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senior claims specialist resume example with 20 years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
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
09/2013 to Current
Senior Claims Specialist Chubb Wilmington, DE,
  • 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.
08/2011 to 09/2013
Senior Litigation Specialist Midfirst Bank San Fernando Valley, CA,
  • 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.
08/2005 to 05/2009
Senior Litigation Specialist Midfirst Bank Shawnee, OK,
  • 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.
02/2005 to 08/2005
Senior Claims Adjuster W.R. Berkley Corporation Alpharetta, GA,
  • 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.
08/2002 to 02/2005
Senior Claims Adjuster W.R. Berkley Corporation Charlotte, NC,
  • Communicating with customers, as well as attorneys and medical providers to reach a timely and accurate resolution to resolve claims timely.
  • Reporting potential fraud claims.
  • Investigate loss details, policy coverage, liability, property damages, bodily injury and settlement opportunities.
  • Preparing files for arbitration, mediation and litigation.
  • Reviewing time demands and handling appropriately.
09/2001 to 08/2002
Claims Adjuster Employers Holdings, Inc. Maitland, FL,
  • Investigate and determine liability.
  • Handle bodily injury and negotiate settlement.
  • Monthly status reports for primary insurance carrier with evaluations of claims process.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Compared data from surveillance footage to data on medical reports.
  • Directed and coordinated various investigations conducted by field investigation team.
08/2000 to 08/2001
Claims Adjuster Employers Holdings, Inc. NC, State,
  • Investigate, negotiate and settle bodily injury claims for both first and third party.
  • Preparing files for arbitration, mediation and litigation.
  • Reviewing time demands for settlement.
  • Med pay, underinsured and uninsured claims for first party losses.
  • Answered questions posed by insured and attorneys.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Documented all investigation activity and presented reports to management.
  • Substantiated legitimate claims and denied unjustified claims.
1999 to 08/2000
Account manager Werner Enterprises Inc Breinigsville, PA,
  • Contractor on the Sears account for international, over the road and intermodal transportation.
  • Soliciting for freight and monitoring loads nationally.
  • Customer service with appointment setting along with accounting and spot quotes.
  • Supervised material flow, storage and global order fulfillment.
  • Redirected shipments en route in response to customer requests.
  • Established long-term customer relationships through prompt and courteous service.
  • Communicated all emergencies, delays due to weather and carrier schedule changes to customers and supervisors.
Education
Expected in 1994
Bachelor of Science: Administration of Criminal Justice
NORTHEASTERN STATE UNIVERSITY - Tahlequah, Oklahoma
GPA:
Administration of Criminal Justice
Skills
accounting, arbitration, attorney, Customer service, insurance, litigation, loss prevention, Market, mediation, Negotiating, negotiations, Reporting, settlements, transportation, type, video

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Resume Overview

School Attended

  • NORTHEASTERN STATE UNIVERSITY

Job Titles Held:

  • Senior Claims Specialist
  • Senior Litigation Specialist
  • Senior Litigation Specialist
  • Senior Claims Adjuster
  • Senior Claims Adjuster
  • Claims Adjuster
  • Claims Adjuster
  • Account manager

Degrees

  • Bachelor of Science

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