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Insurance Company

Location:
Antioch, IL, 60002
Posted:
March 09, 2010

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Resume:

***** *. ******* *****, *******, Illinois ***** Phone: (847) 395-

5726

E-Mail: abm6zk@r.postjobfree.com Cell: 224-***-****

SUMMARY

An Insurance professional with fifteen years experience within the industry

with strong communication, negotiation, and management skills. Special

skills in negotiating litigation settlements through case management,

mediations, and arbitrations. Technical skills in Microsoft Office

products and company claims systems. An individual with a proven history

of results, working well within teams, as well as accomplishing goals

independently.

OBJECTIVE

To obtain an Insurance position within an industry-leading company that

will promote personal and company growth and will lead toward future

development and opportunities.

PROFESSIONAL EXPERIENCE

MONITOR LIABILITY managers, llc

Senior Claims Analyst Rolling Meadows, IL 2003 - 2010

Interviewed 850 insureds/attorneys to determine new-claim facts and

applicable coverage.

( Negotiated with counsel nationwide to resolve and expedite claims

through over 400 mediations, arbitrations and court trials; thereby,

decreasing total company costs due to the elimination of extended outside

counsel fees.

Issued 1,400 written coverage position, denial and settlement letters,

and trial recommendation reports.

Determined, re-evaluated, and adjusted defense and indemnity case

reserves based on litigation budgets and claim severity facts.

Reported significant litigation case developments and recommended

reserve adjustments.

Successfully managed an active average employment liability claim

inventory of 175-200.

Troubleshooted company software as the W.R. Berkley Technology Service

Business Lead.

( Audited claim files annually to ensure compliance with the Sarbanes-

Oxley requirements.

AFFIRMATIVE INSURANCE COMPANY (Formerly Known As Warrior Insurance)

Senior Liability Adjuster Bedford Park, IL 2002 - 2002

Conducted thorough investigations utilizing internal and external

customers, and maintained accurate and relevant documentation on each

claim assigned including coverage, liability, status, and damages

ensuring prompt conclusions of claims.

Reviewed, evaluated, and placed authority on bodily injury claims and

recommended this authority to Defense Counsel.

Negotiated approximately 95% of the bodily injury inventory directly

with Plaintiff's Counsel.

Warrior Insurance Company

Senior Claims Litigation Adjuster Bedford Park, IL 1999 -

2002

Settled 75% of complex liability claims, including severe injuries

which result in extended disability or bodily injury suits; thereby,

decreasing total company costs.

Provided leadership, instruction, and coaching to the entire claims

litigation department.

Successfully handled an average of 600 new claims that proceeded into

litigation.

Developed evidence and established facts on injury claims with the

assistance of Field Investigators, Doctors, and Attorneys.

Represented the company at claim mediations and arbitrations.

Organized the Warrior Special Events Committee to continue building

employee morale.

Warrior Insurance Company (continued)

Senior Claims Liability Adjuster Park Ridge, IL 1997 - 1999

Trained new adjusters and co-managed with the Unit Director in the

distribution of new claims throughout the Claims Unit.

Reviewed and determined course-of-action on files assigned, utilizing

technical knowledge for supporting justification of payment, adjusting of

payment, or altogether denial of claims.

Notified the Underwriting Department of adverse information uncovered

concerning an insured during the investigation.

American Ambassador Insurance Company

Claims Bodily Injury Adjuster Schaumburg, IL 1996 - 1997

Negotiated with opposing counsel bodily injury claims through final

settlement.

Evaluated, prepared, and presented files to the company's Board of

Managers for authority on injury claims in value of over $10,000.00.

Claims Service Representative II Schaumburg, IL

1996

Facilitated the Property Damage Management Department in responding to

any Department of Insurance requests.

Successfully managed an average auto and property claim inventory of

400.

Trained new claims service representatives on file reviews,

procedures, and negotiations.

State Farm Insurance Company

Claims Service Representative Chicago, IL 1995 - 1996

Utilized and analyzed data needed to determine liability with

settlement authority.

Prepared over 400 arbitrations and subrogations for management review.

Scrutinized fraudulent insurance claims and forwarded them to the

Special Investigations Department for further questioning and handling.

Interpreted, evaluated, and completed audio and written reports

regarding auto damage repair estimates.

Investigated accident traffic scenes to improve the company's

awareness level of the site.

Managed an average claim inventory of 400 while balancing other job

responsibilities.

North Riverside Police Department

Police Officer Intern North Riverside, IL

1994

Arranged case preparations and reports for the police officers and the

investigators.

Trained in police tactics and procedures through hands-on activities

as well as observations.

MacNeal Hospital Patient Transporter & Medical File Clerk Berwyn, IL

1989 - 1994

EDUCATION

Bachelor of Science: Criminal Justice Sciences

Minor: Sociology

Illinois State University

PROFESSIONAL DEVELOPMENT & TRAINING

Scene Investigation Medical Management Basic Claim Course I, II &

III

Property Damage School Auto Claims School Interpreting Medical

Reports



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