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Insurance Manager

Location:
Fairburn, Georgia, United States
Posted:
May 22, 2018

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Resume:

Wilson E. Trevillion

*** ********* **** ************, ** 30214 404-***-**** ac5kgc@r.postjobfree.com

PROFILE: CLAIMS MANAGER

~ Certified professional with over 20 years of property and casualty insurance experience ~

Analytical and strategic thinker with extensive property and casualty claims investigation experience. Demonstrated background evaluating liability, damages and losses; identifying recovery opportunities, and reviewing suspicious claims. Expert knowledge of negligence, insurance contracts, insurance coverage, no-fault (PIP) laws, statues, and regulations. Ability to effectively mediate, arbitrate, and negotiate payments/reimbursements for clients. Excellent communication and team management skills. Proficient in Microsoft Word, Excel, and Windows software.

CORE COMPETENCIES

Property/Casualty Claims Mediation/Arbitration Negotiation/Litigation

Strategic Planning

Medical/Legal Reporting

Evaluating/Investigating

Claim Settlement/Recovery

Regulatory Compliance

Liability/Damages

Customer/Client Service

Insurance Coverage

Catastrophic/Complex Claims

PROFESSIONAL EXPERIENCE

Lozano Insurance Adjusters, Jacksonville, FL 2017-2018

Catastrophe Claim Adjuster

Investigated and settled catastrophe property claims

Investigate claims to determine coverage

Analyze coverage and write coverage denials

Reviewed Field Adjuster’s estimate

Utilize Xactimate & XactAnalysis

Make appropriate changes to Field Adjuster’s estimate

Discuss settlement with all interested parties

Assisted with training adjusters

Mueller Services, Atlanta, GA 2016-2017

Field Representative

Preform home inspections to determine the insurability of homes and businesses.

Measure and diagram the exterior of homes

Document major and minor hazards

Determine the square footage of the structure

Determine the replacement cost value of homes

Complete timely and comprehensive reports

BEST IRS INC, Birmingham, AL 2014 – 2015

Certified Arbitrator

Reviewed 2000+ intercompany liability cases and provided a written decision on whether to pay or deny the claim based on the evidence provided by both parties.

Utilized arbitration/mediation methodologies to assist in communication between parties and guide them toward agreeable claims settlements.

Evaluated and analyzed evidence provided by disputing parties in order to provide a written decision to pay or deny the claim and how much the award should be.

Earned five “Star Performer” awards for successfully analyzing and ruling on a large number of claims.

PROFESSIONAL CLAIMS CONSULTANTS, LLC, Fayetteville, GA 2008 – 2014

Owner/Claims Manager

Performed field inspections and scene investigations to ascertain property damages and liability. Conducted performance reviews and property and liability adjuster training.

Increased revenue from $50K to $400K by ensuring customer satisfaction by successfully leading 10 adjusters and reviewing final reports.

Developed claims training course that was approved by State of Georgia for continuing education credits.

UTILIQUEST, INC, Atlanta, GA 2006 – 2008

Litigation Claims Coordinator

Investigated both litigated and non-litigated liability claims and researched the “dig” laws of individual states to determine if a party had legal precedent to pursue a claim.

Recouped $35K in legal fees by convincing defense counsel to file an offer of judgement.

Oversaw litigation process including trial preparation and strategy as well as acquiring defense counsel.

Conducted weekly reviews of damage claims and annual claim reviews with insurance carrier.

CRAWFORD & COMPANY, LLC, Atlanta, GA 2003 – 2005

Claims Adjuster & Claims Supervisor

Supervised team of casualty and PIP adjusters that handled claims in multi-state jurisdictions. Investigated and settled commercial property damage.

Liaised between the Merastar Insurance and Crawford & Company at the behest of client.

AI TRANSPORT INC (AIG), Atlanta, GA 2002 – 2003

Senior Claims Representative

Investigated and settled liability claims of commercial truck drivers and managed litigated cases.

Investigated and negotiated bodily injury claims with attorneys representing claimants that sustained moderate to severe injuries.

EARLIER EXPERIENCE

ASSURANT GROUP, LLC, Atlanta, GA 2001 – 2002 Atlanta, GA

Property Claims Examiner III

Performed analysis of insured’s coverage and settled property damage claims.

ALLMERICA FINANCIAL/ HANOVER INSURANCE, INC, Atlanta, GA 1997 – 2001 Atlanta, GA

Resident Claim Specialist

Conducted field investigations and analyzed commercial and personal liability losses. Evaluated and settled bodily injury and third party property damage claims. Reported claims requiring reserves in excess of $100k and handled litigated claims.

ANTHEM CASUALTY INSURANCE, CORP, Indianapolis, IN 1994 – 1997 Indianapolis, IN

Claim Specialist/Litigation Specialist

Controlled and directed litigated claim files in four states. Participated in mediation and strategic trial preparation.

EDUCATION AND CERTIFICATIONS

Bachelor of Arts, Economics, Central State University, Wilberforce, OH

Licensed Adjuster, State of Georgia – License# 622188

Legal Principles Claims Specialist-AEI

INS SERIES 21 & 22 Home Owners Self Development Personal Auto Coverage Medical test and signs

Negotiations & Bodily Injury Analysis



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