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Medical Training

Location:
New Castle, Delaware, 19720, United States
Posted:
November 30, 2017

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Regina Drummond

** ***** ****

Bear, De *****

(302) ***-**** (302) ***-****

ac3jrb@r.postjobfree.com

ac3jrb@r.postjobfree.com

Over 30 years of experience in Claims. Dependable, dedicated and committed. Named Subject Matter expert for claims handling in DE and MD. Employee of the quarter 2012. Consistently serves as a Mentor to co-workers consisting of developing and delivering training. Served as Trainer of a Multi-State Claims Department for Claims Representatives and Trainees. Serve as An Arbitration Panelist in DE. Adjuster's License in DE, CT and WVA. Direct handling of Claims in multiple Jurisdictions with a strong concentration in DE, MD, NJ and PA. Handle General Liability, Homeowner's Liability and Excess Claims consisting of extensive review of Medical Reports, billing, investigations, evaluations, reserving, negotiating, strong decision making. Interpret and apply policy contracts, releases, and agreements. Propose and direct counsel with litigation planning. Attends mediations, Arbitrations, pre-settlement conferences and Trials.

CSAA Sr. Claims Specialist 10-07-present

Investigations evaluation reserving, negotiating equitable settlements in Direct Litigation PD, Bodily Injury, UM UIM slip and falls, Homeowner’s Liability and Excess - moderate and complex claims –Mentor- Named State managing expert.-Compose and perform state specific training. Extensive Review of Medical Reports and billing Extensive Legal Research - File presentations. Attended mediations, trials, pre-settlement Conferences and Arbitrations Strong negotiation decision making and time management skills.

ESIS (ACE USA) Sr. Claims Representative 12/04 to 10/07

Investigations, evaluation, reserving, negotiating equitable settlements. Determined proper denial of Coverage and liability for Property Damage, Bodily Injury File presentations quarterly audits with clients, carriers and brokers. Direct Litigation. Analyze contracts and leases. Acted as supervisor’s backup. Extensive Review of Medical Reports and billing Extensive Legal Research Mentor program. Strong negotiation and decision making and time management skills.

Maryland Automobile Insurance Claims Specialist II 09-01 to 11-04

Investigations evaluation, reserving, negotiating equitable settlements and denials of claims. Out of State Team. Recommended policy cancellations in the accordance with the guidelines of the state of MD statute (20-201) by performing special investigations Directed counsel on litigated cases. Audit Claim files. Extensive Review of Medical Reports and billing Extensive Legal Research Strong negotiation decision making and time management skills.

CGU Columbia, Litigation Specialist 11-98 to 9-01

Handle resolution of large complex claims for Automobile, Under & Uninsured Motorist, General Liability, and Garage Keeper’s Liability, first, second and third party claims. Property damage and Bodily injury Products Liability, Premises Liability, Contractor’s Liability E & investigation, evaluation, reserving, negotiating settlements and claim denials of Coverage and Liability. Directed Litigation and proposing proper discovery for defense. Attended Mediations, Trials, Pre-settlement Conferences and Arbitrations. Delegate incoming losses, in mail in supervisor’s absence. Acted as technical advisor to staff. Rotational Auditor of claim files. Strong negotiation decision making and time management skills.

Regina Drummond Page 2

Erie Insurance Group Field Adjuster 08-97 to 11-98

Investigate, negotiate, Bodily Injury and Property damage claims for first, second and third parties for Auto, Garage keeper’s, Trucker’s, General Liability Uninsured and Underinsured motorist claims and Homeowners. (Specialize in policy limit cases for Assigned Risk policies). Scene investigations composing diagrams, inspections of premises and canvas for witnesses. Face to face interviews and settlements with insured’s and claimants. Directed Litigation/Arbitration Agent retention program.

Providian Insurance Company Senior Claims Trainer 08-95- to 8-97

Technical and Systems Training -Coordinated and developed training for the P& C Multi-state Casualty Claims Department Life and Health Department Adjusters and Trainees. Wrote specific programs, contracted private facilities. Responsible for License and Compliance for the Casualty Claims Department.

Specific areas of training: Arbitration, Subrogation, negotiations, evaluations, Auto Material Damage, Traumatic injuries, Denials, Coverage, Litigation and Systems training

Crum &Forster Sr. Claims Analyst - Commercial Lines 08/88-08-95

Investigate, negotiate, evaluate, settle or deny claims. Comprehensive, Collision, Heavy Equipment, Personal Injury Protection, Bodily Injury, for Auto, Garage keeper’s General Liability Products Liability, Premises Liability, Contractor’s Liability, Title 59, and Title 42. Workman’s Compensation Medical no loss time. Outside investigations of complex claims. Handled specialized accounts. Analyze leases and contracts for proper coverage analysis Accompanied Independent Appraisers for accurate quality and control. Handled Litigation. Visit agents on a quarterly basis maintaining quality assurance. Responsible for monthly, quarterly and yearly report of the Small Estimate Program. Wrote the actual cash value of Total Thefts. Handled Total losses to a conclusion. Trained new and existing employees.

Education/Training

Strayer University Associates of Arts with a Major in Business Administration 3/08

AIC 37- active AIC 30 completed

Micro-Soft Word 01/21/17 Power Point Computer Course 01/14/17

Wilmington University-Courses in Behavioral Science 08/07 to 01/08 Personality Theory Organizational Behavior

American Business Institute Certificate/ Word Processing 1-84

International Estimator’s Academy, Auto Physical Damage Certificate Courses in

Simplified Auto, Garage keeper’s Liability, Commercial Trucker’s Negotiation Skills,

Contract Law, Medical Terminology Ethic and Morality for the Claims Professional,

Business Law and Principles of Law and Bad Faith

Ranked 2nd in the class for Auto



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