal reports, to make informed decisions that impact SEPTA’S financial platform.

Determine fraud and submit to IG Inspector

Work with Defense Counsel in managing Litigation.

Processed bodily injury claims using claims management system, ensuring timely resolution and customer satisfaction.

Reviewed policy documents to ensure compliance with company standards and regulations.

Mentored junior representatives on best practices for handling complex claims issues.

Investigated and evaluated claims to determine proper reserving and negotiation strategies.

Collaborated with counsel to direct litigated claims, facilitating legal strategy and resolution.

Investigated, evaluated, negotiated proper reserving to reach equitable settlements for /moderate moderate/complex

Claims Directed Litigation for PD , BI, Damage, UM, UIM , Homeowner’s Liability premises

Mentor- Compose and perform state specific training. Extensive Review of Medical Report, Legal and Medical billing. Extensive Legal Research - File presentations.

Analyzed claim data to identify discrepancies and potential fraud indicators.

Collaborated with legal teams to resolve complex claims and disputes effectively.

Attended mediations, trials, settlement Conferences and Arbitrations.

Managed complex claims processes for various insurance products. i.e. Property Damage, Bodily Injury General Liability Premises Liability, Contractor’s Liability and Automobile Liability.

File presentations quarterly audits with clients, carriers, and brokers. Directed Litigation. Analyzed contracts and leases. Acted as supervisor’s backup. Extensive Review of Medical Reports and billing Extensive Legal Research Mentor

Oversaw Apollo project operations, coordinating team efforts and resources to achieve objectives.

Investigated and evaluated out-of-state UM/UIM cases to ensure accurate claim processing.

Directed counsel on litigated cases, audited claim files, and reviewed medical reports and legal research to inform arbitration and mediation outcomes.

Developed and collaborated with attorneys to prepare legal strategies and arguments for large complex claims, Researched complex legal issues, Analyzed Legal documents, Monitored court

dockets and deadlines in multiple jurisdictions

File Presentations

for Automobile, Truckers, Contractor’s Liability E&O Claims General

Liability

Discrimination , and Products Liability

Investigate, negotiate, Bodily Injury and Property damage Auto Claims, Garage keeper’s, Trucker’s, General Liability Uninsured and Underinsured motorist claims and Homeowners. (Specialize in policy limit cases for Assigned Risk policies). Scene investigations composing diagrams, inspections of premises and canvas for witnesses. Face to face interviews and settlements with insureds and claimants.

Handle claims filed ICA

Managed the Litigation Agent retention program.

Developed training programs for claims processing and assessment.

Facilitated workshops to enhance claims management skills among staff.

Created and delivered training programs focused on arbitration, subrogation, negotiations, evaluations, auto material damage, traumatic injuries, denials, coverage, and litigation.

Investigate, negotiate, evaluate, settle, or deny claims. Comprehensive, Collision, Heavy Equipment, Personal Injury Protection, Bodily Injury, for Auto, Garage keeper’s General Liability Products Title 59, and Title 42. Workman’s Compensation Medical Outside investigations of complex claims. Handled specialized accounts. Analyze leases and contracts Accompanied Independent Appraisers for accurate quality and control Agency retention program Responsible for monthly, quarterly, and yearly report of the Small Estimate Program. Served project team

Auto Claims Representative Commercial Lines Property Damage Claims, Subrogation , Trained new employee, Supervisor Back-up for three months

• Reviewed insurance claims for accuracy and completeness.
• Communicated with clients to gather necessary documentation.
• Investigated claims to determine validity and compliance.