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Rehabilitation Assistant Claims Representative

Location:
South Pasadena, CA, 91030
Posted:
November 27, 2021

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Resume:

John Barry

*** **** ***** ****** #** Long Beach, Ca. 90805

Telephone: 562-***-**** Email: ********@*****.***

Objective: Senior Claims Examiner/Litigator/Sr. Special Investigator(SIU) Highlights of Qualifications

• Over 18 years of experience in investigations and adjusting multi-line, multi-task claims.

• Expert on fraud having uncovered and resolved numerous cases of fraud in excess of $450,000.

• Detail oriented with proven skills in negotiating, settlement, and litigation.

• Self-motivated and confident in making independent decisions, within my authority.

• Well organized and able to meet deadlines, and claim reporting to superiors.

• Resourceful and experienced in gathering information and evidence through witness statements, and other reliable sources.

• Proven ability to meet Fair Claims Practices and respond to Department of Insurance complaint inquiries.

• Accomplished in handling both Liability and Property claims, and proficient with Standard ISO claim forms and endorsements.

• Handled claims with $1,000,000/$2,000,000 coverage’s for Bodily Injury and Property Damage. Examined and adjusted 1

st

party losses involving property and vehicles.

• Experienced in Homeowner Associations/Homeowner claim, to include water, mold and mildew.

• Knowledgeable of Construction Defect claims, types of contracts, additional insureds, General Contractor’s and Sub- contractor’s (Montrose II issues). Relevant Experience

• Received reports and investigated claims of bodily injury and property damage involving serious multi-line claims. Determined coverage. Performed background checks and index research on all claimants. Set adequate reserves, with adjustments as the claim investigations progressed.

• Successfully Conducted field interviews and obtained or recorded statements from insureds, claimants, and witnesses. Obtained Police Department and Fire Department reports, and all Investigators’ reports.

• Photographed and measured property damage to vehicles, structures or other insured or claimant issues.

• Gathered all supporting documentation to analyze, evaluate, and adjust each individual claim on its own merit. Consulted with supervisors and or managers to settle claims not within my authority.

• Proven problem solving capabilities with emphasis on statements, facts, strategy and resolve.

• Negotiated settlements with insureds, claimants, attorneys or others within settlement authority. Reviewed and authorized payments on claim related bills.

• Participated in Small Claims Trials for the Insureds. As well as mediations, arbitrations, and mandatory settlement conferences.

• Heavy litigation experience. Selected and Coordinated with Defense Counsel on all cases pursued by plaintiff attorneys into litigation. Obtained cost of defense evaluation. Advised counsel on claims issues with respect to coverage. Supported their cases with my investigation, experts, and analysis. Recommended settlement authority and trial strategy.

• Involved any co-defendants, and subrogated on all applicable claims. Sought to share costs whenever possible.

Employment History

Temporary Assignments:

Presently a Vocational Rehabilitation Assistant, at the Long Beach Veterans Hospital. Aug. 2005-Oct. 2008 Sr. Claims Rep., Sterling Casualty Insurance, Dec. 2004-Mar. 2005 Claims Service Rep., Safeco, Sept. 2004- Dec. 2004. Sr. Claims Rep., Crawford Technical Services, May 2005-Sept. 2005. Sr. Claims Rep., Carl Warren & Co., Jan. 2004- Mar. 2004. Sr. Claims Rep., Gallagher Bassett, TPA, May. 2003-Jan. 2004. Sr. Claims Rep., Sequoia Insurance Co., May. 2002-Dec. 2002. Adjuster/Investigator, Orion Auto. Jan. 2001-July 2001., Orion Auto, July 2001., Dec. 2001. Permanent Positions:

Aug. 1998-Jul. 2000 Claims Representative II, Century Surety Group, Palm Desert Jun. 1994-Jul.1998 Insurance Consultant, Tiffany Coach, Corona Mar. 1990-Mar. 1994 Sr. Special Investigator, Royal Insurance Co., Glendale Nov. 1985-Feb. 1990 Special Investigator/Bodily Injury Adjuster, Coastal Insurance Co., Northridge May 1982-Oct. 1985 Claims Representative, Automobile Club of Southern California, Highland Park Education

A.A., Business Administration – Glendale College, Glendale Proficient in Basic PC skills and Software Application Knowledge, Windows 10 Claims Rep. I and II, Physical Damage I, II, and III, Accident Research I and II Arson and Fire Investigation and Adjusting

United States Army: 11th Special Forces Group(Airborne), Honorable Discharge



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