Casualty Claim Representative Resume Example Company Name

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 CurrentCompany Name － City, State

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 2011Company Name － 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 2006Company Name － 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 2005Company Name － 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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Casualty Claim Representative Resume Example

Resume Score: 80%

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