J. H. Grier
Matthews, NC *****
Phone: 980-***-****
Email: adazzb@r.postjobfree.com
PROFESSIONAL SUMMARY
Licensed claims Examiner with extensive experience in the claims field.
Handled Claims for investigation for litigation and settlement.
Identify subrogation opportunities and proactively pursue recovery per Best Practices.
Settlement of injuries, property damage and medical payments claims, litigation, total loss evaluations and estimate review.
Sets appropriate reserves based on nature of incident, liability, venue, and injury/damage.
Attends mediations as an advocate on behalf of the insured in lawsuits involving insurance policies in force at the time of the loss.
Coordinate vendor referrals for additional investigation and/or litigation management.
Medically manage files.
EDUCATION
BA, Business Management, Accounting, Belmont Abbey College, Belmont, NC - 05/2016
MBA, Wake Forest University, Charlotte, NC – pursuing
PROPERTY AND CASUALTY LICENSES
North Carolina (exp)
South Carolina (exp)
Tennessee (exp)
JURISDICTIONS MANAGED
North Carolina
South Carolina
Pennsylvania
Virginia
Tennessee
Kentucky
Alabama
COMMUNITY INVOLVEMENT
Habitat for Humanity Home Building Project Gastonia, NC
Holy Angels Annual Bowling Night, Gastonia, NC
J. H. Gunn Community, Charlotte, NC
Gwynne Hill Festival Community, Charlotte, NC
SKILLS
Microsoft Office Suites (Word, Excel, PowerPoint, Outlook and Access),
Lotus Notes
Citrix
Riskmaster
Juris
PROFESSIONAL EXPERIENCE
Insurance Placement Solutions, Charlotte, NC
08/2019 - 10/2019 (contracted)
Communicate with all parties.
Identify subrogation opportunities and aggressively recover funds per Best Practices.
Forward the appropriate Excess Reports to carrier.
Obtain recorded statements to reduce litigated files.
Medically manage files to ensure accurate reserves.
Actively review files in inventory and identify ripe for settlement.
Develop a litigation plan with defense when appropriate.
Set appropriate reserves based on nature of incident, liability, venue, and injury/damage.
Attended mediations as an advocate on behalf of the insured in lawsuits involving insurance policies in force at the time of the loss.
Coordinates vendor referrals for additional investigation and/or litigation management.
Insurance Recruiting Specialist, Charlotte, NC 02/2012-02/2018
Proactively managed claims for investigation.
Identify subrogation opportunities and aggressively recover funds per Best Practices.
Collaborate with all parties involved in the claim.
Obtain recorded statements to reduce litigated files.
Medically manage files to ensure accurate reserves.
Reduce Old Claims (Aged Pendings).
Develop a litigation plan with defense when appropriate.
Settlement of injuries, property damage and medical payments claims, litigation, total loss evaluations and estimate review.
Set appropriate reserves based on nature of incident, liability, venue, and injury/damage.
Attended mediations as an advocate on behalf of the insured in lawsuits involving insurance policies in force at the time of the loss.
Coordinates vendor referrals for additional investigation and/or litigation management.
Travelers Insurance Company, Charlotte, NC 03/2008-12/2011
Claims Examiner/Lost Time Adjuster
Initial point of contact for insured and medical providers.
Investigate claims filed against client.
Complete a reserve analysis for the life of the claim.
Medically manage files.
Reduce Old Claims (Aged Pendings).
Identify subrogation opportunities and proactively pursue recovery per Best Practices.
Develop a litigation plan with defense when appropriate.
01/2006-02/2008
Notice of Loss Coordinator
Review all incoming claim files for coverage.
Locate and assign coverage if appropriate.
Assign them to various departments for handling.
Authorize the initial treatment when appropriate.
Consult employers on how to file a claim.
Complete additional duties at the request of superiors.
Review claim for jurisdiction.
Complete initial 3-point contact.
01/2005-12/2005
Medical Team Assistant
Assist Nurse Case Managers with the daily management of workers compensation files
Contact employees to ensure that all forms have been received, reviewed and returned.
Forward the appropriate medical form to the Industrial Commission.
Request medical records.
Translate medical records and update the medical file.