Seeking a challenging position in Litigation where I can utilize my skills and experience to contribute to the success of the company that offers opportunities for professional growth and advancement.
Overview
22
22
years of professional experience
Work History
Technical Claims Consultant Liability
Hanover Insurance
Roseville, CA
01.2022 - Current
Assisted teams in investigating claims and negotiating resolutions. Supported risk transfer processes and conducted reviews of contracts. Collaborated with colleagues to facilitate effective claim management.
Assessed, adjudicated, and resolved a diverse range of complex tort claims.
Conducted thorough coverage reviews to evaluate liability and contractual indemnity.
Assisted in processing claims for public entities, including school districts and government vehicles. Supported claims management for public hospitals. Collaborated with teams to resolve claims in a timely manner.
Directed compliance oversight of claims handling processes to ensure adherence to state legal statutory requirements.
Litigation Specialist
Zurich North America
Rancho Cordova, CA
01.2019 - 01.2022
Directed management of litigated claims desk with a focus on commercial motor vehicle torts.
Oversaw severe injury claims and litigation processes across multiple jurisdictions.
Directed high-stakes decision-making processes for complex claims management.
Exhibited strong organizational and analytical skills to optimize operational efficiency.
Directed budget management for legal counsel, ensuring optimal allocation of resources.
Senior Casualty Adjuster
York Risk Services Group
Roseville, CA
01.2014 - 01.2019
Oversaw investigation, evaluation, negotiation, and settlement processes for assigned casualty-related losses.
Managed complex litigated and non-litigated commercial automobile property and bodily injury cases.
Implemented best practices and standards for efficient claims handling.
Maintained confidentiality of all claim information while upholding professionalism standards.
Claims Specialist II
Meadowbrook Insurance Group
Roseville, CA
01.2013 - 01.2014
Conducted investigative procedures to gather statements from policyholders, third parties, and witnesses.
Oversaw compliance with statutory and regulatory requirements in claims processing across multiple states.
Developed proficiency in identifying and selecting qualified experts for investigative support.
Oversaw management of complex claims for oilpatch, hi-tech agriculture, janitorial services, health and fitness, Chemplan, and mobile home parks.
Cultivated team collaboration to enhance operational efficiency and service delivery.
Evaluated claims for accuracy and compliance with company policies.
Managed complex claims investigations to determine liability and coverage.
Collaborated with cross-functional teams to streamline claim processing workflows.
Mentored junior staff on best practices in claims evaluation and processing.
Implemented process improvements that enhanced operational efficiency in claims handling.
Analyzed trends in claims data to identify potential fraud risks and prevention strategies.
Developed training materials for new hires, enhancing onboarding experience and knowledge retention.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Led initiatives to improve customer satisfaction scores through effective claims resolution practices.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Claims Representative
Hartford Insurance Company
Aurora, IL
01.2004 - 01.2013
Managed claims across diverse lines, including commercial general liability, automobile bodily injury, property damage, product liability, professional liability, and homeowners claims under AARP program.
Executed comprehensive investigations to assess facts and statements from all parties involved.
Analyzed policy language to ensure compliance with corporate policies and state regulations for diverse claims.
Facilitated effective communication with policyholders to deliver comprehensive updates on claims status.
Mitigated losses promptly while ensuring compliance with state regulatory requirements.
Education
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United States Marine Corp
Camp Lejeune, NC
Bachelor of Science - Administration of Justice, Minor Psychology
California State University Sacramento
01.2000
Skills
Microsoft Office Software-Excel, Word, Outlook, PowerPoint
Strong interpersonal skills
Ability to prioritize, multi-task, and quick learner
Excellent negotiation skills and adapts well into high-paced environments
Embraces change and can work independently
Military Experience
United States Marine Corp, Camp Lejeune, NC, 4 years, Corporal, Honorably Discharged, Directed subordinates by providing tactical and technical guidance, Operated and maintained Amphibious Assault Vehicles worth over $1M, National Defense Service Medal, Navy Unit Commendation, Armed Forces Expeditionary Unit Medal, Joint Meritorious Unit Commendation, United Nations Medal
Timeline
Technical Claims Consultant Liability
Hanover Insurance
01.2022 - Current
Litigation Specialist
Zurich North America
01.2019 - 01.2022
Senior Casualty Adjuster
York Risk Services Group
01.2014 - 01.2019
Claims Specialist II
Meadowbrook Insurance Group
01.2013 - 01.2014
Claims Representative
Hartford Insurance Company
01.2004 - 01.2013
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United States Marine Corp
Bachelor of Science - Administration of Justice, Minor Psychology
Liability Claims Supervisor at Government Employees Insurance Company (GEICO)Liability Claims Supervisor at Government Employees Insurance Company (GEICO)