1.
Acquired expertise in handling interstate cargo and shipping
claims.
2.
Analyzed insurance claims to determine extent of carrier's
liability and settled claims in accordance with policy provisions.
3.
Assigned to catastrophe duty in several states to supervise
staff and independent claims adjusters.
4.
Assisted agents with proposals, presentations, enrollment,
underwriting requirements, commissions, and claims.
5.
Assisted attorneys in preparation of disputed cases for trial.
6.
Compared data on claim applications with policy statements
and other company records to ascertain completeness and validity
of claim.
7.
Compiled investigation results, determined probable causes,
and prepared report of findings.
8.
Completed accident and injury forms.
9.
Completed negotiations with third parties to ensure reasonable
and fair settlements.
10.
Conducted liability investigations of all assigned files.
11.
Conducted thorough reviews of claim files to recognize subrogation
potential.
12.
Conducted training sessions on subrogation investigation involving
auto accidents and defective products.
13.
Constructed a resource guide to procure supporting documentation
relating to particular subrogation claims.
14.
Controlled property and liability claims in _____(number)
counties, resulting from __________, __________, and __________(policy
types).
15.
Cooperated with police and fire departments to investigate
suspicious fires.
16.
Demonstrated success prospecting and selling personal insurance
products through individual, group, and work site marketing.
17.
Deployed as an independent investigator to establish a subrogation
coordinator's position.
18.
Documented errors and reported audit results to claims manager.
19.
Earned loss ratio bonuses every year for exceptional quality
of business written.
20.
Established and supervised the loss claim unit.
21.
Established resources at the local, state and governmental
levels for gathering information pertaining to product liability
and third party negligence issues.
22.
Estimated damage to vehicles and structures covered by homeowners,
auto, boat, and small business liability, and secured repair
cost estimates from repairers.
23.
Handled claim litigation with attorneys.
24.
Handled heavy commercial trucking liability claims for __________(company).
25.
Handled heavy injury and litigation claims.
26.
Handled multi-line claims including cargo and other inland
marine claims.
27.
Handled responses to all regulatory inquiries.
28.
Held responsible for investigating, negotiating and settling
losses with values in excess of $_____.
29.
Implemented various photographic techniques to investigate
questionable claims.
30.
Inspected, evaluated, and settled large property/casualty
losses nationwide.
31.
Interviewed claimants and inspected damages to personal property.
32.
Investigated and analyzed evidence of fires to determine causes
and secured expert witness in court.
33.
Investigated auto accident claims by examining damaged vehicles,
taking pictures, and interviewing injured people, medical
staff, and insurance representatives.
34.
Investigated questionable claim items by corresponding with
agents and claimants.
35.
Investigated, analyzed, and evaluated personal and commercial
property claims.
36.
Managed all claim activity for __________(what plan, company,
program).
37.
Managed claims control, customer service, production, budgetary
issues, and overall operation of the claims office.
38.
Marketed small and large group products to independent agents,
insurance agencies, and small businesses.
39.
Monitored and guided adjusters and support staff managing
pending personal auto and homeowners claim files.
40.
Obtained recorded or written statements and collected supporting
documentation including police reports, surveillance reports,
and medical information.
41.
Organized and managed the workers' compensation and employers
liability claims departments.
42.
Oversaw operations of the material damage claims department
that handled auto, property damage, and collision claims.
43.
Oversaw salvage and dispatched field assignments.
44.
Participated in the design, construction, and implementation
of a claims processing program incorporating policy and recovery
functions.
45.
Performed adjustments, investigated claims, and provided telephone
coverage for customer service department.
46.
Photographed fire damage and fire causes to preserve evidence.
47.
Pioneered and managed a national claims unit to process __________(what).
48.
Placed bids for all renewal accounts to keep existing business
in place.
49.
Prepared damage appraisals and secured cost estimates from
repairers.
50.
Prepared files for collection purposes.
51.
Prepared reports upon completion of audits.
52.
Processed and adjudicated medical claims according to health
plan policies.
53.
Processed reconsideration and appeal claims.
54.
Provided top-notch claims service to both personal and commercial
policyholders.
55.
Referred questionable claims to company investigator.
56.
Reported directly to the claims director.
57.
Represented the company in lawsuits and trials.
58.
Researched problem claims for benefit level, third party liability,
overpayments, and inappropriate coding.
59.
Researched problem claims.
60.
Reviewed large volume of claim files to recognize subrogation
potential and investigated, documented, and properly prepared
files for subrogation collection.
61.
Reviewed and researched benefit options for claims payment.
62.
Reviewed audits for accuracy, completeness, and compliance
with insurance plan policies and procedures.
63.
Reviewed claims for completeness, accuracy, and correct coding.
64.
Reviewed monthly reports for statistical and financial accuracy
of processed claims.
65.
Sold small group and individual health and life insurance.
66.
Supervised a field claims office in __________(city, state).
67.
Worked directly with engineers, fire investigators, and cause/origin
experts to determine the exact cause of the loss.
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