Commercial liability Claims Adjuster

Jamie Lako

Pittsburgh, PA 412-***-**** ad5us1@r.postjobfree.com

Summary:

Responsible Senior Claims Adjuster with experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing case facts. Handles over 200 caseloads per month and provides exceptional customer service to the client.

Education: Bachelor of Science in Psychology - Saint Vincent College - Latrobe, PA

Licenses: AL, AR, CT, DE, FL, GA, IN, LA, MN, MS, NV, NH, NM, NY, NC, OK, OR, RI, SC, TX, VT, WV, and WY.

Professional Experience:

November 2022 to Present - Tristar Risk Management – Remote

Commercial Auto Liability Claims Examiner III

Conduct efficient claim examinations and investigations leading to the final resolution of liability claims, including matters in litigation, for the State of New York.

Review, process and conclude assigned claims including investigation and evaluation of complex Commercial Auto property and casualty claims with a total incurred of $25,000.00 per SRAP limits.

Reviewed new files to determine current status of injury claim and to develop plan of action.

Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.

Maintain an ongoing diary, prepare loss reports providing thorough analysis of liability and damages.

Determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.

Document all correspondence, reports, discussions and decisions in the claim file record. Provide outstanding service to the client.

Use strong analytical and problem-solving skills to develop effective solutions for challenging situations.

Demonstrated respect, friendliness and willingness to help wherever needed.

Provided professional services and support in a dynamic work environment.

Developed and maintained courteous and effective working relationships.

Managed time efficiently in order to complete all tasks within deadlines.

Organized and detail-oriented with a strong work ethic.

Self-motivated, with a strong sense of personal responsibility.

Reviewed new files to determine current status of injury claim and to develop plan of action.

April 2022 to November 2022 - Sedgwick – Remote

Auto Claims Representative

Investigate third party property damage claims for multiple commercial trucking companies to determine liability.

Handling new accounts as company acquires them.

Review and interpretation of policy language to determine coverage.

Evaluated and investigated over 300 auto claims within seven months and decided whether insurer should pay claim.

May 2009 to March 2019 - Port Authority of Allegheny County - Pittsburgh, PA

Senior Adjuster

As one of three claims adjusters for self-insured entity with over 2,000 employees, was responsible for investigating claims through prompt and courteous contact with appropriate parties such as claimants, witnesses, medical providers and technical experts to determine extent of liability and damages.

Obtained all investigative reports ranging from police and CIB reports to medical records while documenting claim file activities in RiskMaster, a proprietary claims tracking system developed by UPMC.

Processed liability claims by gathering information to determine liability exposure, assigned reserve values to claims, making claim payments as necessary and settling claims up to designated authority level.

Processed assigned claims and determine benefits due pursuant to client contract; make timely claims payments and adjustments.

While communicating claim action/processing with claimant, client and appropriate medical contact, ensured claim files were properly documented and claims coding was correct.

When appropriate, negotiated disposition of claims with all parties within assigned authority within 30 days of assignment.

*Additional Experience Upon Request

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