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Senior Injury Claims Adjuster Resume Example

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SENIOR INJURY CLAIMS ADJUSTER
Summary

Technology, litigation and policy specialist with 17 years of business experience and a proven record of exemplary results in the disposition of multi-million-dollar injury claims litigation strategy and operational management as well as work-flow and process improvement. Through detailed investigation, evaluation and negotiation saved the companies over $100 million dollars in indemnity payments over the course of my tenure. Information technology expert and process improvement resource, exhibited via systems infrastructure building and streamlining of standard operating practices. Served as data analyst to increase operational efficiency through report generation, interpretation and best practice recommendations to senior management. Experience as a motivated dynamic problem solver and technical trainer with strong communication skills and team building ability.

Skills
  • Microsoft Office, MS Windows, SharePoint, LexisNexis, Legal Exchange, LAN/WAN Networking CSR, ECS, Cognos, ITAR CIMS.
  • Analyst, Technical assistance
  • Attention to detail, WAN
  • Automation, Workflow
  • Budget
  • Clerical
  • Cognos
  • Creative problem solving
  • Critical thinking
  • Clients
  • Customer satisfaction
  • Customer service
  • Databases
  • Executive management
  • Focus
  • Interpretation
  • Inventory management
  • Inventory
  • LAN
  • Team lead
  • Legal
  • Law
  • Market
  • Exchange
  • Microsoft Office
  • Office
  • MS Windows
  • Natural
  • Negotiating
  • Enterprise
  • Networking
  • Organizational
  • Personnel
  • Policies
  • Process improvement
  • Processes
  • Real time
  • Research
  • Risk management
  • Staffing
  • Claims adjusting
Experience
Senior Injury Claims Adjuster / Utica National Insurance Company - Buffalo, New York10/2018 - Current
  • Extensive claims investigation and resolution of multistate auto, homeowners and full spectrum of general liability claims.
  • Concerted focus on indemnity reduction through timely and accurate claim handling.
  • Work flow and process improvement and streamlining via numerous pilot programs.
  • Maintained highly efficient and effective inventory management in adherence with company standards and metrics .
Senior Injury Claims Adjuster / National General Insurance Company - Buffalo, New York06/2016 - 10/2018
  • Dynamic claims resolution of multistate auto and homeowners claims.
  • Customer engagement internal/ external fostering beneficial business relationships.
  • Consistent achievement of favorable results of organizational goals.
  • Aggressive management of multiple claims inventories.
Catastrophe Claims Automation & Procedures Specialist / State Farm Fire and Casualty Company - Rochester, New York07/2013 - 10/2015
  • Served as technical expert on deployment of mobile claims processing centers in response to natural disasters across the continental US.
  • Prepared daily reports for executive management served as data analyst to determine appropriate personnel and equipment resource levels.
  • Reduced staffing expense by 15% on average.
  • Managed and coordinated office operations for on-site technical personnel- office sizes ranging from 10-200 staff members inclusive of clerical support.
  • Promoted customer oriented high energy environment through logical collaboration, organization and flexibility, which increased customer satisfaction on surveys.
  • Maintained electronic equipment inventory and assisted clients with all technical and workflow questions for claims processing teams and continually updated multiple databases with real time result metrics to increase risk management efficiency.
  • Analyzed workflows, integrated automation and procedures, and identified efficiencies and implemented practice change to reduce operational budget costs and site existence by 2-3 weeks on average.
  • Received and responded to a variety procedural and automation application questions prioritized and used creative problem solving resulting in a seamless experience for both internal and external clients.
  • Provided continuous training to new and existing catastrophe employees on all workflows, procedures, automated tools and new company policies to maintain operational adherence to state law and statutes.
Automation & Procedure Project Lead/Claims Representative / State Farm Insurance Company - Rochester, New York07/2004 - 07/2013
  • Served as special projects coordinator and implementation team lead in deployment of an enterprise wide communications platform which bridged all market zones of the company, conducted trainings and provided technical assistance to staff of 100 employees.
  • Managed risk exposure via the streamlining of work flow processes and thorough research of legal strategies and investigations of claims to facilitate proper and accurate, settlement of over 3000 claims while providing exceptional customer service.
  • Utilized excellent critical thinking skills and attention to detail in investigating, evaluating and negotiating to settle conflicts, including verification of coverage, legal liability, policy and contract interpretation and prepare cases for review to assess the extent of damage to real property and human loss.
  • Investigate/coordinate the handling of large, multi-property claims which involved multi-state and multi-company contacts including coordination with the Special Investigations Unit, Law Firms and external policing and regulatory agencies.
Education and Training
SUNY Brockport - Brockport, New York2003Bachelor's Degree: Communications
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Resume Overview

Companies Worked For:

  • Utica National Insurance Company
  • National General Insurance Company
  • State Farm Fire and Casualty Company
  • State Farm Insurance Company

School Attended

  • SUNY Brockport

Job Titles Held:

  • Senior Injury Claims Adjuster
  • Catastrophe Claims Automation & Procedures Specialist
  • Automation & Procedure Project Lead/Claims Representative

Degrees

  • SUNY Brockport - Brockport, New York 2003 Bachelor's Degree : Communications

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