Samantha Kennedy
Newfane,VT
Summary
Proven Litigation Adjuster with a track record of reducing company exposure and enhancing client relationships at NGIC. Expert in claims investigation and litigation management, blending empathy and advanced communication skills to negotiate favorable settlements. Achieved significant cost recovery through meticulous risk assessment and policy interpretation, mentoring teams to success. Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle Auto and Homeowner claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with management to gain details for processing claims. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
9
9
years of professional experience
Work History
Litigation Adjuster
NGIC
05.2023 - Current
- Developed strong relationships with clients by providing clear communication and updates on case progress.
- Preserved confidentiality of sensitive information while effectively communicating case details with involved parties as needed.
- Delivered exceptional customer service by addressing client concerns promptly and professionally throughout the claims process.
- Reduced company exposure by accurately assessing risk factors and recommending appropriate settlement options.
- Maintained compliance with state regulations through diligent record-keeping and adherence to industry best practices.
- Utilized advanced technology tools for efficient data management, reporting functions, and streamlined communications among team members.
- Enhanced negotiation skills through continuous professional development opportunities, including training seminars and workshops.
- Supported attorneys in trial preparation by organizing materials, conducting research, and drafting legal documents.
- Managed a high volume of cases while maintaining organization and prioritizing tasks according to deadlines.
- Streamlined internal processes by implementing efficient workflows that reduced overall time spent on administrative tasks.
- Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
- Expedited claim resolution by promptly responding to inquiries from both insureds and claimants alike.
- Evaluated policy coverage by analyzing insurance contracts and determining the applicability of specific provisions to each claim.
- .Kept current on industry trends through participation in industry conferences, webinars, and other professional development events.
- Mentored junior adjusters by sharing knowledge and experience, fostering a collaborative team environment for continued growth and success.
- Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
- Leveraged strong analytical abilities to identify subrogation opportunities for cost recovery efforts in complex cases.
- Balanced competing priorities under tight deadlines without compromising quality or attention to detail in case management.
- Improved negotiation strategies for settlements with effective communication and persuasive tactics.
- Conducted comprehensive claim investigations to gather evidence, interview witnesses, and obtain relevant documentation.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
- Documented all investigation activity and presented reports to management.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Substantiated legitimate claims and denied unjustified claims.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained contact with claimants and attorneys to determine treatment status.
- Documented information gathered in field and uploaded data to company database for efficient processing using [Software].
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Claims Adjuster, Automobile and Casualty
GEICO
11.2015 - 05.2023
- Conducted field investigations to gather evidence for accurate claim assessments and settlements.
- Enhanced customer satisfaction with thorough investigation of claims and timely resolution.
- Evaluated property damage estimates to determine appropriate compensation amounts in line with policy provisions.
- Built strong working relationships with external partners such as law enforcement agencies, medical providers, and repair facilities to expedite claim resolutions effectively.
- Handled complex claims involving multiple parties, navigating challenging situations with professionalism and tact.
- Coordinated with repair facilities for vehicle inspections, expediting claim resolutions.
- Stayed apprised of industry trends by attending seminars and participating in professional organizations.
- Worked closely with medical professionals to assess injury claims, ensuring proper compensation was provided.
- Improved interdepartmental coordination by establishing clear communication channels and protocols.
- Negotiated settlements with claimants, achieving mutually agreeable outcomes without litigation.
- Exercised excellent time management skills while handling multiple high-priority cases simultaneously.
- Reduced claim processing time by streamlining documentation and communication procedures.
- Provided exceptional customer service during the claims process, addressing concerns promptly and empathetically.
- Leveraged advanced negotiation tactics to secure favorable settlement terms on behalf of the company.
- Assisted clients throughout the entire claim process from initial report to final settlement or closure.
- Managed automobile and casualty claims, ensuring accurate assessment and fair settlements.
- Developed a strong understanding of policy provisions to accurately interpret coverage for clients'' unique situations.
- Collaborated with legal teams to defend against fraudulent claims, protecting company interests.
- Mentored new Claims Adjusters on best practices in handling automobile and casualty claims efficiently.
- Maintained comprehensive records of all claims handled, ensuring easy reference for future needs.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Education
GED -
Newfane High School
Newfane, NY06.2009
Skills
- Claims Investigation
- Case Evaluation
- Motivation and Initiative
- Legal knowledge
- Critical Evaluation
- Litigation Management
- Empathy and Tact
- Settlement Strategies
- Highly motivated
- Claims Processing
- Caseload Management
- Insurance policy coverage knowledge
- Advanced oral and written communication skills
- NY, CT, VT, RI, TX, NH,LA Claims Adjuster License
- Advanced computer skills
- Technical knowledge
- Quality Control
- Innovation and Creativity
- Risk Management
- Coverage assessments
- Policy investigations
- Casualty and property loss
- Legal Compliance
- Policy Interpretation
- Best Practices Implementation
- Regulatory Compliance
- Medical Coding
- Record preparation
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Reliability
- Excellent Communication
- Critical Thinking
- Computer Skills
- Team Collaboration
- Team Leadership
- Active Listening
- Claims
- Decision-Making
- Claims Evaluation
- Claims adjustment
- Coaching and Mentoring
- Payment Processing
- Settlement Negotiations
- Liability Determination
Timeline
Litigation Adjuster
NGIC
05.2023 - Current
Claims Adjuster, Automobile and Casualty
GEICO
11.2015 - 05.2023
GED -
Newfane High School
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