TEREZA GEBREAB
Atlanta,GA
Summary
Insurance Adjuster skilled in investigating and analyzing liability, Compensability and concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 8 years of experience interviewing specialists, witnesses and claimants to resolution.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Workers Compensation Adjuster Specialist
Travelers Insurance
Alpharetta
07.2022 - Current
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to claim or client contract
- Communicates claim action with claimant and client
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review
- Maintains professional client relationships
- Directed claims negotiations within allowable limits and supported successful litigations for advanced issues
- Leveraged strong negotiation skills to resolve claim disputes, resulting in favorable settlements for both the company and policyholders.
Auto Liability Claims Adjuster
Liberty Mutual
10.2021 - 06.2022
- Perform comprehensive investigations to evaluate potential liability in automobile claims. Assess automobile damage to establish insurance coverage based on in-depth analysis. Facilitate negotiations and resolve bodily injury and property damage claims. Ensure favorable outcomes for assigned claims by evaluating various settlement options. Respond to customer inquiries and deliver robust solutions to meet set requirements. Address challenging and high-exposure claims by implementing customer-focused approach.
⦁ Investigate and effectively resolve Commercial liability and bodily injury claims via telephone, internet, or email.
⦁ Sustained strong and positive relationships with insurance policyholders to foster trust and for ensuring satisfaction.
⦁ Evaluate and investigate policy coverage, liability and damages in a timely manner following a set of general claim and statutory guidelines.
⦁ Establish and maintain appropriate diary of open claims following company guidelines.
⦁ Draft precisely accurate settlement agreement in compliance with state laws that also provided protection to policy holders and insurance carriers.
⦁ Evaluated and negotiated claims within authority level for property and bodily injury claims with attorneys and non-represented claimants
Commercial Liability Adjuster
Kemper Insurance
04.2021 - 10.2021
- Evaluate degree of liability exposure through thorough investigation tactic
- Make approval or denial decisions for each by reviewing evidence, estimates and photographs
- Negotiated fair settlements with claimants, ensuring both parties reached a satisfactory agreement
- Managed high case volume while maintaining exceptional customer service and attention to detail
- Interview and obtained recorded statements from insured claimants and witness in order to gain pertinent claim information and develop opinion on liability and value
- Prepare disclaimers, reservation of rights and other correspondence as deemed appropriate
- Determine policy status and coverage, review appropriate policies for coverage, limits and deductibles
- Determine liability for loss
- Make contact with policyholders and other parties involved in loss to schedule inspection.
Auto Liability Injury Claims Adjuster
State Farm
10.2016 - 04.2021
- Investigating, evaluating, auto claims in assigned area to include verification of coverage, legal liability and extent of damage to persons and property, which may require contact by telephone, correspondence, in person, or various electronic media
- Applying knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damages of injury (first and third party) and property damage
- Most importantly delivering remarkable customer experience through handling claims department for effective process
- Interview and obtained recorded statements from insured claimants and witness in order to gain pertinent claim information and develop opinion on liability and value
- Trained other claims staff members on proper handling and evaluation of injury claim
- Assist internal and external customer with problems or questions regarding claims while providing high level of customer service
- Communicate clearly and concisely policy holder's policies, limits and deductibles.
Education
Business Administration -
Georgia State University
Skills
- Claims Investigation
- Technical knowledge
- Policy Investigations
- Workers' Compensation Claims
- Property valuation
- Litigation Resolution
- Advanced Computer Skills
Certification
Texas, Georgia, Connecticut, Delaware, Florida (Designated Home State), Louisiana, North Carolina, New Hampshire, New Mexico, Oklahoma, South Carolina, Wyoming, Georgia Workers Comp ( Home state)
Timeline
Workers Compensation Adjuster Specialist
Travelers Insurance
07.2022 - Current
Auto Liability Claims Adjuster
Liberty Mutual
10.2021 - 06.2022
Commercial Liability Adjuster
Kemper Insurance
04.2021 - 10.2021
Auto Liability Injury Claims Adjuster
State Farm
10.2016 - 04.2021
Business Administration -
Georgia State University
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