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
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Experience
Casualty Claim Representative
July 2011 to CurrentCr England, Inc. － Joliet , IL
July 2011 to CurrentCr 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 2011Esurance － City , STATE
November 2006 to July 2011Esurance － 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 2006Esurance － City , STATE
May 2005 to November 2006Esurance － 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 2005The Hartford's Omni Auto Plan － City , STATE
February 1999 to May 2005The 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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Resume Overview
Job Titles Held:
- Casualty Claim Representative
- PIP Representative
- Claims Adjuster
- Claim Processor
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