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Adjuster Greater

Location:
Waukesha, WI
Posted:
June 26, 2021

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Resume:

Lisa McMullian

**** ******* ***, ********, ** ***86

720-***-****

adndl8@r.postjobfree.com

OBJECTIVE: Experienced professional seeking a role where I can most effectively apply my critical thinking skills, attention to detail and commitment to quality.

EXPERIENCE: American Family Insurance

7/2016 – 12/2020 Casualty Claim Adjuster II – Waukesha, WI

Gather, analyze, and evaluate information to determine coverage and negotiate settlement of minor to high complexity bodily injury & UM/UIM claim.

Participate in inter-company arbitration as a panelist

2/2015 – 7/2016 Subrogation Adjuster – Denver, CO

Analyzed subrogation potential, gathered documentation and evidence to maximize recovery

Specialized in pursuing recovery of PIP benefits

Filed arbitration and participated as a panelist

Mentored and trained new adjusters

7/2014 – 2/2015 Casualty Claim Adjuster – Investigation – Denver, CO

Duties as described under Casualty Claim Adjuster specializing in determining coverage and liability of moderate to high complexity personal auto and homeowner claims

Assisted Medical Expense by maintaining a small ME inventory

3/2013 – 7/2014 Casualty Claim Adjuster – Medical Expense – Denver, CO

Reviewed and evaluated medical expense claims for multi-line policies to ensure injury was related to the accident and that treatment and billing were reasonable and necessary

Interpreted policies to determine coverage

Maintained communication with multiple parties, such as customers, medical providers, attorneys, Medicare, and agents, to provide timely, thorough, and accurate claim handling.

Assisted with training and mentoring newer adjusters

11/2005 – 3/2013 Casualty Claim Adjuster II – Indianapolis, IN and Denver, CO

Processed casualty claims of greater complexity and high dollar values, demonstrating competency and independence and building upon skills acquired

Utilized other departments, such as Medical Services and Special Investigation Unit, to assist with determining further claim handling

Participated in inter-company arbitration as a panelist

Contributed to team environment by training and mentoring new adjusters

1/2001 – 11/2005 Casualty Claim Adjuster – Indianapolis, IN

Gathered, analyzed, and evaluated information to determine coverage and liability of minor to moderate complexity for personal auto and homeowner policies

Interpreted and applied applicable policy provisions, case law, and statutes to accurately adjust claims for property damage, medical expense, and bodily injury

Effectively explained claims processes and assisted customers to

provide excellent service

Negotiated fair and accurate claim settlements

EDUCATION: Insurance Institute of America - AIC

Bowling Green State University, Bowling Green, OH

Bachelor of Science in Social Work



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