Motivated Senior Casualty Adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with an emphasis on fairness and thoroughness.
Skills
Accident scene investigations
Insurance policy coverage knowledge
Personal, casualty and property loss
Automobile claims specialist
Organized
Customer service-oriented
Advanced oral and written communication skills
Highly motivated
Skilled multi-tasker
Work History
10/2013 to Current
Senior Claims SpecialistMetLife Auto and Casualty – Henderson, NV
Investigate and determine coverage, liability and handle large loss exposure claims.
Negotiating settlements for first and third party claimants and resolving attorney represented files.
Assigning independent adjusters to do field investigations.
Review for subro potential.
Maintaining diary and reserves timely.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Evaluated all evidence with the ultimate goal of creating positive outcomes for client's claims.
Directed and coordinated various investigations conducted by field investigation team.
Reviewed new files to determine current status of injury claim and to develop a plan of action.
09/2011 to 10/2013
Senior Litigation SpecialistCSAA – Oklahoma City, OK
Determining liability, investigations, negotiations and litigated files.
Assigning to defense and working closely to resolve large loss claims.
Handling large loss claims.
Maintaining diary and reserves timely.
Investigated claims involving potential and suspected fraudulent activities.
Partnered with legal counsel on litigation cases.
Evaluated insurance policies and analyzed damages to determine coverage.
Maintained contact with claimants and attorneys to determine treatment status.
09/2005 to 06/2009
Senior Litigation SpecialistFARMERS INSURANCE – Fayetteville, AR
Determining if coverage is available and completing liability investigation.
Field rep that included meeting with claimants that have been injured.
Handle attorney represented files along with review of time demands and evaluations.
Negotiates for timely settlement.
Preparing files for arbitration, mediation, litigation and trial.
Referring any type of fraud potential to SIU.
Partnered with legal counsel on litigation cases.
03/2005 to 09/2005
Senior Claims AdjusterCLAIMS MANAGEMENT INC – Rogers, AR
Handling loss prevention claims for Wal-Mart, Sams and Neighborhood Market.
Investigate and handle claim appropriately.
Reviewing video tapes of incident.
Determining if loss was handled appropriately by Wal-Mart employee.
Upon determination would evaluate for appropriate settlement offer to resolve.
Senior Bodily Injury Adjuster.
Collaborated with the claims department and industry anti-fraud organizations to resolve claims.
Partnered with legal counsel on litigation cases.
Drafted investigative reports covering all phases of the investigation in each case.
Compared data from surveillance footage to data on medical reports.
