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Customer Service Medical

Location:
Las Vegas, NV, 89131
Posted:
March 03, 2013

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Resume:

SUMMARY OF QUALIFICATIONS

I offer over ** years of experience in the insurance industry as an

adjuster/examiner and have expertise in the following areas: Risk

Management, Subrogation, Property (Commercial and Residential) Auto,

(Commercial and Personal) Catastrophe field adjusting (Commercial and

Residential) claims as well as file examiner and Workers Compensation (MO

and OTMO). Currently I serve as a Director for the Southern Nevada Clams

Association, Director for the Nevada State Claims Association and Board

Member for the Nevada Disability Prevention Coalition in concurrence with

my full-time position at Crawford & Company. Beyond my industry expertise,

I have a solid reputation in the insurance community as a top performer who

takes pride in handling all matters with an emphasis on high ethical values

and top quality customer service. In addition, I offer the added value of

speaking Spanish fluently which has proved to be very beneficial during the

course of my career in the insurance industry.

EMPLOYMENT HISTORY

November 2011 - current Aria Resort & Casino (MGM International)

Claims Adjuster

Responsibilities: Handle guest and patron slip and fall, lost missing,

bodily injury and property damage claims. Review medical treatment to

verify it was in line for the claim. Review property damage estimates and

receipts and verify they are related to the claim. Prepare file for

litigation. Assess potential risks on property for City Center. Communicate

direct with claimant attorneys to resolve claim prior to litigation.

Provide all claimants with outstanding customer service.

2011 - August 2011 Clark County School District - Las Vegas, NV

Liability Adjuster

Responsibilities: Acted as liaison between insurer, employers, claimants,

medical providers and attorneys. Completed all field assignments in a

timely manner. Types of claims included: 1rst and 3rd party Property,

Bodily Injury, Liability, Theft.

2008-2011 Crawford & Company -Las Vegas, NV

General Adjuster /Workers Compensation Adjuster II

Responsibilities: Acted as liaison between insurer, employers, claimants,

medical providers and attorneys. Served as a representative for clients in

mediations and settlement conferences and completed field assignments on

liability claims. Types of claims included: Property, Bodily Injury,

Liability, Workers Compensation, Medical Only and Other Than Medical Only

as well as Time Loss claims. Supplemental duties included attending

industry events to market and promote the company through professional

relationship building.

2007-2008 Crawford & Company - Colorado

Strategic Warranty Services Inspector

Responsibilities: Worked independently conducting field inspections of

residential and commercial structures in accordance with the requirements

of a class action lawsuit involving masonite hardboard siding. Developed

and submitted detailed reports based on professional judgment and findings.

This included the integration of written documentation, digital

photographs, detailed diagrams and other data as needed.

McGraw Adjusting Firm 1999-2006 assignments:

2003-2006 GAB Robins-York Claims Service - Independent Adjuster/Examiner

Responsibilities: Independent Adjuster - Acted as a liaison between

Atlantic Mutual Insurance Company, One Beacon and GAB Robins on national

accounts. Communicate directly with GAB Robins staff regarding procedures

in handling of commercial trucking accounts. Served as a representative for

Atlantic Mutual during litigation/mediation proceedings, verified coverage,

communicated with the insured, claimants, attorneys and other parties as

required.

York Claims Service - Examiner - Examiner reviewing field adjuster's

estimates on residential and commercial hurricane claims. Reviewed estimate

to verify estimates are consistent with damages on medium and large losses.

2002-2003 Cunningham Lindsey

Core Adjuster/ Examiner

Responsibilities: Provided assistance to branches throughout the United

States with work overflow in handling property and casualty claims

including field and in-house assignments. Evaluated risk and determined

cause of loss, extent of damages and completed a detailed estimate for

coverage A and Coverage C claims. Settled claim payments with public

adjusters and the insured. Required travel of 98% of time responding to

snow, ice, water, mold, pipe burst, roof leaks, theft, fire and wind

claims. Additional duties included the review of field adjuster's estimates

to verify integrity.

2000-2002 GAB Robins North America

Catastrophe Adjuster

Responsibilities: Contract as an independent adjuster handling property and

casualty claims for State Farm Claims office in Charleston, WV and Farmers

Insurance in Denver, CO. Completed all assignments in a timely manner.

Accomplishments included submitting the largest volume of fraud and arson

claims to the SIU unit in the state of West Virginia. Processed large

volume of total loss - arson - theft - fraud vehicle claims. I handled a

heavy volume of fatality and litigation claims in Denver, CO.

1999-2000 Colonial Claims

Catastrophe Adjuster

Responsibilities: Contracted as an independent adjuster to handle property

windstorm and flood claims as a field adjuster. I also served as an in-

house adjuster handling file reviews on property and casualty files.

1996-1999 Adjusters Unlimited Inc.

Independent Adjuster

Responsibilities: Handled Auto and Mobile Home claims, Bodily Injury

Litigation, Investigation, determination of liability, settling of first

party and third party property damage claims, and reviewed medical billing

for the insured and claimant. Correspond directly with claimants and

attorneys to resolve claims. In addition, assigned field appraisals and

evaluated total loss assessments. My specialty was handling the

investigation of arson and fraudulent criminal claims.

1991-1996 Budget Rent A Car Liability Adjuster/Subrogation Specialist

1987-1991 Warner Bros. Studio Operations Assistant / Risk Management

COMMUNICATION SKILLS

Speak Spanish Fluently

Extensive experience documenting insurance claims

Excellent professional phone skills

COMPUTER & TECHNICAL SKILLS

Software: Xactimate 24 - Intriga - BCS Claims - Best - MS Office (Word,

Excel, Access, Power Point) Lotus 123, Foxpro, Word Perfect, Windows

Operating System

Comfortable with Technology: Proficient using a digital camera and can

edit/insert images into reports/files as needed. Comfortable using a

scanner and burning CD's as required.

Typing: Type 60 WPM, 10 key touch

LICENSE AND CERTIFICATION

License:

Nevada All Lines Resident Adjuster

Florida 5-20 All Lines Independent Adjuster

Louisiana Comprehensive (All Lines)

West Virginia All Lines (non-resident)

Delaware All Lines (non-resident)

Certified:

FWUA - Dwelling - Condominium - Commercial

NFIP - Residential - Mobile Home

PARR/FEMA Inspection Advanced Certified

Vale National Certified Property Twenty - One

Vale National Certified Casualty Training

EDUCATION

Business Management, Long Beach City College

Business Law /Business Administration, Cerritos College

currently working on AIC and working toward CPCU

Cynthia L. McGraw

8316 Spruce Meadows Ave Main Cell Phone (719)243-

3122

Las Vegas, NV 89131 *******@***.***



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