Insurance Adjuster Medical Records
Resume:
Charmaine Macklin
Columbus, OH 43204
614-***-**** primary
*********.*******@*****.***
Objective
I want to use my insurance adjuster licensing to obtain a position in which I can use my skills to review policies and determine coverage. Conduct investigations to evaluate claim facts surrounding damages or injuries and settle claims appropriately.
Resolution Manager
Gallagher Basset
May 2022-July 2024
Handed First Notice of Loss and created a new claim.
I reviewed the policy language to determine coverage.
Conducted investigation, took statements, determine the Facts of Loss.
Maintained claim files, make sure all claims are up to date with all relevant communications.
Order inspections and Surveillance when essential to obtaining information.
Access damages determine if repairs or replacement is necessary to resolve the claim.
Negotiate settlement, pay, and close the claim.
Initial Claims Handler III
The General
August 2020 – May 2022
Initiated claim when insured or employee contacted my offer into my office to report a claim.
Examined insured policy to determine if there is coverage if policy was active and within the policy period policy limits.
Investigated facts of loss to determine if insured is at responsible damages.
Review Police, Fire. Medical Records and Scene surveillance as required to investigate the facts of loss with all available information.
Communicated with attorneys and claimant insurance company regarding if coverage is available and liability decision.
Preserved claim file notes, action plans, and Reservation of Rights as needed during the claim cycle.
Negotiate settlements, pay, and close the claim as needed.
Claims Manager
Leaders Moving & Storage Company
July 2017 – August 2020
Obtained all claims reported by employee or customer into the claims office. Conducted investigation to determine liability involving cargo and auto damage claims.
Trained and provided on-gone support to Operation Managers in five locations on what information to gather at scene.
Develop and implements policies and procedures along including work standards.
Examined damages to property to evaluate if repairs or replacement required to resolve the claim.
Negotiate settlements to resolve the claim, maintain and documentation with all claim notes as required.
Job Coach
Safelite Solutions LLC
2016 – 2017
Supervised and trained a team of twelve on procedures when received an incoming call to report First Notice of Loss.
Encourage the team to expand knowledge base and skills to continue to grow and learn various client procedures.
Evaluate and monitor department performance and budget goals ensure team met goals and adjust as needed.
Developed action plans with on-going training as needed with team members to determine to methods to ensure they are meeting departmental goals.
Education
Bachelor of Science in Management
Franklin University, Columbus, Oh 2007
Associate of Science in Computer Information Systems
Toledo, Oh 2002
Professional Credentials:
License Insurance Adjuster
Current in all states apart from HI, AK, and AZ.
References Upon Request
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