Derek Hall

Insurance and claims professional with experience in workers’ compensation, claims operations, risk management, and process improvement. Passionate about helping organizations transition from manual processes to intelligent, scalable workflows through AI, automation, and strong governance. Focused on delivering measurable business value while maintaining human oversight, accountability, and operational excellence.

Workers’ Compensation Examiner at AIG (2024-09 – Present)

• Manage complex Defense Base Act (DBA) and federal workers’ compensation claims with full lifecycle ownership and settlement authority up to $350K.
• Execute litigation strategies in partnership with panel counsel, reducing exposure and controlling claim costs.
• Maintain ~98% diary accuracy with near zero backlog in a high-volume environment, consistently meeting team benchmarks.
• Identify fraud indicators and escalate to SIU, supporting enterprise risk mitigation efforts.
• Coordinate DFEC recoveries and ensure compliance with federal regulations.
• Leverage generative AI and automation tools to streamline documentation, communication, and claim workflows.
• Collaborate with legal, medical, and operational stakeholders to drive efficient and compliant claim resolution.

SOS Property Specialist (Desk/Field) at Enservio (2024-02 – 2024-07)

• Conduct detailed property loss inventory assessments for insurance claims, supporting accurate valuation and claim resolution.
• Perform on-site and virtual inspections, ensuring thorough documentation and client satisfaction.
• Partner with adjusters, field teams, and service managers to support seamless claims handling.

Senior Process Associate – Claims (Property) at Genpact (Bright Claim) (2019-09 – 2023-06)

• Managed high-volume residential and commercial property claims within warranty and service programs
• Investigated losses, evaluated coverage, and facilitated claim resolution in alignment with policy guidelines.
• Managed complex claims scenarios involving vendor coordination, repair estimates, and customer escalation.
• Trained and onboarded new adjusters, improving team productivity and claim handling consistency.
• Contributed to process improvements and quality assurance initiatives to enhance operational efficiency.

Property Claims Adjuster | Catastrophe & Field Operations at Various IA Assignments

• Managed property and catastrophe claims involving residential losses, inspections, and damage assessments.
• Conducted field investigations, documented damages, and supported claim valuation and settlement processes.
• Developed foundational ability in coverage analysis, customer communication, and loss evaluation.
• Built strong adaptability working in high-volume and catastrophe-driven environments.

Associate Coursework (70 hours) in Business Administration/Finance – Morehouse College