2016:Harvesters of Kansas City-Community Food Network Volunteered by working in warehouse packing groceries for residents in community 2012-2014:Habitat for Humanity of Kansas City Participated in the rehabilitation of existing homes in the Kansas City area 2011-2016:Travelers Insurance Property Enterprise Response Team. Volunteered as a property claim first responder during catastrophe situations Property Field Inspector for property damage claims during Hurricane Sandy in New York Took photographs, measurements and wrote estimates for property damage claims
03/2016 to Current
Multi-Line Senior Claims RepresentativeBITCO Insurance Company － Overland Park, KS
Reviewed, analyzed and interpreted insurance policy conditions, exclusions and endorsements to resolve coverage and liability issues for all lines of business.
Prepares reservation of rights letters, non-waiver agreements and coverage disclaimers to address claim coverage issues.
Evaluates claim reserves, including periodically evaluating the claim to ensure the reserves properly reflect the potential exposure.
Investigates claims to evaluate coverage and legal issues; policy holders and witness meetings; claimant and witness statements; medical records; retains field experts and counsel along with other information relevant to the respective claim; overall evaluation of each claim, potential liability and damages, and the Company's negotiating posture for settlement purposes.
Negotiates and resolves claims with claimants, policy holders and counsel.
Prepares releases, proof of loss and similar documents as evidence of claims resolution; authorizes issuance of settlement funds.
Provides direction to and management of defense counsel, independent adjusters and any other third parties retained to assist in the claims process Handle multi-line claims that include workers' compensation, commercial auto, general liability and business property claims.
Workers' Compensation Claim Professional Travelers Insurance.
07/2011 to 03/2016
Auto Claims AdjusterOverland Park, KS
Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations accurate payment to both injured workers and network providers.
Determine settlement amounts, negotiating and conveying claim settlements within authority limits to insureds and claimants.
Investigate each claim to obtain relevant facts necessary to determine coverage, causation/ damages, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts.
Handled lost time and medical only claims from first notice of loss to claim resolution.
Personal Travelers Insurance Delivered consistent service quality throughout the claim life cycle, including but not limited to prompt contact within 8 hours of claim assignment, explaining the process, setting expectations, on-going communication, and follow-through meeting commitments to achieve optimal outcome on every file Determined settlement amounts, through negotiating and conveying claim settlements within authority limits to insureds and claimants.
Referred claims beyond authority as appropriate based on exposure and established guidelines to appropriate supervisor or claim professional.
Wrote denial letters to all involved parties when appropriate in dealing with claims not covered by insured policy.
Handled 1st party claims as well as 3rd party property damage claims.
09/2010 to 07/2011
Retail Production ManagerOverland Park, KS
Trained, planned, evaluated and delegated responsibilities to 25 employees in a for-profit thrift retail business.
Scheduled employees based on labor hours allotted per profit and loss statement each month Ensured production employees exceeded daily processing goal through cross training and promoting high potential candidates.
Assisted in interviewing, hiring, and training of both front and back of house employees in accordance with company guidelines.
Negotiated with local recycling company to pick up cardboard waste in exchange for income for the store which also reduced the overall trash expense on the profit and loss statement.
01/2006 to 08/2010
Retail Store ManagerKansas City, MO
Mar-Beck Appliance Parts Managed retail store that specialized in appliance parts, small appliances, special orders and small appliance repairs.
Exceeded daily, weekly, and monthly sales goals in a one on one customer focused sales business.
Trained employees on current sales and suggestive selling techniques to increase sales year over year by focusing on increasing ticket averages, role playing and product demonstrations.
Education and Training
Bachelors of Science: Fitness Management Business AdministrationPittsburg State UniversityFitness Management Business Administration
direction, funds, hiring, Insurance, law enforcement, legal, letters, meetings, exchange, negotiating, negotiation, network, pick, profit, profit and loss statement, quality, repairs, retail, selling, sales, settlements, supervisor
New Mexico Staff Insurance Adjuster (Non-Resident)
Volunteer Activities: 2016:Harvesters of Kansas City-Community Food Network Volunteered by working in warehouse packing groceries for residents in community 2012-2014:Habitat for Humanity of Kansas City Participated in the rehabilitation of existing homes in the Kansas City area 2011-2016:Travelers Insurance Property Enterprise Response Team. Volunteered as a property claim first responder during catastrophe situations Property Field Inspector for property damage claims during Hurricane Sandy in New York Took photographs, measurements and wrote estimates for property damage claims