Knowledgeable Claims Supervisor with solid background in claims management and team supervision. Supervised claims processing, ensuring accuracy and compliance, while fostering collaborative work environment. Demonstrated problem-solving skills and effective communication in resolving claims issues.
Overview
30
30
years of professional experience
1
1
Certification
Work History
CLAIMS SUPERVISOR II/COMPLEX CLAIMS EXAMINER
ATHENS ADMINISTRATORS
03.2020 - Current
Supervised General Liability claims unit for multiple insurance carrier programs including condominium associations, addiction treatment facilities, health & wellness facilities, retail business shopping centers and storage facility liability claims.
Provided oversight and direction to claims unit that consisted of various levels of experience in handling GLPD and GLBI claims in all 50 states.
Clients include Accelerant/Arden Condominium Program, Allied World Specialty Insurance Company, AXIS Capital Insurance Company, Old Republic Insurance, Arch Insurance, AmGUARD Insurance.
Successful management of both defense counsel and coverage counsel in litigation claims.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Analysis of coverage that included issuing of disclaimers/reservation of rights letters.
Proven success in managing a diverse work unit.
Assisted in the recruitment and selection of new claims adjusters, ensuring they possessed the necessary skills and expertise to excel in their roles.
SENIOR CLAIMS EXAMINER
PHILADELPHIA INSURANCE COMPANIES
04.2015 - 03.2020
Successfully handled GLBI and GLPD claims for commercial insurance claims that included commercial shopping centers, condominium association liability claims, apartment community liability claims, and other commercial accounts.
Successful litigation management and direction of defense counsel in resolution of claims including attendance of mediation.
Reviewed coverage and crafted coverage disclaimers and reservation of rights when warranted.
Enhanced customer satisfaction through prompt communication and comprehensive claim explanations.
SENIOR FIELD INVESTIGATOR
SPECIALTY GROUP, INC.
01.2014 - 04.2015
Worked with numerous insurance carriers performing field investigation and claims handling for commercial GL, Auto, Workers Compensation.
Mediation Attendance and Negotiation.
Assisted clients in achieving desired outcomes through diligent research and presenting factual evidence supporting their claims or defense strategy.
Developed comprehensive reports detailing findings and recommendations, facilitating informed decision-making by clients.
SENIOR FIELD INVESTIGATOR
LIBERTY MUTUAL
01.2012 - 12.2013
Commercial GL and Auto liability field investigations.
Managed caseloads effectively while prioritizing urgent cases to meet deadlines without compromising thoroughness or attention to detail.
Documented findings and prepared detailed reports.
Conducted interviews with witnesses and clients.
Analyzed information gathered by investigation and reported findings and recommendations.
Mediation Attendance and Negotiation.
CLAIMS SPECIALIST
CNA Insurance
04.2009 - 12.2011
Commercial GL and Auto claims.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
Litigation Management.
Mediation attendance and negotiation.
CLAIMS SUPERVISOR/SENIOR CLAIMS REPRESENTATIVE
CAMBRIDGE INTEGRATED SERVICES GROUP, INC.
06.2005 - 04.2009
Management of adjusters handling commercial Auto and GL claims in multiple states.
Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
Ensured timely resolution of escalated claims by working closely with legal counsel and other stakeholders.
MASTER CLAIMS REPRESENTATIVE
NATIONWIDE INSURANCE COMPANIES
01.2002 - 06.2005
Commercial GL and Auto bodily injury claims.
Conducted detailed interviews with policyholders and witnesses to gather essential information for accurate claim evaluations.
Served as a knowledgeable resource on insurance policies, helping both coworkers and customers understand coverage details accurately.
Negotiated successful settlements through effective communication and creative problem-solving skills.
CLAIMS EXAMINER
WORKMEN'S AUTO INSURANCE CO.
07.2001 - 12.2001
Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for non-standard personal auto claims.
Examined photographs and statements.
Consulted police and hospital records when needed.
TECHNICAL RECRUITER
AEROTEK/THE MAXIM GROUP
09.2000 - 06.2001
Successfully filled numerous hard-to-source roles by utilizing creative search methods and tapping into niche networks.
CLAIMS REPRESENTATIVE
NORTH AMERICAN RISK SERVICES, INC.
11.1996 - 09.2000
Worked productively in fast-moving work environment to process large volumes of claims for client companies.
Negotiated favorable settlements with claimants, resulting in cost savings for the company.
Developed in-depth understanding of insurance policies and procedures.
Conducted detailed investigations into suspicious claims, reducing instances of fraud.
CLAIMS EXAMINER
THE ATLANTA CASUALTY COMPANIES, INC.
10.1995 - 11.1996
Conducted thorough investigations of personal auto claims for bodily injury and property damage.
Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
Education
Bachelor of Arts - Speech Communications
University of Georgia
Athens, GA
Skills
Claims management expertise
Policy interpretation
Claims auditing
Claims analysis
Team management
Performance monitoring
Team collaboration
Adaptability and flexibility
Certification
Florida All-Lines Adjuster License
New York Independent Adjuster License
Currently hold reciprocal adjuster licenses in almost all states