- Ensure timely investigation and handling of claims including coverage determination and timely settlement offers or rejections are made according to state statutes, regulatory requirements and company guidelines resulting in 1st quartile performance.
- Establish and monitor case reserves and settlements on bodily injury claims and pre-litigation files
- Determine fair value and successfully negotiated with attorneys and unrepresented claimants based on merits of their case
- Ensure timely settlement offers or rejections are made according to state statutes, regulatory requirements and company policy
- Reviewed and interpreted medical records, reports, and billing in relation to injury loss investigations.
Bodily Injury Transition Coach
Dallas - April 2022 - September 2023
- Trained new adjusters on proper handling and evaluation of injury claims.
- Evaluated skills, deficiencies and training needs of personnel by review of audit results, management reports and observation of day to day work habits. This allowed me to take necessary steps through training, education and development to ensure continued improved personnel performance, job knowledge and skills resulting in compensation increases, promotions and job security.
- Summarized audit results, prepared and produced written reports as well as verbally communicated audit results to my direct supervisor, managers, and directors.
- Developed regional training material and provided training to multi-level claims to include adjusters, supervisors, as well as managers.
Claims Adjuster
August 2017 - March 2021
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Evaluated and investigate policy coverage, liability and damages in a timely manner following a set of general claim and state