Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations. Licensed Claims Adjuster Positive attitude and exceptional problem solving skills. Meticulous Claims Investigator effective at collecting and analyzing data used to devise fair and cost-effective settlements. Experienced insurance professional with Eight-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Litigation Adjuster
National General Insurance Company
Winston-Salem, NC
2023.05 - Current
Maintained detailed documentation of all activities related to assigned cases including correspondence, research notes, investigative reports and settlement agreements.
Monitored developments during trial proceedings in order to ensure that client interests are protected at all times.
Assisted attorneys with preparation for mediations and arbitrations by providing necessary evidence and arguments.
Gathered evidence such as witness statements, medical records, police reports and accident reconstructions.
Provided expert advice on various aspects of litigation management including risk assessment, budgeting and strategy development.
Reviewed relevant case law in order to evaluate potential courses of action for resolving disputes.
Researched statutes, regulations and other legal materials in order to identify potential defenses against claims.
Attended court hearings to provide testimony regarding specific cases or issues related to litigation.
Investigated, analyzed and evaluated complex insurance claims to determine coverage and liability.
Developed strategies for defending clients against lawsuits alleging negligence or breach of contract.
Interpreted legal documents such as contracts, policies and pleadings in order to assess potential liability exposures.
Negotiated settlements with attorneys representing claimants in order to reach a fair resolution of the claim.
Analyzed financial data associated with litigated matters in order to accurately estimate reserves for future payments.
Prepared detailed summaries of depositions taken by opposing counsel during pre-trial discovery phase.
Drafted comprehensive reports outlining findings from investigations into claims involving personal injury or property damage.
Collaborated with attorneys representing insureds in order to develop effective defense strategies.
Advised claimants on their rights under the policy provisions and applicable laws.
Conducted interviews with witnesses involved in civil actions in order to obtain information pertinent to the case.
Reviewed invoices submitted by outside counsel for accuracy prior to authorizing payment from trust accounts.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Investigated claims, conducted field audits, determined losses and reported findings.
Negotiated and settled claims according to information presented through reports, research, and data verification.
Gathered information from various third parties to determine claim acceptability.
Reviewed data to verify validity of claims and determine case management actions.
Identified and collected evidence and determined value to specific claim to properly assess conditions.
Investigated questionable claims to determine payment authorization.
Litigation Adjuster
GEICO
Buffalo, NY
2015.11 - 2023.05
Maintained detailed documentation of all activities related to assigned cases including correspondence, research notes, investigative reports and settlement agreements.
Monitored developments during trial proceedings in order to ensure that client interests are protected at all times.
Assisted attorneys with preparation for mediations and arbitrations by providing necessary evidence and arguments.
Gathered evidence such as witness statements, medical records, police reports and accident reconstructions.
Provided expert advice on various aspects of litigation management including risk assessment, budgeting and strategy development.
Reviewed relevant case law in order to evaluate potential courses of action for resolving disputes.
Researched statutes, regulations and other legal materials in order to identify potential defenses against claims.
Attended court hearings to provide testimony regarding specific cases or issues related to litigation.
Investigated, analyzed and evaluated complex insurance claims to determine coverage and liability.
Developed strategies for defending clients against lawsuits alleging negligence or breach of contract.
Interpreted legal documents such as contracts, policies and pleadings in order to assess potential liability exposures.
Negotiated settlements with attorneys representing claimants in order to reach a fair resolution of the claim.
Education
GED -
Newfane Senior High School
Newfane, NY
2009-01
License - Adjuster Licenses in Multiple States
National General
Winston-Salem, NC
Skills
Claims Investigation
Insurance Policies
Legal Knowledge
Litigation Management
Property Claims
Policy Investigations
Claims Processing
Risk Assessment
Rules of Evidence
Coverage Assessments
Highly Motivated
Regulatory Compliance
Medical Terminology Specialist
Litigation Resolution
Advanced Computer Skills
Policy Interpretation
Allocating Claims
Caseload Management
Claims Investigations
Medical Coding
Interviewing Techniques
Technical Knowledge
Quality Control
Claims File Management Processes
Best Practices Implementation
Innovation and Creativity
Timeline
Litigation Adjuster
National General Insurance Company
2023.05 - Current
Litigation Adjuster
GEICO
2015.11 - 2023.05
GED -
Newfane Senior High School
License - Adjuster Licenses in Multiple States
National General
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