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Claims Representative Bodily Injury

Location:
Los Angeles, CA
Posted:
August 12, 2024

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Resume:

BILL THRAEN

Porter Ranch, CA *****

310-***-****

**************@*****.***

PROFILE

- More than Fifteen (15) years of experience in resolving Liability Disputes, Bodily Injury, Property Damage and Litigated claims for insurance companies, TPA’s and self-insured organizations.

- Over ten years of experience in multi-state investigations

- Experience with Litigated cases, Small Claims court Hearings, Mediations and MSC's

- Reputation for dependability and credibility

- Highly adaptable self-starter, organized and quick learner

- Team oriented and able to work independently

EDUCATION

University of Nebraska - Lincoln, Nebraska

Completed Bachelor's of Arts Degree in 1988 – GPA: 3.17

Completed GAB National Training Center in 1989

Completed Property and Casualty Adjusting courses 1989 - 1997 Insurance Institute of America- Malvern, Pennsylvania

Completed Associate in Claims designation in less than 6 months Los Angeles County Bar Association

Dispute Resolution Services 30 Hour Basic Mediation Training California State Department of Insurance

Qualified Claims Manager License: 2F59420

WORK HISTORY

Senior Claims Representative (Contract Work) 08/2005 - Present Assignments included: Kemper Ins. Co.(10/21-9/22) remote, Sedgwick/Trader Joe’s (7/21-10/21), CIGA, Western General Insurance Co.(3/17-2/18), Topa Insurance Company(6/15-7/16), Frye Claims Consultation (2/14-8/14), Crusader Insurance Company, David Morse Investigate potential alternative coverages, proceed with automobile loss claims adjusting of claims if no other coverage available. Adjusted Third and First Party California and Multi-State Commercial (big trucks, tow trucks, fleet) and Personal Lines Auto Bodily Injury, Property Damage, Premises Liability, Product Liability claims to resolution, including Attorney Represented and Litigated exposures. Responsible for Coverage, Investigation, Statements, Liability Determination, Evaluating, Reviewing Damage Estimates and Medical Reports, Setting and Adjusting Reserves, Negotiating and Resolving claims. Southland Claims Service, Inc. 11/2018 - 11/2020

Senior Commercial Claims Representative

Resolved high policy limit Commercial Liability claims. Majority of claims were Commercial Tractor-Trailer accidents across the country, included Litigation Management. Crystal Clear Investigations, West Coast Claims Services 07/2007 – 02/2014 Owner/Investigator

Conduct Investigations and task assignments for various insurance organizations, businesses and private individuals including Property & Casualty (Auto PD, BI, GL), on site Scene Investigations, AOE/COE, Sub-Rosa, Surveillance, Attend and Monitor legal proceedings. Oversaw up to twelve Independent Investigators and Vendors based in California and various other states. Ward North America 01/2003 – 07/2005

Senior Field Liability Claims Examiner

Responsible for Investigating and handling Casualty and small percentage of Property claims to conclusion. Conducted field and office investigations, Negotiated and Settled Complex Bodily Injury, General Liability, Premises Liability, Construction Defect, Professional Liability, Public Entity and Auto claims. Property Claims mostly related to Construction Defect, specific Weather Damage, Inventory Claims/Inspections Prepared files for Small Claims Court and Litigation. More than 45% of pending were Litigated. Attended MSC’s, Arbitrations and Trials, concluded the vast majority with favorable settlements Workmen's Auto Insurance Company 09/1999 - 01/2003 Senior Liability Claims Representative

Resolved claims arising from multiple states including No-Fault and PIP (Utah, Florida, Pennsylvania). Responsible for Coverage determinations

Negotiated Auto Bodily Injury, Property Damage, Comprehensive, Collision and Total Loss settlements Assigned Defense Counsel when appropriate

Senior Claims Representative (Contract Work) 11/1997 - 09/1999 Assignments included: State Farm, Farmers, Travelers, National American and Financial Indemnity Company Handled a variety of Personal and Commercial lines Liability Claims from assignment to resolution. Learned several computerized claims handling systems Significantly reduced file loads under varying situations Crawford & Company 02/1995 - 11/1997

Casualty Adjuster III

Successfully resolved all lines of Commercial Claims with an emphasis on General Liability, Public Entity, Premises Liability, Product Liability, Garage Keeper’s Liability and Auto Bodily Injury. Property Damage included, Contents, Theft, Water, Cargo, Inland Marine; Investigation and Inventory Handled the 1996 Cajon Pass train derailment accident which included being on the scene for over four days Consistently met or exceeded production goals

Raven Claims Services 08/1994 - 01/1995

Commercial Liability Adjuster

Handled Truck and Limousine claims

Successfully set-up productive remote office from scratch GAB Business Services, Inc. 02/1989 - 07/1991

Casualty Adjuster II

Assigned to several large Commercial accounts, Casualty; Auto Bodily Injury, General Liability, Public Entity.

Property Damage included Homeowner’s Contents, Theft, Water and weather related claims. Earned production bonus



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