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Heavy Equipment Claims Adjuster

Location:
Fort Mill, SC
Posted:
September 09, 2022

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Resume:

SUZETTE M. GRIST

**** **** **** **

Indian Land SC 29707

704-***-****

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



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