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Melissa M. Brady

Louisville, KY • 502-***-**** • adstyf@r.postjobfree.com

Professional Summary

Results-oriented Insurance Professional with eight years of experience in all facets of claims. Proven ability to create business partnerships and build trust with managers, agency force, co-workers and customers. Outstanding team player with the ability to lead.

Skills

• Outstanding Negotiator

• Investigation Specialist

• Positive People Connector

• Strategic Time Management

• Driven Customer Service Advocate

• Impeccable Dependability

Work History

Kentucky Farm Bureau (Claims Department) – Louisville, KY August 2014 to Present Claims Adjuster – July 2018 to Present

• Review loss reports, and confirm coverage

• Conduct prompt and thorough investigations of losses

• Maintain and thoroughly document electronic claim files to support actions taken

• Maintain adequate reserves and active diaries on all files

• Promptly evaluate and resolve claims through settlement or denial

• Visit agency offices on a regular basis

• Actively pursue salvage recovery

• Assist subrogation unit with subrogation recovery

• Assist the special investigative unit with suspicious claims

• Develop and maintain knowledge of policy contracts, court decisions, and industry trends

• Handle claims in compliance with statutes, regulations, and case law

• Serve as a catastrophe team member or assist in other claim offices or locations as requested Subrogation – May 2016 to June 2018

• Determined in individual cases where possibilities for subrogation and recoveries existed

• Applied rules and statutes to fact situations to identify possible resources on which to base a demand for reimbursement from third party payers

• Used available resources to investigate claim situations and identify other entities and individuals with resources against which subrogation or recovery claims could be made

• Reviewed and evaluated accident or incident reports, individual claims, medical or other documents relating to funds paid out by an agency

• Notified other parties and insurance carriers or attorneys of the agency’s subrogation or recovery interest. Conferred with other parties, insurance carriers and attorneys concerning potential settlement or other actions. Advised insiders or policy holders regarding agency subrogation interests, policies and procedures

• Negotiated settlements of subrogation claims

• Prepared and maintained case files, correspondence, legal documents and other information related to subrogation claims

• Participated in or coordinated actions involving accounting for payments received PIP Unit – August 2014 to May 2016

• Reviewed assigned claims for PIP and Med Pay policy exclusions such as Workers’ Compensation

• Identified possible fraud using established indicators which as prior losses and severe injuries with no physical damage

• Contacted insured individuals, attorneys, and others to gather required information. Sent lost wage forms to employers and requests disability statements as required

• Paid submitted bills according to established procedures

• Answered questions from insured individuals, claimants, attorneys, and others, to resolve problems within established levels of authority

• Developed and maintained case files that documented all actions Blue River Services (First Steps of Southern Indiana) – Georgetown, IN April 2013 to August 2014 Service Coordinator

• Maintained and updated records for 80+ families and their services

• Held quarterly meetings with families to discuss and determine the continuation and/or addition of appropriate services

• Communicated monthly with families through written letters and phone calls

• Interpreted professional reports from therapists and discussed with families

• Continued to provide community resources to families

• Completed all paperwork necessary required by the state to keep all files current New Albany/Floyd County School Corporation – New Albany, IN August 2003 to April 2013 Highland Hills Middle School

• Special Education Paraprofessional

• Substitute Teacher

Education

• Indiana University, Bachelor of Science – May 1998 Certifications - License

• SCLA – February 2022

• AIC – August 2021

• AINS – March 2021

• Southern Farm Bureau Tech – Auto Physical Damage Estimating – November 2019

• Southern Farm Bureau Tech – Property Estimating – November 2018

• Southern Farm Bureau Tech – Basic Adjuster – July 2018

• Staff Adjuster Property & Casualty License – September 2014

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