career objective                              

 

senior claims representative eager to contribute industry expertise as well as dynamic customer service, data generation/analysis and administrative skills toward supporting employer in optimizing performance

profile                                                

 

ø  offer a decade of comprehensive experience in claims handling, demonstrating industry expertise; proficient in steering claims process from inception through timely settlement

ø  client-focused and service-oriented; consistently deliver quality client servicing while controlling costs and ensuring compliance with regulatory and company policies, procedures and standards

ø  decisive leader with sound judgment and proactive decisionmaking skills; able to excel in self-directed, minimal-supervision settings while also thriving in collaborative team environments

ø  dynamic communication, presentation and negotiation skills crucial to generating results

ø  successfully train, develop and guide top-performing teams

ø  exceptional prioritization, strategic planning, project coordination, and time management abilities

 

professional experience                

 

senior claims representative/claims representative/claims adjuster

progressive insurance-queens, ny; 2007-2008

sterling and sterling agency-woodbury, ny; 2006

utica national insurance co.-jericho, ny; 2004-2006

msi claims, inc.-new york, ny; 2001-2002

liberty mutual insurance-lynbrook, ny; 1998-2000

career highlights ~

  proficiently conducted independent reviews and verifications of coverage, resolved claim issues, settled claims, and coordinated mediations/arbitrations; served as client advocate

  efficiently managed caseloads of as many as 210 personal and commercial line claims, with full-scope responsibility from initial report through settlement; maintained 100% on all claim reviews

  contributed sharp leadership and motivation skills toward training and mentoring claims representatives/staff in effective insurer/casualty liability claims handling, negotiations and litigation

  strategically developed excellence in claims handling practices, enhancing performance in conducting investigations, steering negotiations and spotting fraudulent claims for reporting to siu

  actively spearheaded direct discovery and litigation strategies in collaboration with in-house and outside counsel and participated in mediations, settlement conferences and depositions; partnered with executive teams and senior management in support of company-wide objectives

  demonstrated strong research and analysis skills in investigating property and casualty claims and arranged inspections of loss locations and alleged faulty products for expert opinion; in recognition of superior performance, selected to work on specialized product liability account

  efficiently prepared detailed documents ranging from coverage denials, acceptance/denial of tender requests, disclaimers, and reservation of rights letters to client claim reviews and supporting materials

 

education                                           

mba, currently pursuing

b.a., public administration/business administration minor, suny albany-ny

claim handling training, liberty mutual c boston, ma

 

credentials/certifications~

 

nys automobile adjuster licensed; nys life and health licensed; texas p&c adjuster licensed