SUMMARY

To obtain a challenging career in the Insurance Industry that will provide an opportunity for professional and personal growth.

PROFESSIONAL EXPERIENCE

Confidential

Property Claims Manager

Responsibilities:

• Manages office and remote Claims Department Personnel.
• Performs annual reviews on Claims Department Personnel.
• Meets with and provides technical feedback to Claims Department Personnel on a quarterly basis to discuss positive and negative trends on the technical handling of claims.
• Manages the daily operation of the office.
• Manages attendance records for Claims Department Personnel.
• Communicates and resolves complaints via telephone and email from insured’s or their representatives, agents, adjusters, examiners, contractors, etc.
• Responsible for providing claim file approvals and/or rejections with appropriate reasoning for all types of losses submitted by the Claims Department Personnel.
• Performs daily review of claim payments within your individual assigned authority level established by the VP of Claims.
• Performs closed file audit monthly/quarterly to ensure acceptable margin of error.
• Documents above - average and deficient work performance of Claims Department personnel and initiates corrective measures by utilizing progressive discipline.
• Performs review of written correspondence developed by Claims Department Personnel for approval or rejection.
• Monitors the active pending claims of Claims Department Personnel to identify and provide feedback on aged or erroneous claims.
• Monitor and assist the direct report when absences occurs to ensure customers are taken care of and files are processed.
• Work extended hours or weekends during high volume periods or after catastrophic events, as needed.
• Assist with statutory or corporate reporting as needed.

Confidential

Sr. Property Large Loss Adjuster

Responsibilities:

• Review and inspect Commercial Property claims that are over $150,000 in damages.
• Comfortable working with Building Consultants and Engineers to settle large loss claims accordingly.
• Adheres to high standards of professional conduct while providing delivery of superior claims customer service.
• Cooperates with sales and underwriting in the acquisition and preservation of desirable risks.
• Adjust reserves in a timely manner and in compliance with company policy.
• Complete onsite inspections and conclude large loss claims across the country.
• Maintains great communication with the insured along the claims process.
• Works with the Litigation department and helps resolve certain files.
• Experience in writing estimates in Xactimate and MSB.
• Knowledge of the ISO policy forms and reviews endorsements on each claim.
• Great on managing company expenses.
• Conducts recorded statements and Examination Under Oath when necessary.
• Complete Caption Report on each claim
• Complete a Payment Registry in Excel on each claim.
• Maintain a great working relationship with the insured agents.

Confidential - Arlington TX

Commercial Claims Adjuster

Responsibilities:

• Review and inspect Commercial Property claims.
• Review the proper policy to conclude, investigate, evaluate and negotiate assigned commercial claims in accordance with Company guidelines.
• Adheres to high standards of professional conduct while providing delivery of superior claims customer service.
• Establish and authorize reserves and claims payments within the delegated authority.
• Cooperates with sales and underwriting in the acquisition and preservation of desirable risks.
• Review and examine estimates of damage property written by Independent Adjuster.
• Inspect and conclude commercial claims of high difficulty that cannot be handled over the phone.
• Created a web base vendor map for which adjusters within branch uses to locate independent adjusters closest to the loss.
• Largest estimate written for covered damages is $450,000.
• Experience in writing estimates in Xactimate and MSB.

Confidential - Dallas TX

Sr. Commercial Claims Adjuster

Responsibilities:

• Investigates basic commercial property damage and material damage claims.
• Determines proper policy to conclude, investigate, evaluate and negotiate assigned commercial claims in accordance with Company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service.
• Plans and executes all time schedules necessary to promptly and effectively conclude assigned cases.
• Establishes and authorizes reserves and claims payments within the delegated authority.
• Cooperates with sales and underwriting in the acquisition and preservation of desirable risks.
• Estimate damages to policy holder property using Xactimate estimating system.
• Worked and handled catastrophe claims around the state for extended period of time.

Confidential - Dallas, TX

Master Property Claims Representative (Field)

Responsibilities:

• Investigates and properly resolves personal lines property claims via telephone as well as face to face.
• Estimate damages to policy holder home or property using Xactimate estimating system.
• Determines proper policy coverage, and where necessary applies best claims practices to investigate, evaluate, negotiate and equitably settle all assigned property claims cases in accordance with company policies and procedures.
• Authorizes and/or approves all claims payments within the delegated authority or within the maximum limits as outlined in the company policies and procedures.
• Cooperates with sales and underwriting in the acquisition and preservation of desirable risks.
• Worked and handled catastrophe claims around the state for extended period of time.

Confidential, Dallas, TX

Home Care Representative I/DPOR Representative (Field Underwriter).

Responsibilities:

• Complete interior and exterior reviews on homes to help avoid or limit losses to both the insured and the company.
• Also provide specialized customer service and identify safety issues that can potentially lead to a loss.
• Work with Nationwide Agents in a program called “Home Care First”- whereas I complete an exterior and interior review on a home to assure that it meets our Underwriting Standards before we insure the home.
• A member of Nationwide “Home Care Quality Auditing Team” (Harrisburg PA)
• Worked as a D@POR Rep (Field Underwriter). In which I complete a review of the home and make the final decision on whether or not we should continue coverage of the home or to cancel it. Any rebuttals from agents regarding a cancellation have to be approved by myself before the service center can make changes.

Nationwide Financial Services

Confidential - Columbus, OH

Responsibilities:

• Completed management projects related to annuity processing and administration. Assisted Business Analyst with review of customer information and vendor relationships.
• Created Mid Year Reports for Call Center productivity. Served as team member on NF projects: Nationwide Financial Authentication and Nationwide Financial Segmentation Initiative.