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Casualty Claim Representative Resume Example

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CASUALTY CLAIM REPRESENTATIVE
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
Casualty Claim Representative
July 2011 to Current
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.
PIP Representative
November 2006 to July 2011
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.
Claims Adjuster
May 2005 to November 2006
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.
Claim Processor
February 1999 to May 2005
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
Licensing

Currently hold active property and casualty adjusting licenses in Georgia, North Carolina, South Carolina, Florida, Texas, Kentucky, Delaware and Connecticut

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How this resume score could be improved?

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61Fair
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Resume Overview

Job Titles Held:

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

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