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Claims Specialist Insurance

Location:
Marietta, GA
Salary:
85000
Posted:
December 18, 2023

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Resume:

Cynthia C. Brutton

**** **** ***, ********, ** **062• 404-***-**** • ad117x@r.postjobfree.com

--LICENSE INSURANCE ADJUSTER--

SUMMARY OF QUALIFICATIONS

Highly motivated and detailed-oriented professional offering extensive claims and litigation experience within the insurance industry

Over 7 years of claims handling experience, skilled at handling property damage, litigation and auto liability

Equipped with in-depth understanding of insurance policies, statutes and law

Known for excellent interpersonal skills and the ability to present complex matters before upper management

Articulate communicator with excellent customer service skills

Proficient trainer of litigation for newly hired personnel. AREAS OF EXPERTISE

LITIGATION MICROSOFT OFFICE

PROPERTY CLAIMS POLICY INTERPRETATION

EXCELLENT NEGOTIATION SKILLS CLAIMS INVESTIGATION

RELEVANT EXPERIENCE

FKS Insurance Services

Litigation Specialist/Case Manager August 2020-November 2023 o Prepared and Negotiated with Public Adjuster and Attorney for resolution of the case o Managed a diverse inventory of Florida property damage lawsuits to include: insured cases, AOB water mitigation, mold testing and mold remediation

o Responsible for reviewing lawsuits and claim file handling for accuracy and defensibility and directing defense counsel throughout the litigation process in order to achieve an optimal outcome for the company o Managed the case from initial evaluation through final order of dismissal o Conducted analysis of the defensibility of the dispute through analysis of the policy, statutes and prevailing case law

o Presented complex cases before a panel of upper management in order to obtain authority on extraordinary legal issues

o Trained newly hired personnel in litigation and set expectations of their assigned manager and Progressive Insurance Company

Crawford and Crawford Company

Property and Litigation Specialist September 2018-August 2020 o Managed a diverse inventory of Florida property damage lawsuits to include: insured cases, AOB water mitigation, mold testing and mold remediation

o Prepared and Negotiated with Public Adjuster and Attorney for resolution of the case o Responsible for reviewing lawsuits and claim file handling for accuracy and defensibility and directing defense counsel throughout the litigation process in order to achieve an optimal outcome for the company o Managed the case from initial evaluation through final order of dismissal o Negotiated with Attorney and Public Adjuster to settle the claim to resolution o Reviewed field adjuster’s loss report, estimate and analysis of inspection and determined cause and origin of loss and issued payments according to policy contract

o Conducted analysis of the defensibility of the dispute through analysis of the policy, statutes and prevailing case law

Auto Claims Examiner (Express, CAT & Total Loss Units) January 2018-August 2018 o Demonstrated excellent customer service skills with clients, supervisors, agents and team members o Proactively implemented critical thinking skills to research and explore claims to close based on policy guidelines, along with state and federal regulations and laws

o Recognize the difference between total loss and repairable vehicles while considering hidden damages, open items, vehicle rentals and salvage value

o Demonstrated strong work ethic, organizational skills, and effective time management practices to consistently produce high volumes of quality work

o Document claim files with notes, evaluations and decision-making process o Utilize arbitration, appraisal and alternate dispute resolutions as needed CNC Catastrophe

State Farm Insurance Company, Property &Casualty Division February 2016-December 2017 Property Claim Specialist (Hail Reconciliation Unit) o Evaluate the facts and law to determine liability and amounts owed o Utilize analytical skills to make decisions and resolve conflicts o Request payment authorization and issue payments according to policy and procedure o Reconcile estimates based upon policy coverage and limits o Evaluate the claim for subrogation opportunities and possible fraud CERTIFICATION & LICENSES

Earthquake Certification, Allstate Property Certification, State Farm Auto & Property Certification Licensed in the following states: GA, AK, AL, AR, AZ, CT, FL, IN, KY,LA, ME, MI, MS, NC, NV, OK SC, TX, VT, WA TECHNICAL ACUMEN

NextGen, Enterprise Claims System, Image Right, Audatex, Xactimate, XactAnalysis, ClaimCenter, Word, Excel, Outlook, and Windows XP, Guidewire, Katana, ClaimsSource, Symbility EDUCATION:

Tallahassee Community College: Associate of Arts Degree – Business Administration, June 2009



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