Insurance Claims Processor with 23 years of experience investigating and processing insurance claims. Excel in analyzing causes, interpreting policies, and negotiating payment solutions. Due to my experience and knowledge, I was selected to Coach/train new adjusters how to work liability claims, PIP claims, PIP demands, and respond to arbitrations. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills.
When I started the coaching position, I was the only coach and assisted all the transition adjusters as they came through. Several years later they began to add additional coaches and more administrative duties. As a TCR1 Coach I worked closely to help teach and guide new adjusters how to handle all coverage files, liability files, full PIP handling, PIP demand Responses, arbitration responses/contentions/and addressed the decisions. (Many of the associates have become supervisors and managers) I helped them learn the process to complete full liability investigations, obtain recorded statements, Police reports and any evidence needed to determine liability, coverage, and PIP qualifications. I taught them how to respond to Letter of representations. I helped them recognize BI and UM exposures so they could properly reassign claims as needed. I was responsible for keeping coaching logs, doing side by sides, new loss reviews, SPR's and call monitors. PIP and TCR1 eventually split, however I continued to work PIP, PIP demands, and PIP LIT projects. Supervisors and Managers have reached out to me many times through the years to handle arbitration responses for other associates on the floor. I have taken many different CE classes/courses throughout the last 23 years to maintain my license. I have been a continued line of support for adjuster even after they have gone to a desk. I'm always willing to assist if they need help.
Although I went to coaching in 2010, I have continued to handle TCR1 and PIP functions including , working on PIP LIT Projects and PIP demands.
As a TCR1 adjuster, I handled all coverage files, liability files, full PIP handling (addressed and handled medical bills, pip qualifications, IME's, EUO's, etc.), PIP demand Responses, PIP LIT projects, arbitration responses/contentions/and addressed the decisions. I handled the full liability investigations, obtained recorded statements, police reports and any evidence needed to determine liability, coverage, and PIP qualifications. I responded to Letter of representations received. Provided excellent service and attention to customers when face-to-face or through phone conversations.
Handled subrogation against other companies and uninsured parties to recover back our money and our insured's deductibles and out of pocket expenses. Handled arbitration (filed contentions and addressed the decisions).
I sat as a panelist on a 3-person panel and individual panel for arbitration forums. For many years Arbitration forums came to GEICO one time a month and I participated in the 3-person panel hearing/reviewing the arbs for other carriers and posting the decisions. The process eventually changed, and we reviewed them in through the system as an individual panelists making and posting the decisions.
Took First notice of losses, set up Auto damage assignments, rentals, handled basic claims investigations and liability.