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Customer Service Insurance

Location:
Port St Lucie, FL, 34987
Posted:
April 28, 2013

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Resume:

Mariann Yuengling ***** SW Hartwick Dr,

Port St Lucie Fl 34987

772-***-**** **********@***.***

EXPERIENCE

Wilber Lane Law Firm 10/11 - 11/12

Remote "Insurance Arbitration Writer"

. Reviewed incoming arbitrations and submitted defense and appropriate

proofs to the American Arbitration Association.

. Worked independently requiring little or no supervision.

. All positions were written in a logical format proving the case and

listing all evidence.

. Ensured that the written contentions were clear and concise detailing

duty owed, duty breached, proximate cause, and damages claimed.

. Proficient in uploading evidence items directly into the online filing

for members configured for electronic evidence submission.

. Recognizes when to assert an affirmative defense, dispute damages, and

when a counter claim is needed.

. Able to complete 8-10 arbitrations per day.

Liberty Mutual Insurance Co.

1/88 - 10/10

Senior Claims Specialist (No-Fault Litigation Trial Team) 1/08

- 10/10

. Part of the Litigation Trial Team responsible for handling all civil no

fault trials.

. Established excellent relationships with in house council as well as

plaintiff attorneys.

. Appeared in the NYS Civil court venues on a regular basis to testify on

behalf of Liberty Mutual Insurance Company in order to have denials

entered in as evidence thus enabling cases to proceed to trial.

. Negotiated numerous cases in court with Plaintiff attorneys using case

law and fee schedule defenses resulting in a more favorable settlement

ratio and suit withdrawals.

. Held bi weekly meetings with Liberty Mutual's in house attorneys to flag

the defendable cases and prepare them for trial.

. Identified cases that call for resolution and timely contacted plaintiff

attorneys to discuss strategic settlements prior to trial date resulting

in reduced settlement ratios and court fees.

. Responsible for securing witnesses for trial.

. Ensuring that the legal staff has all necessary defense documents prior

to trial.

. Adheres to proper claims investigation and file posting.

. Versatile and functions comfortably in the absence of complete

information.

. Identified as a knowledge source for Liberty Mutual's mailing affidavits

based on expertise in that area.

. Responsible for signing all of Liberty Mutual's mailing affidavits for

court

. Constantly working with teammates to ensure team goals are met.

. Makes sure the lines of communication are open between teammates as well

as plaintiff and defendant attorneys.

. Able to diffuse any conflicts or confrontations that may arise thru

excellent communication skills.

(Continued) Liberty Mutual Insurance Co.

Senior Claims Specialist (No-Fault Litigation Trial Team) (continued)

. Proficient with legal terminology and court proceedings.

. Responsible for setting up and releasing settlement payments.

. Provided management with monthly settlement and defense logs

. Proficient with litigation software applications, Microsoft word, Excel,

PowerPoint

Claims Specialist (III) (no- fault litigation)

4/04 - 1/08

. Timely managed and answered incoming Civil Suits to be defended and

referred over to in-house or outside counsel with a litigation action

plan.

. Reviewed incoming Arbitrations and submitted defense and appropriate

proofs to the American Arbitration Association.

. Negotiated settlements with no-fault providers or attorneys for

indefensible claims.

. Proficient knowledge of Insurance Regulations 68, Insurance

Regulations 64 and

No-Fault Case Laws.

. Familiar with NY Court system, monitored trials.

. Coordinated and scheduled IME Dr. testimony and negotiated appearance

fees.

. Provided management with monthly settlement and defense logs.

. Established relationships with in-house counsel, outside counsel and

plaintiff attorneys.

. Strong communication and negotiating skills, familiar with diagnostic

codes.

. Able to multi-task in a fast paced environment.

. Only member of team to continuously attend court trials and testify if

needed while maintaining a full caseload.

No-Fault Claims Specialist (II)

1/94 - 4/04

. Contacted Eligible Injured Persons, obtained injury information and

explained their No-Fault benefits in full.

. Reviewed claims for medical necessity and causal relation to the motor

vehicle accident/date of loss.

. Coordinated and scheduled IME's and peer reviews.

. Managed No-fault Claims, including Assigned Risk.

. Coordinated Managed Care for serious injury cases.

. Calculated lost wages.

. Processed medical bills as per Regulation 68.

Customer Claims Representative

1/88 - 01/94

. Handled auto liability claims, total losses and thefts

. Responsible for taking automobile accident first reports

. Set up vehicle appraisals

. Negotiated settlement of property damage claims directly with claimants

as well as attorneys

. Able to apply comparative negligence laws

. Able to identify fraud issues and refer to our special investigative

unit

. Identified rate evaders and notified the coverage department.

. Met all protocols for customer service, telephone service and

performance standards

Petsmart / Dogs and Cats Forever

11/10 - 9/11

Part- time dog bather, and volunteer.

EDUCATION

Nassau Community College, Garden City, NY

2 years

References available upon request.

11-7-12



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