Customer Service Medical
Resume:
KIMBERLY RISKO, AIC
**** ************ ***** **. *******, Missouri 63303
*********@***.***
SUMMARY
Customer service-oriented claims professional with 11 years of quality
performance in the following areas:
. Applying strong communication skills and analytical abilities to
identify and resolve liability and coverage issues.
. Mentor new employees on claims handling practices.
. Establishing rapport with individuals involved in different aspects of
claims and with diverse backgrounds and working equally well alone or
as part of a team.
. Consistently demonstrating thoroughness, efficiency, accuracy and
attention to detail.
PROFESSIONAL EXPERIENCE
FIREMAN'S FUND, O'Fallon, MO 2009 to Present
Liability Adjuster
Commercial general liability adjuster specializing in bodily injury
claims for dedicated accounts.
. Consistent year to date closing ratio of 100%
. Review files for potential structure settlements
. Utilize all resources to investigate liability
. Review and investigate for potential fraud and refer files to SIU
. Analyze medical records for settlement evaluations
. Negotiate settlements
. Maintain relationship with agents, underwriting, risk services and
high profile insureds
SENTRY INSURANCE, Richmond, VA 2004 to 2008
Liability Adjuster
Personal auto adjuster specializing in bodily injury and Personal
Injury Protection claims with catastrophic injuries and fatalities.
. Assign and oversee nurse case managers and defense attorneys
. Consistent closing ratio of 100%
. Reputation for fixing and concluding transferred problem files
. Won quarterly award for selling the most structured settlements
. Utilize all resources to investigate liability
. Analyze medical records for settlement evaluations
. Negotiate settlements
Kimberly Risko Page 2
SOUTHERN INSURANCE, Glen Allen, VA 2002 to 2004
Liability Adjuster
Personal auto adjuster specializing in bodily injury claims involving
policy limits, underinsured and uninsured issues.
. File and respond to inter-company arbitrations
. 85% award rate on inter-company arbitrations
. Assign and oversee defense counsel on claims in suit
. Decreased costs by moving totaled vehicles to a storage-free
facility while awaiting appraiser reports
FEDERATED INSURANCE, Richmond, VA 2000 to 2002
Liability Adjuster
Commercial adjuster specializing in auto, general and products
liability claims.
. One of two Auto Dealer specialists
. Represent the company at trials, mediations and arbitrations
. Consistently scored "Very Good" or higher on customer satisfaction
surveys
. Interview and train new hires
CIRCUIT CITY, Richmond, VA 1998-2000
National Program Administrator
Coordinate between vendors, 52 national service centers, merchandizing
and accounting the execution of fulfilling, billing and collecting
payments for in-house warranty repairs completed by Circuit City on
behalf of venders.
. Responsible for accounts totaling $1.3 million in warranty repairs
. Decreased warranty repair turn around time by 30%
. Developed on-line system with vendors specific to Circuit City
needs and trained all service technicians
AT&T, Morristown, NJ 1997
Career Connection Consultant
Counsel laid-off employees, interview and connect them with new
positions within the company. Analyzed hiring trends within the
company and presented data to implement revisions of recruitment
practices.
PROFESSIONAL DEVELOPMENT
Numerous programs conferences, seminars and continuing education classes
including customer service, diversity, arbitration, negotiations, ethics,
medical and legal
CERTIFICATIONS / LICENSE
Associate in Claims, casualty adjuster licenses held in the following
states: FL, VT, NH, CT, RI, DE, NC, LA, TX, SC, GA, KY, and WV.
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