TONIANN LONGINETTI
Mahopac
Summary
Claims professional, well-versed in managing diverse portfolio of claims and ensuring compliance with industry standards. Expertise in risk assessment, policy interpretation, and client communication. Proven track record in achieving results and ensuring client satisfaction.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Private Client Claims Advocate - Northeast Region
Arthur J. Gallagher
05.2022 - Current
- Advocates mid-level and complex claims by effectively communicating coverage advice to clients, ensuring clarity and understanding
- Conducted thorough reviews of coverage positions, challenging carrier decisions to secure optimal outcomes for clients
- Negotiates valuation disputes to achieve favorable settlements and maintain client satisfaction
- Manages vendor relationships for quality assurance
- Developed disaster planning protocols and workflows for the claim advocacy team to support organizational preparedness for catastrophe claims
Inside Property Claim Representative
PURE Group of Insurance Companies
01.2021 - 05.2022
- Managed property claims in a quality manner, delivering on standards of accuracy, efficiency, and adherence to regulatory compliance standards for all fifty states
- Assessed coverage, evaluated damages, established reserves, and resolved a high volume of claims promptly
- Facilitated accurate loss assessments by drafting estimates in Xactimate
Member Advocate Team Lead
PURE Group of Insurance Companies
06.2018 - 01.2021
- Led a team of Member Advocates, providing guidance and support to achieve performance goals
- Developed personalized development plans aligned with business OKRs to foster professional growth
- Conducted regular file reviews and phone audits to ensure technical accuracy
- Delivered creative, customer-driven solutions when handling service escalations
- Conducted candidate screenings and interviews for effective team building for the claims department, as well as executing cultural fit interviews for other departments
Senior/Member Advocate
PURE Group of Insurance Companies
01.2016 - 06.2018
- Managed high-value auto and collection losses over 100k ensuring thorough investigation and resolution
- Completed cyber investigation claims and provided support for cyber risk prevention phone line
- Executed initial set-up of newly reported claims
Operations Coordinator
All Pro Cleaning and Restoration – A Belfor Company
04.2010 - 01.2016
- Managed TPA and claim solution databases, creating workflows and generating monthly reporting for the production team
- Reviewed SLA agreements and submitted claim documents in accordance with compliance standards for commercial and residential partners
- Scheduled both project management and operation teams for construction projects
- Sold direct payment client proposals
Education
Bachelor of Arts - History
Fordham University
Bronx, NY01.2006
Skills
- Claims Resolution Management
- Claims Processing Expertise
- Property Insurance
- Claims Analysis
- Risk Mitigation
- Effective Negotiation
- Xactimate Software Experience
- Microsoft Office Suite
- Team Leadership
- Experienced with Epic Software
Certification
- New York Independent Adjuster License
- AIC-M Designation - The Institutes
- AINS Designation - The Institutes
- Chartered Private Risk Insurance Advisor (CPRIA) - Private Risk Management Association
- Haag Certified Roof Inspections
- Launch to Leadership - Executive Leadership Program
Timeline
Private Client Claims Advocate - Northeast Region
Arthur J. Gallagher
05.2022 - Current
Inside Property Claim Representative
PURE Group of Insurance Companies
01.2021 - 05.2022
Member Advocate Team Lead
PURE Group of Insurance Companies
06.2018 - 01.2021
Senior/Member Advocate
PURE Group of Insurance Companies
01.2016 - 06.2018
Operations Coordinator
All Pro Cleaning and Restoration – A Belfor Company
04.2010 - 01.2016
- New York Independent Adjuster License
- AIC-M Designation - The Institutes
- AINS Designation - The Institutes
- Chartered Private Risk Insurance Advisor (CPRIA) - Private Risk Management Association
- Haag Certified Roof Inspections
- Launch to Leadership - Executive Leadership Program
Bachelor of Arts - History
Fordham University
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