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Workers Compensation Data Entry

Location:
Davenport, FL
Posted:
October 23, 2024

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Resume:

Mark Hunt

*** ******** **, ********* ** *****

**********@*****.*** PH.901-***-****

Summary:

7+ years of experience with liability claims.

Experience working with high-dollar settlement claims.

Licensed Florida Adjuster available for interview and start within two weeks.

Skills:

Proficient in Microsoft office (Word, Excel, Outlook, Access, PowerPoint)

Xactimate

Workers Compensation Claims

Lost times, and Litigated Claims

High dollar settlements (130,000 – 300,000)

Property and Auto Claims

Data Entry

Great Negotiating

Organized and dependable

Communication

Able to coordinate and prioritize

Multitasking and problem solving

Investigating

Professional Experience:

Liberty Mutual Insurance August -2021 to Present 2024

Auto/BI Adjuster

Handle Auto Claim

Case Load 60-70 Claims

I work the BI exposure in the claim

Make 48 hr contact with the claimant

Do Negotiation and Evaluation of the claim/ settle make payment

Liberty Mutual – I CAT Property

Handle property claims in all 50 states.

Investigates claim damages and situation using internal and external resources.

Determines policy coverage.

Determines and negotiates settlement amount/ make payments ect…

Sedgwick Claims - TPA Sept – 2020 to April - 2021

Claim Adjuster

Commercial Property Adjuster

Connecting to FoxPro / image Right – contacting the insured

Labeling documents / reviewing field reports – setting reserve for claim.

Paying Claim / Paying vendors – Mailing settlement letters and closing claim.

Custard Insurance January 2017 – Sept - 2020

Claim Adjuster

Handled Workers Compensation, Property and Auto claims.

Investigated workers compensation claims to find out what happened, the type of injury, whose fault it was, and collected any witness, doctors or expert opinions statements.

Handled lost times, litigated claims, G/BI claims with litigation.

Assigned about 20 – 30 claims per week.

Handled high dollar settlements (130,000 – 150,000) for workers compensation claims and (200,000 – 300,000) for property claims.

Mediated and negotiated settlements; Conversed with attorneys and claimants with permission.

Made recommendations to the insurance companies in regards to settlements based on the extent of the injury and how long they would be out of work.

Handled claims for Liberty Mutual and All state.

Communicated with policyholder, witness, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action.

Responded to various written and telephone inquiries including status reports.

Determined policy coverage through analyzing investigation data and policy terms, including whether claims will be approved or denied.

Notified insured of coverage of any issues.

Established reserved levels at the beginning of handling a claim and adjusted as appropriate based on investigation findings.

Maintained accurate and current claim file documentation.

Leveraged Word for any needed documents.

Leveraged Excel to produce spreadsheets, quotes, and reports.

Leveraged Xactimate

Leveraged Outlook to maintain calendar and manage emails.

Renfroe March – 2016 – January 2017

Claims Adjuster

State Farm / Inside Property Adjuster – Investigated claim damage using internal and external resources.

Assisted a claims processor with historically troublesome claims.

Determined policy coverage, approved, denied and paid claims.

Maintained accurate and current communication with insured/ claimant.

Answered calls from policy holders and interacted in a positive manner.

Identified possible red flags when analyzing various sample cases.

Organized materials for order claims files.

Met with management to discuss weekly goals and strategies.

Leveraged Xactimate training skills to quickly create accurate estimates.

Handled and investigated claims bother in the field and within an office environment.

Maintained accurate and current claim file documentation.

Leveraged Word for any needed documents.

Leveraged Excel to produce spreadsheets, quotes, and reports. (1 claim might have five reports)

Leveraged Xactimate

Leveraged Outlook to maintain calendar and manage emails.

TA/Petro September 2012 – February 2016

General Manager

Spearhead business development, marketing strategies, and performance tracking for a full-service deli and significantly increase incoming revenue stream; develop management training program for new general managers.

Single-handedly turned the company around and produced upwards of $19M in sales due to business expertise.

Supervise multiple locations in Florida and manage human resources functions to acquire quality employees.

Manage a staff of 25+ employees, conduct performance reviews, and contribute to their professional development.

ITT, Afghanistan January 2007 – Sept 2012

Shank – Container Coordinator

Broke ground on enhanced security procedures as the lead guard over in and out gates; documented visitors.

Critical part of maintaining records on inventory, serviceability codes, and tracking points as part of safety procedure.

Oversaw large staff; proficiently utilized the Booking System/Container Management Module (IBS-CMM).

Executed regular audits to ensure the presence of all equipment, report any inconsistencies, and assure compliance.

Education:

Associate Business Administration – Business Management, Southwest TN

Florida Adjuster License



Contact this candidate