Experienced claims adjuster with many years of auto and GL claims handling. Able to read and interpret policies, as well as work in an environment of self-retained claims where there is no policy to use as reference. Licensed in multiple states.
Overview
16
16
years of professional experience
Work History
Claim Analyst
ADUSA, LLC
Quincy, MA
01.2024 - Current
Received and reviewed new claims submitted by our stores, across multiple jurisdictions, including general liability, product liability, and auto, heavy equipment/tractor trailer accidents.
Completed a full investigation, including but not limited to obtaining recorded statements, written statements, video/photos, appraisals, and medical records.
Negotiated settlements with claimants or their attorney, based on facts presented during investigation and in the medical records, to settle claims timely and fairly.
Advised customers on documentation needed and other matters pertaining to their claims.
Managed escalated cases involving high-value claims or multiple parties involved.
Review and analyze lease documents pertaining to the property location.
Prepared tender letters to vendors, landlords, and other entities as needed based on individual contracts and leases.
Maintained fully documented file contents in the event litigation is initiated.
Assisted in the training of new hires.
Manage daily diary in order to continue communication with the involved parties.
Claims Adjuster
National General Insurance
Quincy, MA
04.2009 - 01.2017
Received new reports and completed all phases of the investigation.
Analyze coverage to determine if a claim should be covered, per the applicable policy.
Composed detailed coverage letters in regards to automobile and Personal Homeowner's coverage.
Reviewed medical records in conjunction with damage reports to prepare for negotiations with an insured, claimant, or attorney.
Initiated and supplied all documents for subrogation.
Presented cases at arbitration and mediation.
Daily diary system used to maintain ongoing and timely communication with all parties involved in the claim.
Worked closely with SIU on coverage and liability issues requiring additional investigation.