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casualty claim representative resume example with 20+ years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Dynamic insurance professional bringing 15 years in the field of insurance with an emphasis on automobile claims.Energetic and enthusiastic; motivated to succeed in a fast-paced and deadline-driven professional environment.

Highlights
  • Strong interpersonal and communication skills
  • Team player
  • Decisive
  • Multiple state licenses
  • First and third party injury claim experience
  • Strong organizational skills
Experience
06/2011 to Current Casualty Claim Representative Cr England, Inc. | Joliet, IL,
  • Reviewed data to verify the validity of claims.
  • Analyzed first reports of loss and underlying file material to determine if a claim was suspect and referred to SIU as needed.
  • Monitor and adjust reserves as needed
  • Completed required investigations on referred files in a timely manner.
  • Obtained all necessary information to complete proper evaluation of injury claims.
  • Recommended settlement offers and negotiated payment arrangements.
  • Contacted injured parties and legal representatives to negotiate final settlements for claims.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
10/2006 to 06/2011 PIP Representative Esurance | City, STATE,
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control.
  • Identified and collected evidence and determined its value to a specific claim.
  • Contacted injured parties and legal representatives to negotiate final settlements for first party injury claims.
04/2005 to 10/2006 Claims Adjuster Esurance | City, STATE,
  • Reviewed data to verify the validity of claims. Resolved complex coverage investigations based on policy language.
  • Analyzed first reports of loss and underlying file material to determine if a claim was suspect and made appropriate SIU referrals.
  • Monitored the quality of independently conducted investigations.
  • Completed required investigations on referred files in a timely manner.
  • Obtained all necessary information to complete proper evaluation of injury claims.
  • Recommended settlement offers and negotiated payment arrangements.
  • Contacted injured parties and legal representatives to negotiate final settlements for claims.
  • Identified and collected evidence and determined its value to a specific claim.
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Made appropriate referrals subrogation departments.
01/1999 to 04/2005 Claim Processor The Hartford's Omni Auto Plan | City, STATE,
  • Obtained relevant evidence and information regarding claims.
  • Identified and collected evidence and determined its value to a specific claim.
  • Completed required investigations on files in a timely manner.
  • Referred files to SIU and subrogation as appropriate

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Resume Overview

School Attended

    Job Titles Held:

    • Casualty Claim Representative
    • PIP Representative
    • Claims Adjuster
    • Claim Processor

    Degrees

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