SUZETTE M. GRIST
Indian Land SC 29707
adsic3@r.postjobfree.com
VERSATILE INSURANCE PROFESSIONAL with 30 years of experience in multiple areas of the Insurance industry.
Relevant Skills:
Expert Report Reviews All forms of 1st and 3rd Party Property Damage
Strong analytical skills Extensive 1st Party coverage analysis background
Mediation experience Litigation; Suits and coverage
Examinations Under Oath Contractual language analysis
Subrogation Analysis Extensive Personal, Commercial & Inland Marine Background
SIU investigations Damages evaluations
Skilled Trainer in all 1st Party Property Claims Practices
Exactimate / Exact Analysis, Juris, File Track Microsoft Excel, Word, Power Point, Teams RELATED PROFESSIONAL EXPERIENCE / SKILL SET
Sr. Claim Specialist – National Claim Services / CRC Insurance Services, Inc. 8/2021 - Present
• Construction based surplus and excess lines book of business.
• 3rd Part Liability – Property Damage
• Coverage Analysis
• Litigation to include suits, Additional Insured tenders, mediations, negotiations.
• Verify insured’s involvement, potential for tender out.
• Negotiate damages and settlements within authority level. Sr. HomeOps Claims Adjuster – MetLife Auto & Home a Division of Farmers Insurance 7/2019 – 8/2021
• Mid-range homeowner’s claims.
• Heavy coverage investigation with a specialty in water related damage.
• Mid-West Territory to East coast.
Claims Examiner – Lowe’s Corporation
8/2017 – 7/2019
• 3rd Party Liability – Property Damage
• Determine negligence.
• Negotiate damages and settlements within authority level.
• Verify subrogation potential.
• Attorney rep cases, Board complaints, and arbitration request cases Property & Casualty Licensed Agent - MetLife Premier Client Group 8/2014 – 11/2016
• Licensed Personal Lines Agent – Specialize in asset analysis and coverage recommendations for the firm’s financial clients.
• Service all current accounts.
• Marketing duties to include scheduling and filing compliance documents for each event. Attend functions such as golf tournaments, fundraising events and 5k’s. Set up, take down, etc.
• Market to advisors in offices across North Carolina and South Carolina. Travel to the offices for face-to-face meetings and education on the P&C part of their practices.
• Maintain databases for reporting on sales goals and objectives for the firm regarding the Property and Casualty written business. Track progress and report to upper management with results.
• Public speaking at the firm’s training events.
• Handle all training assistance for advisors working towards obtaining their P&C license. Claims Professional - PLS Claims
7/2012 – 2/2013
• Foreclosed Properties - Commercial Insurance - Including Radio Tower equipment. Anything that was used as collateral for a loan. Mortgage Insurance.
• Claim Values: $1 - $450,000
• Catastrophe Claims in addition to everyday claims.
• Expert Witness work for fire claims, first party litigation.
• Manage Independent Adjusters
Director of Claims - Rankin Claims Services
12/2010 – 9/2011
• Manage all company aspects.
• Assign claims to 1099 adjusters. Supervise, audit, forward to client.
• Accounting, invoicing, time logs, marketing.
• Review reports, make recommendations.
• Approved experts/vender usage
Senior Claims Adjuster - CUNA Mutual Group
3/2010 – 10/2010
• Middle Market Credit Union Commercial claims only. Property, Builders Risk, Employee Dishonesty.
• Manage Independent Adjusters files.
• Vendor Management of contractors, experts, attorneys.
• Third party property and general liability. Minor bodily injury.
• Training
Senior Specialty Claims Adjuster - Allianz Global / Fireman's Fund 9/2006 – 12/2009
• Inland Marine / Specialty Division. Builder's Risk, Warehouseman's Legal Liability, Rolling Stock, Motor Truck Cargo, Heavy Equipment / Contractor's Equipment, Radio Television Equipment, Jewelers Block. Employee Dishonesty, Fraud, Embezzlement. Specialty Products that included Commercial Property. Equipment claims included Asphalt plants.
• Supervise Independent Adjuster claim files. Use of experts as necessary, such as forensic accountants, engineering firms, law firms, cause & origin specialists, etc.
• Vendor Management of contractors, experts, attorneys.
• Heavy coverage analysis, reservation of rights, declinations. Litigation of claims.
• Training for Staff
• Average pending 80-100/Claim Values: $10,000 - $850,000/Average value was approximately $400,000 - 500,000.
Specialist III - Montgomery Insurance
9/2000 – 9/2006
• Middle Market - Commercial & Residential claims. Inland Marine included: Builder's Risk, Warehouseman's Legal Liability, Motor Truck Cargo, Heavy Equipment / Contractor's Equipment, Jewelers Block. Employee Dishonesty, Fraud, Embezzlement.
• Heavy fraud work. Litigation for fraud and coverage including Declaratory Judgements, Examinations Under Oath, Depositions, Trial Prep and Trials.
• Heavy coverage analysis. Heavy Subrogation investigation and recovery. Reservation of rights and declination of coverage.
• Supervise Independent Adjuster claim files. Use of experts as necessary, such as forensic accountants, engineering firms, law firms, cause & origin specialists, etc.
• Catastrophe Duty.
• Average Pending: 80 - 100 Pending
• Closing Production APM: 103%/Claim Values: $1 - 1.3 Million, Average/ Claim Value $150,000
• Training of Staff
• File Reviews / Auditing
Property Claims Adjuster - Royal & SunAlliance
4/1998 – 9/2000
• High Value Market - Commercial & Residential Claims. Inland Marine included: Builder's Risk, Warehouseman's Legal Liability, Motor Truck Cargo, Heavy Equipment / Contractor's Equipment, Jewelers Block. Employee Dishonesty, Fraud, Embezzlement.
• Manage Independent Adjuster Files.
• Vendor Management of contractors, experts, attorneys.
• Developed procedures for handling various types of claims losses, workflows, job functions.
• Review resumes, conduct interviews and make final hire decisions.
• Heavy fraud work. Litigation for fraud and coverage including Examinations Under Oath, Depositions, Trial Prep and Trials.
• Heavy coverage analysis, declinations/Subrogation investigations and recovery/salvage efforts. Reservation of rights and declination of coverage.
• Catastrophe Duty.
• Average Pending: 100 - 115 Pending/Claim Values: $1 - 1.3 Million/ Average Claim Value $150,000
• Staff Training / File Reviews / Auditing
• Re-Inspections
COMMUNICATION AND INTERPERSONAL SKILLS
• Establish and maintain excellent business relations with insured’s, producers, brokers, agencies, independents and contractors.
• Train a staff of 120 for computer enhancement skills, in class sizes of approximately 10-25 people of all skill levels.
• Lectured at the 2000 MADRA Convention in Baltimore as a guest speaker for Initial Disaster Preparedness Strategies. Class sizes of over 200.
• Served on various discussion panel groups for the Mariner’s of The Bay, Insurance Day Seminar’s. 1998-2000.
• Perform lunch and learn style training.
• Perform webinars on various topics.
EDUCATION
Current Resident Adjuster’s License for SC
Current State Licenses Held: AL, AR, CT, DE, FL, ID, IN, KY, LA, ME, MI, MN, MS, MT, NV, NH, NM, NC, OK, OR, RI, TX, UT, VT, WA, WV, WY, GA- Pending, NY & CA worked under company licenses. PLRB Conference Training: 1997, 1998, 1999, 2005, 2007, 2010 Technology Train the Trainer Certification
AIC 35 Completion
Property & Casualty Agents License, April 1995
Central Piedmont Community College, Charlotte NC - Currently working towards degree