Investigation, Loss & Asset Protection, Litigation, Liability Coverage
Resume:
Rhonda Baugh
Virginia Beach, VA 23455
Education Aetna Institute,
Management I, Effective letter writing, Property & Casualty Principles, Property claim adjusting, Business and auto garage coverage, Traumatic Brain Injuries, Litigation Management, Medical Terminology, Fraud Identification, Flood Insurance, Traumatic vs. Degenerative spine injuries, AEI Law of Contracts and Tort Concepts, NC Adjusters License
Experience
March 2012 - Capstone ISG,
Present Independent Adjuster
Independent Adjuster handling Personal and Commercial liability claims including Litigation, Catastrophic Injury claims Personal and Commercial Auto and Commercial Property Liability and Homeowners Liability. NC Licensed Adjuster.
August 2005 - AIG
February 2009 Casualty Claim Examiner
Personal Auto claims, catastrophic injury claims, motorcycle claims, complex coverage issues as well as Litigation files to their conclusions. Ability to multi-task, research, effective letter writing, make difficult decisions, communication skills, handle pressure well and strong knowledge of various computer programs. Provided liability and injury evaluation training and guidance to co-workers. Processed medical bills, review for proper ICD9 codes, utilizing medical bill review programs.
September 2002 - USAA
May 2005 Examiner
Investigated, evaluated and amicably settled Automobile claims involving severe and long term third party claims in accordance with the terms and conditions of the policy; applicable to the liability facts and damages. Identified risk transfer when FTCA or Ferres Act applied. Provide supervision to inside, outside and independent adjusters to ensure prompt and efficient customer service. Provided training to co-workers. Strong ability to multi-task, research codes and case law, effective letter writing, communication skills, handle pressure well and strong knowledge of various computer programs. Processed medical bills, review for proper ICD9 codes, utilizing medical bill review programs (Colossus).
July 1994 - USF&G/St. Paul
August 2002 Commercial Liability Field Representative
Effectively handled a case load of over 80 claims in Virginia and Pennsylvania. Handled accounts for several large Commercial insured’s and exclusively handled the VADA program from 1994-1997. Demonstrated an excellent rapport with clients, agents, rental companies, body shops, attorneys, and structured settlement partners. Virtual Field Claim Representative: Handling personal and Commercial Claims, Homeowners Liability assigned to the Hampton Roads area. Handled a case load of approximately 85 claims achieving 24 hour face-to-face contact with insured’s, claimants, witnesses and attorneys. On-call 24/7 including weekends and holidays. Knowledgeable in Products Liability, Garage Keepers, Garage Liability, Products Defects, Title & Odometer Errors & Omissions, Commercial Property, Commercial General Liability, Bailment, Ferres Act and FTCA. Provided training to co-workers. Ability to multi-task, research, effective letter writing, make difficult decisions, communication skills, handle pressure well and strong knowledge of various computer programs. Processed medical bills, review for proper ICD9 codes, utilizing medical bill review programs.
March 1987 - Aetna Life & Casualty Company
March 1993 Supervisor
Handled Personal and Commercial Auto, Homeowners and Marine claims to a conclusion including 1st party medical payments and collision. Administrative Supervisor 1987-1991 effectively supervising six clerical employees. Delegated duties to ensure prompt and accurate complete of support duties in office. Achieved 100% Compliance on Supervisory controls and 99.8% accuracy for overall unit performance.
Licenses North Carolina Adjuster’s License- Current
Virginia P&C Agent’s License- Past
Certifications/Designations AIC
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