Results-driven insurance professional dedicated to solving large-scale challenges through collaboration, leadership, innovation, and implementation tactics while leveraging the knowledge gained from MBA courses in statistics for manager decision-making, and Information communication and technology to protect our customers and company.
Overview
6
6
years of professional experience
Work History
Special Investigator
National General Insurance Compnany
08.2021 - Current
Determined the scope, timing, and direction of investigations
Enhanced case resolution efficiency by 20% by conducting thorough investigations and analyzing evidence in a timely manner.
Mitigated losses on claims by detecting and reporting fraudulent claims activity, saving the company over 2 million dollars in 2023.
Synthesized data into meaningful conclusions and made recommendations to cross-functional teams
Boosted organizational reputation by maintaining strict confidentiality throughout all investigations.
Prepared reports that detail investigation findings and made necessary referrals to local and state fraud bureaus
Represented Litigation Bodily Injury Adjuster
Allstate Insurance Company
02.2019 - 08.2021
Directed claims negotiations within the allowable limit of $100,000 and supported successful litigations for advanced issues
Evaluated claims and performed investigations to accurately assess damages and liabilities
Adjusted reserves and provided reserve recommendations to ensure that reserve activities were consistent with corporate policies
Reduced claim processing time by effectively managing a caseload of personal injury claims.
Streamlined claim investigations with thorough reviews of medical records, police reports, and witness statements.
Collaborated with legal counsel to prepare cases for trial, ensuring well-prepared defense strategies.
Improved departmental efficiency by mentoring new adjusters on best practices and procedures.
Liability Claims Adjuster
Allstate Insurance Company
02.2018 - 02.2019
Evaluated degree of liability exposure through investigation tactics
Conducted interviews and recorded statements with insureds, claimants and witnesses to facilitate fair claims investigations
Recorded all communication and claims activities in claims management database
Adjusted reserves and provided reserve recommendations to ensure that reserve activities were consistent with corporate policies
Participated in discussion at claim committee meetings
Maintained claim files, such as records of settled claims and inventory of claims requiring detailed analysis.
Customer Service Representative at Integon Insurance / National General InsuranceCustomer Service Representative at Integon Insurance / National General Insurance