Summary
Overview
Work History
Education
Skills
Licenses
Timeline
Generic

Sumner Bukoski

Summary

Experienced Claims Specialist with expertise in claims processing, settlement preparation, and high-profile claims resolution. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating high dollar liability claims. Committed to maintaining client satisfaction and contributing to company success.

Overview

8
8
years of professional experience

Work History

Senior Commercial Litigation Claims Specialist

Gallagher Bassett- FedEx Account
04.2023 - Current

● Assess and evaluate injury and general liability claims by determining coverage, liability and litigation potential for exposures up to, but not limited to, $2,000,000.00.
● Conduct thorough investigations while assigning and coordinating with venue-specific defense counsel to strategize settlement

● Negotiate settlements before and during legal motions for injuries spanning from soft tissue injuries to high profile fatality cases
● Strictly adhere to all answer deadlines to avoid any possible default judgments and retaining rapport with plaintiff counsels
● Research and collaborate with expert witnesses, such as accident reconstruction specialists or medical professionals to build defense case

Injury Claim Specialist

USAA Insurance
04.2022 - 04.2023

● Investigates liability for Bodily Injury claims for minor to moderate injuries
● Consults with doctors, police and witnesses to determine liability and risk
● Coordinate with SIU for any potential fraudulent claims and providers
● Setting accurate expectations and maintaining thorough communication, written and verbal, with all related parties
● Schedule repairs, rentals and answer questions related to total loss claims

Sr. Commercial Injury Claim Specialist

Allstate Insurance- Uber & Lyft Accounts
04.2019 - 04.2022

● Investigated liability for Bodily Injury claims of varying complexities
● Consulted with attorneys, doctors, police and witnesses to determine accurate injury information to maintain claim integrity

● Negotiate with attorneys varying within 15 states and their respective venues to result in reasonable settlements
● Coordinate with Uber Technology or Lyft Inc. when high risk exposures become a possibility or aggravating factors, such as news coverage, become present
● Setting accurate expectations and maintaining thorough
communication, written and verbal, with all parties


-Served as back-up supervisor when management was on vacation or leave. Handled escalations, managerial survey responses, and performance plan follow-ups
-Communicated methods for positive customer relations and phone etiquette to department through internal committee
-Managed specialized team of temporary adjusters to
handle high risk claim tasks and close files. This project was so successful that the contract for the temporary adjusters was extended twice
-Directed and facilitated analysis project to better understand value driving factors in injury claims

Claims Supervisor

Windhaven Insurance
05.2018 - 04.2019

● Exclusively managed team for new employees to learn and adjust to company standards and policies
● Handles escalations and immediate resolutions for situations that exceed adjusters' authority or ability
● Approves all payments, denial requests and rental assignments for all files assigned to team of 7-10 adjusters
● Controls and manually assigns claims that suit particular adjusters' skill levels, aptitude & familiarity with venue
● Leads daily huddles with team to discuss metric-based goals and best practices for desk management
● Designs job aids and tools to assist adjusters in the claims process
● Audits claim files for accuracy and procedure while recording
individual adjuster progress and behaviors
● Writes performance statuses and comprehensive action plans for employees that require a different approach for development

Bodily Injury Claims Specialist II

Liberty Mutual Insurance
07.2017 - 05.2018

● Investigates liability for Bodily Injury claims for minor to moderate injuries
● Consults with doctors, police and witnesses to determine liability and risk
● Coordinate with SIU for any potential fraudulent claims and involved
providers
● Setting accurate expectations and maintaining thorough communication,
written and verbal, with all related parties
● Schedule repairs, rentals and answer questions related to total loss claims

Claims Resolution Specialist

Liberty Mutual Insurance
06.2016 - 07.2017

● Investigated auto property damage and total loss claim exposures
● Determined liability by collecting statements, photos, police reports, and any other piece of evidence that can support an accurate decision
● Resolving property damage and scheduling applicable services to ensure an expedient and positive claims experience
● Maintaining thorough communication with each claimant and returning all correspondence within one business day to reinforce peace of mind that each claim is being handled with care

Claims Customer Care Associate

Liberty Mutual Insurance
10.2015 - 06.2016

● Remained active and attentive to every call and the specific needs their claim required
● Filed First Notice of Loss claims as well as attended to status calls on existing claims to relieve call volume from active claim adjusters
● Determined coverage, scheduled services and set proper expectations to ensure a “one call claim”

Education

High School Diploma -

Cypress Woods
Cypress, TX
06.2010

Skills

  • Settlement Determinations
  • Settlement Negotiation
  • Documentation Review
  • Accident Investigations
  • Policy Interpretation
  • Claims Investigation
  • Claims Analysis
  • Risk Management
  • Compliance Management
  • State & Federal Claims Law
  • Liability Investigation
  • Mediation and Trial Preparation

Licenses

Property & Casualty License
License# 2052248 - Exp 7/31/24

Timeline

Senior Commercial Litigation Claims Specialist

Gallagher Bassett- FedEx Account
04.2023 - Current

Injury Claim Specialist

USAA Insurance
04.2022 - 04.2023

Sr. Commercial Injury Claim Specialist

Allstate Insurance- Uber & Lyft Accounts
04.2019 - 04.2022

Claims Supervisor

Windhaven Insurance
05.2018 - 04.2019

Bodily Injury Claims Specialist II

Liberty Mutual Insurance
07.2017 - 05.2018

Claims Resolution Specialist

Liberty Mutual Insurance
06.2016 - 07.2017

Claims Customer Care Associate

Liberty Mutual Insurance
10.2015 - 06.2016

High School Diploma -

Cypress Woods
Sumner Bukoski