Dedicated professional with a strong work ethic and a focus on enhancing business performance. Demonstrates adaptability in both individual and team settings, effectively driving company objectives. Resourceful and results-oriented, committed to achieving growth and efficiency to elevate service value.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Claims Representative
Country Financial Insurance Company
Bloomington, IL
01.2024 - Current
Manage a portfolio of complex, high-severity personal and commercial claims
Conducted complex liability investigations to determine evaluation needs and escalation requirements
Coordinated expert resources, including SIU and accident reconstructionists, to enhance investigations and facilitate accurate claim resolutions
Work closely with defense counsel to evaluate potential exposure, identify trends, and achieve optimal claim outcomes
Analyzed policy coverages to assess claim exposure and ensure accurate processing
Conduct settlement negotiations while maintaining adherence to company policies and guidelines
CLAIMS REPRESENTATIVE
Donegal Insurance Group
Athens, US
02.2018 - 11.2023
Investigated, evaluated and utilized effective problem solving techniques to resolve complex Commercial liability and injury claims.
Negotiated settlements and managed litigation to identify cost-saving opportunities.
Interpreted policy language and analyzed claim data to ensure accurate and timely resolution of claims.
Attended mediations to settle disputed claims quickly.
Managed large caseloads, consistently meeting deadlines set by management and attorney time limits.
Completed continuing education to maintain knowledge of industry standards and enhance claim resolution.
MATERIAL DAMAGE CLAIMS ADJUSTER
Nationwide Mutual Insurance Company
Atlanta, US
03.2014 - 02.2018
Negotiated property and total loss settlements, ensuring compliance with company guidelines and state regulations.
Inspected vehicles and complex damages, recommending optimal repair or replacement solutions to support claims resolution.
Performed coverage investigations to determine exposures.
Collaborated with liability staff to align property damage assessments with injury risk evaluations, enhancing accuracy of claims outcomes.
Communicated effectively with customers throughout the entire claims process providing updates on progress and resolution status.
BODILY INJURY CLAIMS SPECIALIST
Liberty Mutual Insurance Company
Atlanta, US
12.2006 - 03.2014
Evaluated, negotiated and resolved Bodily Injury claims with attorneys and claimants, ranging from minor to complex.
Managed litigated files, collaborating with plaintiffs and defense counsel to expedite case resolutions.
Developed strategies to navigate complex cases involving multiple parties, enhancing overall claim outcomes.
Prepared reserve recommendations through detailed case analysis, enabling informed decision-making on claims.
Conducted complex coverage investigations and issued Reservation of Rights letters to insureds, clarifying their rights under policy terms.
Education
BACHELOR OF ARTS (B.A.) - JOURNALISM
Georgia State University
Atlanta, GA, US
Skills
Technical knowledge of claims handling
Claims evaluation and settlement
Negotiation expertise
Analytical skills
Microsoft Excel proficiency
Microsoft Word proficiency
Communication tools
Certification
• Georgia Property & Casualty Adjuster's license • Georgia Property & Casualty Agent's license • Georgia Life, Accident & Health Agent's license • Currently working toward SCLA certification