Bodily Injury Claims Adjuster resume examples

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Dynamic insurance professional bringing over 25+ years in the field of insurance with an emphasis on automobile claims.
  • Demonstrated knowledge and interpretation of insurance policy and contract language
  • Motivate, develop, and direct people as they work
  • Define team goals and communicates those goals to assigned staff.

  • Actively manages assigned adjuster workloads and performance
  • exceptional analytical and problem solving skills
  • Motivate people to perform at the highest level
Claims Manager Jan 2007 to Jul 2017
Access General Insurance Atlanta, GA

Select, train and develop an effective high performing Team of Claim Reps handling non-standard auto claims. Proficient with complex coverage investigations, policy construction, policy language and applicability of case laws. Competent in assessing liability and applying comparative negligence according to state specific liability laws. Experienced and well versed in the handling of Time Limit Demands and attorney involved bodily injury claims. Conducted performance appraisals; recommended salary adjustment, and promotions.  Provided direction, coaching and manage the performance of the Team. Successfully lead the operation of the Team and made change in process, procedures and structure to optimize resources and achieve business goals. Provided guidance to employees and vendors regarding investigations, evaluations, damages and settlements. Collaborated with managers, adjusters, appraisers, insureds, claimants, vendors and attorneys as needed to facilitate claim investigations and settlement processes.

Claims Supervisor Feb 2002 to Mar 2007
Hartford Omni Insurance Atlanta, GA Effectively communicated with claimants, insured's, and attorney's (both defense and plaintiff). Maintained diary on all files to ensure cases are being handled accordingly and moving towards appropriate resolution. Made initial contact with insured's and begin appropriate investigation within 24 hours of case assignment. Approved all expense payments within 72 hrs of receipt. Approved all loss payments and/or releases within 24 hrs of receipt.  Reviewed reserves and made recommendations when necessary.  Handled assigned claims/claim files through disposition. Assisted with deductible recoveries. Thoroughly investigated claims to bring them to a proper resolution (whether it's a denial, to trial or settlement). Developed and maintained strong business relationship with outside vendors and insureds.
Bodily Injury Claims Adjuster Apr 2001 to May 2002
Hartford Omni Insurance Atlanta, GA

Managed, investigated, and resolved claims. Investigated and evaluated coverage, liability, damages, and settles claims within prescribed authority levels. Negotiated settlements with attorneys, claimants, and/or co-defendants. Arranged for expert inspections involving third party or potential fraud actions as needed. Ensured adequacy of reserves.  Managed the practices and billing activities of outside and in-house counsel.

Claim Representative Jun 1999 to Jul 2001
Superior Insurance Atlanta, GA Examined claims forms, policies and endorsements, client instructions and other records to determine coverages. Conducted investigations of claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence. Prepared reports by collecting and summarizing information required. Settled claims after determining insurance carrier's liability, client's instructions, and authority levels. Made offers to claimants, issued settlement checks, made filings with regulatory agencies, disposing of salvage pursuing subrogation when appropriate. Controlled claim costs and sets loss reserves.
Auto Claim Adjuster Jul 1992 to Aug 1999
Atlanta Casualty Insurance Atlanta, GA Contacted all parties involved to complete full investigation of the facts and damages relevant to the claim.  Identified potential coverage issues and refer claims to senior leader as needed, determine liability and damages of all exposures related to the claim and document findings of investigation. Evaluated and negotiated the resolution of claims within authority level while mitigating damages to achieve cost effective claims outcomes. Documented files in a timely fashion with all appropriate claim information. 
Education and Training
BBA, Industrial Technology 1984 Fairmont State University Fairmont, WV
State Licensed
  • Georgia
  • Arizona
  • Indiana
  • Louisiana
  • Mississippi
  • Oklahoma
  • South Carolina
  • Texas
Computer & Software Skills
  • MS Office
  • ImageRight
  • Skype for Business