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Bodily Injury Claims Adjuster

Location:
Aurora, CO
Salary:
65,000
Posted:
January 18, 2024

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Resume:

Kristie Peroni

***** * *** ****** ******, CO ****1 · PHONE 719-***-**** · EMAIL ad2wde@r.postjobfree.com

EDUCATION Adams State University, Alamosa, CO

Bachelor of Arts, Psychology and Sociology with a minor in Criminology (May 1995)

University of Phoenix, Lonetree, CO

Masters of Business Administration (May 2005)

Argosy University, Denver, CO

Completed coursework towards a Master’s in Forensic Psychology

SKILLS Proficient in Microsoft Office

Proficient in the use of ISO

Proficient in the use of social networking

EXPERIENCE January 2021 to January 2024 – Shelter Insurance, Denver CO

Casualty Claims Adjuster

Investigated and negotiated liability for commercial premises, homeowners and personal auto claims

Investigated, analyzed, negotiated and settled bodily injury and UM/UIM claims

Maintained an understanding of or policy language and contract format as well as keeping current with the changes in insurance/claims industry and regulatory environment for both Colorado and Nevada.

Mentored new hires and assisted in training new hires

Arbitration Panelist with Arbitration Forums

January 2002 to October 2020 – AMERICAN FAMILY MUTUAL INSURANCE COMPANY, Denver, CO

Personal Injury Protection Adjuster, Casualty Senior Claim Desk Adjuster, Medical Expense Adjuster, Med Pay SME

Investigated and negotiated liability for both home owners and auto claims

Investigated, analyzed, negotiated and settled bodily injury, UM/UIM, PIP and Medical Expense claims

Maintained an understanding of our policy language and contract format as well as keeping current with the changing insurance/claim industry and regulatory environment

Reviewed claim files to maintain a high level of customer service and to comply with unfair claims practices acts and good faith claims handling

Developed and maintained relationships with Medical Services, SIU, Legal and other internal/external customers and vendors

Selected by Management to be part of the following projects

oCare Center Training liaison

oMedical Terminology and Medical Expert SME

oEbill Expert

oIME/ICR Auditing

oLegal liaison for Medical Expense

oOut of operating state liaison

oLetter writing liaison

oStandard of Work Subject Matter Expert

oPDCA Delegate

oMedpay SME

Selected by Management to train and mentor new adjusters, existing adjusters and contingent employees. Have successfully trained and mentored Casualty, Bodily Injury and Medical Expense/Personal Injury Protection adjusters

Selected by Management to assist in the development of the No Fault/Medical Expense and Catalyst Standard of Work.

Prepared and conducted training pertaining to policies, state specific handling, Reservation of Rights, Best Practices, Standard of Work and incorporated Rapid Callibration Requirements

Participated in PDCA meetings for Standard of Work and presenting updates to the Medical Expense teams

Participated in Value Stream Committees related to Standard of Work and use of Medical Services

Assisted in leading value stream committees related to Standard of Work

Involved in Continuous Improvement which assisted in gathering data and analyzing data to determine root cause, implementing experiments gearing towards improving processes, developing and updated work flow processes and job aids

Arbitration Panelist with Arbitration Forums

Have completed select NICTA coursework

DESIGNATIONS Associate in Claims (AIC)



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