Selena Pierce
Wheelersburg
Summary
Results-driven Claims Adjuster with three years of experience investigating losses and evaluating coverage to expedite claim settlements in compliance with insurance regulations. Proven ability to deliver exceptional customer service, ensuring a positive experience for all parties involved. Holds Property and Casualty Licenses in Florida, Kentucky, Texas, North Carolina, and additional states, showcasing a commitment to professional development and industry standards. Adept at navigating complex claims processes while maintaining a focus on accuracy and efficiency.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Bodily Injury Claims Adjuster
National General Insurance Company
Remote
06.2025 - Current
- Evaluated and processed bodily injury claims to determine coverage and liability.
- Communicated effectively with claimants, attorneys, and medical providers to gather necessary documentation.
- Analyzed medical records and accident reports to assess injury severity and claim validity.
- Negotiated settlements with claimants, ensuring fair compensation aligned with company policies.
- Collaborated with legal teams to prepare cases for litigation when necessary, enhancing case outcomes.
- Participated in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.
Property Damage Claims Adjuster
National General Insurance
02.2022 - 06.2025
- Executed detailed investigations by gathering evidence from police reports, recorded statements, and scene photographs to support claims processing.
- Analyzed policy language and endorsements to address coverage issues within claims.
- Utilized a diary system within Epic to efficiently manage claims, facilitating organized tracking and prompt follow-up actions.
- Mentored junior adjusters by delivering comprehensive training and guidance.
- Engaged with claimants and attorneys to effectively resolve claims and ensure compliance.
- Conducted damage assessments and generated detailed reports to assist in claims decision-making.
- Remote
Personal Injury Paralegal
Oxley, Rich, and Sammons LLC
Huntington, WV
11.2021 - 02.2022
- Recorded and organized attorney and insurer meetings, ensuring thorough review of loss facts, third-party injuries, and payment authority.
- Drafted and finalized subpoenas and legal documents for pretrial and post-trial proceedings.
- Assisted attorneys by preparing deposition and trial exhibits. Supported the creation of deposition summaries. Organized trial binders for legal proceedings.
- Facilitated issuance of medical subpoenas and obtained treatment histories from medical institutions for third-party requests.
- Documented and organized relative medical treatment details and histories to facilitate attorney review.
Personal Injury Paralegal
Lerner and Rowe Injury Attorneys
Merrillville, IN
05.2020 - 11.2021
- Conducted thorough investigations of loss incidents by interviewing clients, witnesses, and reviewing police reports and photographs.
- Communicated with insurers to verify bodily injury and UM/UIM policy limits.
- Communicated with Medicare and Medicaid to verify client eligibility in accordance with CMS regulations.
- Facilitated HIPAA compliance letter distribution to clients, enabling attorney evaluation of medical treatment related to accidents.
- Documented client medical treatment notes, including relevant diagnoses and prognoses for attorney review.
- Organized medical records and bills into a comprehensive demand package for attorney review.
Education
Bachelor's of Arts - Political Science
Purdue University
West Lafayette, IN05.2020
Skills
- Customer engagement
- Interview facilitation
- Experience in subrogation claims management
- Insurance policy coverage knowledge
- Claims investigation
- Medical records analysis
- Settlement negotiation
- Liability assessment
- Policy interpretation
- Damage evaluation
- Insurance regulations
Certification
- Associates in Insurance (AINS), The Institutes
- Property and Casualty Insurance License
Timeline
Bodily Injury Claims Adjuster
National General Insurance Company
06.2025 - Current
Property Damage Claims Adjuster
National General Insurance
02.2022 - 06.2025
Personal Injury Paralegal
Oxley, Rich, and Sammons LLC
11.2021 - 02.2022
Personal Injury Paralegal
Lerner and Rowe Injury Attorneys
05.2020 - 11.2021
Bachelor's of Arts - Political Science
Purdue University