Business Lines Property Adjuster - Liberty Mutual Business
(2019-03)
- Investigate, determine coverage of loss and adjusts all elements of assigned Property Loss claims.
- Conduct inspections of loss sites, writes appraisals for dwelling repairs and issues payment to policyholders where possible.
- May work with a Liberty network contractor in the appraisal process.
- Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
- Works with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.
- Identify suspicious losses.
- Recommend referral to SIU (Special Investigations Unit) where appropriate and may assist the SIU in their investigation and settling of the claim.
- May be called upon for catastrophe duty.
- For Catastrophe (CAT) roles, investigative fieldwork includes a high amount of travel to claim location.
Bodily - Injury Claims Adjuster - Liberty Mutual Bodily - Injury Claims Adjuster
(2018-03 - 2019-03)
- Manage, investigate, and resolve claims.
- Investigate and evaluate coverage, liability, damages, and settle claims within prescribed authority levels.
- Identify potential suspicious claims and refers to Special Investigative Unit and identify opportunities for third party subrogation.
- Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to proper course of action.
- Respond to various written and telephone inquiries including status reports.
- Ensure adequacy of reserves.
- Accountable for security of financial processing of claims, as well as security information contained in claims files.
- Make effective use of loss management techniques.
- Negotiate settlements with attorneys, claimants, and/or co-defendants.
- Arrange for expert inspections involving third party or potential fraud actions as needed.
- Update files and provide comprehensive reports as required.
Senior Claims Representative - Liberty Mutual/Safeco
(2016-04 - 2018-03)
- Review damages, coverage, and settlement for complex personal auto claims.
- Mentor newly hired, or prospect claim handlers to be more effective in daily task and work flows.
- Assisted with Root Cause Problem Solving groups to make our work flow more efficient.
- Investigate and bring each file to resolution as efficiently as possible.
- Maintain a healthy relationship with agents and insured's, making sure there is always an open line of communication.
- Maintain Safeco's values with each claim.
- Attended Nuts and Bolts training in Hopkinton, MA for continuing education credit- September 2017.
- Mentor other tenured team members on desk management.
- Determined appropriate reserve levels in accordance with expected payouts.
- Led investigations into significant mid- and high-exposure claim incidents.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Verified patients had proper insurance coverage prior to procedures or appointment scheduling.
Customer Service Representative - Ameritrac
(2013-01 - 2016-04)
- Served as support to insurance agents, lenders, and customers.
- Run customized reports and tracked all Flood Insurance policies.
- Quote and issue Force Placed Flood Insurance by the rules and regulations set by each lender.
- Direct point of contact for agents and customers about escrow accounts and policy questions.
- Organize scheduling of inspections between contractors and customers for home inspections.
- Run and customize reports to make sure all policies (homeowners and auto) were up to date and active.
- Relationship building between agents and lenders.
Manager - Sterling Jewelers
(2003-01 - 2013-01)
- Keep a reputable book of clients.
- Building rapport with my clients to make sure my book would grow and expand with new clients.
- Meet and exceed sales Goals, along with supporting a sales team to meet theirs as well.
- Bookkeeping, scheduling calls to clients, organizing events, tracking trends of store.
- Managed a team of up to 10 sales staff.
- Scheduling for my team.
- All recruiting and hiring for my store.
- Running payroll weekly.
- Schedule proper training on an individual basis with each team member.
- Closed over 50 investigations; internal and external cases.
- On-boarding trainer for new associates in the district.
- Brought the lowest performing store to second highest in the district.
- Filing and keeping all records based on retention polices within our requirements.
