Candidate Profile

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Sr. P&C Claims Representative
Profile# 12054
Education:  BA Degree.
Affiliations:  CPCU. SCLA, 3 of 4 parts completed. State Insurance Agent Licensing. Numerous training modules on ethics, cyber and physical security, customer service, SCHIP.
Description:  Heavy expertise as Sr. Claims Representative.  Performs General Liability claims adjusting.  General Liability claims management (full assignment/oversight of field adjusters).  General Liability litigation management (manage attorney activity).  Construction Defect claim adjusting & management (investigation/litigation).  Auto Liability claims adjusting, investigating, managing (litigation).  Prepared for and attended mediations.  Adjusted/investigated Heavy Equipment claims as well as Oil and Gas claims.  Presented suggested claim resolutions and estimates daily to policyholders.  Maintain ongoing Insured contact/relationship.  Managed and coordinated claims investigation functions of Independent Adjusters.  Oversee and direct the work performed by Engineers and Attorneys.  Interact with insureds, claimants, and attorneys to settle claims (Auto Physical Damage, Injury, Slip & Fall, Property Damage, Construction Defect).  Oversees multi-state Workers Comp claims on an overflow basis.  Prior experience as Claim Analyst.  Responsible for General Liability, Property, and Auto (physical damage/liability) claims adjusting.  Presented suggested claim resolutions and estimates daily to policyholders.  Reviewed underwriting and agent files, included them in decision-making process.  Managed claims investigation functions of Independent Adjusters.  Navigate numerous claim systems.  Prior expertise as PC agent.  Judged the effectiveness of 3 marketing sources and discontinued one service (20% savings).  Made sales presentations daily to prospects.  Participated in, and lead, Community Organizations.  Interact daily with underwriters.  Maintain relationship with underwriters.  Participated in Underwriting decisions.

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