Scott Seemann
Newburg,MO
Summary
Dynamic Senior Claims Adjuster at ClaimsPro with expertise in claims investigation and settlement negotiation. Proven track record of reducing loss ratios through strategic decision-making and exceptional customer service. Adept at managing complex cases while building relationships with stakeholders, ensuring compliance, and delivering thorough reports that drive effective resolutions.
Overview
40
40
years of professional experience
Work History
Senior Claims Adjuster, Automobile and Casualty
ClaimsPro
Saint Louis, Missouri
01.1991 - Current
- Developed plans for resolution of complex cases involving multiple parties or large amounts of damages.
- Participated in continuing education programs related to claim handling techniques in order to remain current on industry best practices.
- Provided prompt response to inquiries from policyholders, claimants, agents and others regarding status of claims handling process.
- Established relationships with experts such as engineers and accident reconstructionists when necessary for further evaluation and investigation.
- Attended mediations as required representing the interests of the company in order to resolve disputed claims without litigation.
- Investigated, evaluated and resolved automobile and casualty claims in accordance with company policies and procedures.
- Calculated damages based on estimates from body shops or repair facilities.
- Prepared detailed reports documenting investigations including findings of fact and conclusions reached.
- Evaluated potential fraud indicators associated with each claim file during initial review stages.
- Reviewed subrogation demands received from third party insurers seeking reimbursement for payments made on behalf of their insureds.
- Assessed liability issues, determined coverage, and negotiated settlements for bodily injury and property damage claims.
- Interviewed claimants, witnesses, medical providers, attorneys, law enforcement personnel and other involved parties to obtain information relevant to the claim investigation.
- Ensured compliance with state insurance regulations while investigating and resolving assigned claims.
- Researched applicable laws and regulations related to claims processing when necessary.
- Reviewed police reports to determine cause of loss or damages to vehicles.
- Negotiated settlement agreements with claimants within established authority limits.
- Analyzed medical records to assess extent of injuries sustained by claimants.
- Conducted surveillance as needed to verify claimant's statements regarding activities post-accident.
- Maintained accurate documentation throughout all phases of the claim process in accordance with established standards.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
- Reduced loss ratios through fair and prompt processing of claims.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Input claim information and payments into company database.
- Gathered and documented evidence to support court proceedings.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
Air Traffic Controller
U.S. Army Reserves
Scott Air Force Base, IL
05.1988 - 05.1992
- Monitored and coordinated aircraft movements in the air and on runways.
- Instructed pilots on procedures for takeoff, landing, and other flight activities.
- Evaluated data collected from radar systems to identify possible problems with aircrafts or airspace.
Air Traffic Controller
U.S. Army Active Duty
Fort Rucker, AL
05.1985 - 05.1988
- Monitored and coordinated aircraft movements in the air and on runways.
- Instructed pilots on procedures for takeoff, landing, and other flight activities.
- Provided information about weather conditions, altitude restrictions, airspace regulations.
- Alerted pilots of potential hazards or deviations from air traffic control instructions.
- Managed multiple incoming flights simultaneously while monitoring radar screens for changes in patterns or locations of aircrafts.
- Reviewed flight plans submitted by pilots to ensure compliance with regulations and safety standards.
- Worked closely with other departments within the aviation industry such as meteorology, navigation, security.
- Maintained communication with pilots via radio to ensure safety of aircrafts.
- Communicated with supervisors regarding any issues that may arise during a shift.
- Recorded all pertinent information related to aircraft movements in logbooks.
- Trained new staff members on proper use of air traffic control equipment and protocols.
- Directed ground personnel as needed to ensure safe operations of airport facilities and equipment.
- Checked weather reports and delivered updates to pilots in preparation for diversion to other airports.
- Monitored weather conditions, aircraft position reports, aeronautical information and navigational charts to evaluate flight progress.
Education
Associate of Arts -
Merman College
St Louis, MO05-1992
High School Diploma -
Waynesville High School
Waynesville, MO05-1984
Skills
- Claims investigation
- Liability assessment
- Settlement negotiation
- Customer service
- Data analysis
- Report writing
- Effective communication
- Relationship building
- Time management
- Critical thinking
- Attention to detail
- Time management mastery
- Organizational skills enhancement
- Strategic Decision-making
- Data entry efficiency
- Continuing education commitment
- Complex case management
Timeline
Senior Claims Adjuster, Automobile and Casualty
ClaimsPro
01.1991 - Current
Air Traffic Controller
U.S. Army Reserves
05.1988 - 05.1992
Air Traffic Controller
U.S. Army Active Duty
05.1985 - 05.1988
Associate of Arts -
Merman College
High School Diploma -
Waynesville High School
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