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Claims Adjuster Bodily Injury

Location:
Lawrenceville, GA
Posted:
February 08, 2024

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Resume:

Heather Cornett

ad3g34@r.postjobfree.com PH: 317-***-**** Remote/USA

Professional Summary

A highly accomplished Senior claims adjuster with a unique background in both Personal and Commercial General/Product Liability including Bodily Injury. Adept at negotiation and settlement along with strong litigation support skills. Property & Casualty licensed in various states including New York, Florida, Louisiana, and Texas. Over 7+ years of remote working experience as well as deployment during Catastrophic weather events. Proven ability to investigate coverage and evaluate liability to ensure timely and equitable claims handling.

Education & Training

Journalism, Indiana University / Purdue University, Indianapolis IN, 1991 – 1993

Business Administration, Moorpark College, Moorpark CA, 1989 – 1991

Professional Experience

Sedgwick Claims Management Systems 10/2022-Current

Commercial Claims Adjuster Litigation Support BI/PD/GL

Investigate to resolution commercial bodily injury/PIP/Medpay claims for Yellow YRC Trucking

Risk assessment and reporting to Excess Carrier

Establish and maintain accurate loss cost estimates and reserves for each claim for reporting, financial records, and legal purposes.

Communicates with client and others regarding claim status with timely and accurate written/oral communications.

Managing the electronic claim file and maintain proper documentation with accurate clear and timely updates.

Working with Defense Counsel, Local Counsel, and IA to complete investigations of serious and potential excess losses.

Negotiate with involved parties to equitable resolution while protecting the client

Litigation management including attending and preparing for pre-trial conferences, mediations, and other ADRs.

QBE, PURE Insurance, State Farm, Allstate 02/2021-09/2022

Independent Adjuster (CAT) Contract

Investigated and addressed to conclusion weather related Personal Property Claims for Auto and Homeowners losses in Louisiana, Florida, New Jersey, New York and Georgia

Arranged temporary housing and ALE for displaced insureds during catastrophic conditions

Temporary/Contact Adjuster for Commercial General and Product Liability claims involving bodily injury of varying severity

Genpact BrightClaim 7/8/2019 - 1/15/2021

Personal Lines Auto Adjuster BI/Total Loss

Third Party Claims Administrator for Farm Bureau and Root Insurance companies

Adjust and investigate Auto Liability claims to conclusion

Train, mentor, coach new and existing adjusters and support staff on basic and complex claims resolution

Handle, negotiate and process Total Loss Auto and address diminished value

Ensure timely and through liability investigation

Risk assessment and mitigation

Policy interpretation, coverage review and proper reserving

Medicare/Medicaid reporting

Negotiate payment, settlement and claim resolution

Trifecta Services

Independent Adjuster (CAT) 9/11/17 – 6/28/2019

Licensed Independent Claims Adjuster dedicated to providing claims process education and assistance to insured, claimant and 3rd parties.

Member of Catastrophe response team for various National Carriers including State Farm, QBE, & Allstate

Managed approximately 10-15 claims daily with an authority limit up to $30k

Proficient with Xactimate/Xactware, NextGen, AS400, Simbility CCC Autoverse and Mitchell software

Review loss details and determine coverage based on the policy in force for Commercial Property, Homeowners, and Personal lines Automobile

Sedgwick Claims Management Systems 1/29/13 – 7/7/17

Commercial Adjuster GL/PL BI

Investigate to resolution commercial general and product liability claims involving bodily injury and property damage for Home Depot nationwide.

Team with Risk Management divisions and Attorney’s to investigate claims, determine liability and exposure, formulate reserves, negotiate settlements, and mitigate risk exposure

Manage Commercial General Liability, Product Liability and Bodily Injury claims by gathering information to determine liability exposure; assign reserve values to claims, make claim payments and settle claims up to designated $50k authority level

Prepare written Risk assessment, claim evaluation and reserve recommendation of claims in excess of authority for submission to Excess Carrier

Investigate and Tender Product Liability claims to the appropriate entity for resolution

Determine and manage action plan pursuant to the claim or client contract.

Provide Litigation Support to various member of Corporate Counsel, to include review of file for early settlement resolution, reserve recommendations and mediation

Simultaneously manage over 150 claims in a high-paced environment consistently achieving scores of 95% or greater based on company Quality and Performance metrics

Maintained a high file-closure percentage with minimal supervision and demonstrated exceptional negotiation ability

Member of Diversity Committee

Successfully completed Sedgwick University Management Track and Business Writing courses

Liberty Mutual/Safeco Insurance 4/9/01–6/19/06 & 1/18/08-7/2/12

Sr Adjuster / Interim Manager / Trainer

Responsible for employee development, performance monitoring, including attendance, quality, and training.

Identified strategies for improvement of service and productivity.

Manage Personal and Commercial automobile property damage and bodily injury claims throughout the United States.

Conducted complete investigation of claims against insured’s policies to determine coverage, liability, and compensation.

Contributed to reaching customer service satisfaction while following company protocol and providing exceptional customer service.

Assigned Independent and Field Appraisers to inspect vehicle damages and secure estimates for repair.

Coordinated repairs and payment with body shops, arrange Loss of Use / Rental and negotiate with other carriers and / or responsible parties for payment and resolution.

Also held positions in Commercial Direct Billing, Agency Licensing, and IT support

Licenses and Skills

Licensed P&C Adjuster in multiple States including NY, TX, FL and LA. Home State GA License # 2916037 NPN# 15932544

●Microsoft Office Proficient

●Outlook

●AS400

●CCC Autoverse

●Citrix

●SIR

●IManage

●Team Connect

●Xactimate

●Mitchell

●NexGen

●State Farm Certified

●Guidewire

●Simbility

●Risx-Facs

●Claim Xperience

●OKTA

●JURIS



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