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Claims Examiner Liability

Location:
Delray Beach, FL
Salary:
$95,000.00
Posted:
May 20, 2023

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Resume:

Michele Moriarty Fradl, AINS, SCLA

**** *** ******, ****** *******

Boynton Beach, Florida 33437

561-***-****

Profile Summary

I am seeking a remote position in commercial insurance or a risk management related field that will utilize my skills and experience to enhance corporate development, as well as internal efficiency. I am a highly professional and self-driven individual with an excellent sense of diplomacy. Easily adaptable to the changing needs of the industry. An innovative personality with good listening skills and attentiveness to detail. Personal strengths are in client relations Professional Experience

Universal Property & Casualty

Senior Liability/Litigation Specialist 2015-Present I was promoted to this position in 2016 from Liability Adjuster for this homeowner insurance carrier. This position involves the investigation and evaluation of liability claims with concentration in coverage issues . I am responsible for conducting quarterly audits of files and the reporting of severe losses to general counsel for review and resolution. I also have attended mediation and depositions this company as their corporate representative.

Lumbermen’s Underwriting Alliance

Senior Property Claims Examiner 2012- 2015

This position involved the investigation and resolution of commercial general liability claims and commercial property claims for this reciprocal commercial risk organization. In addition, to general claims settlement my responsibilities included achieving the ultimate recovery for claims in subrogation as well as maintaining accurate data related to the claims settlement process. I also attended several mediations for the resolution of construction defect and bodily injury suits pending trial, as well as the negotiation of joint defense agreements involving multiple carriers . Unfortunately Lumbermen’s Underwriting Alliance is currently in receivership. Sedgwick, CMS/ Boca Raton, FL

Claims Examiner III 2003 – 2012

Negotiate and resolve large property and casualty liability claims for a corporate client. This office is dedicated solely to one corporate client to resolve and maintain their general liability and product liability insurance claims. Responsibilities include investigation and negotiations of litigated and non-litigated losses. Provide the client with detailed, accurate loss reports to address reserves and future settlements. Insurance Solutions Group/ Claim Partners, Farmingville, NY Senior Casualty Adjuster 2001-2003

As a casualty adjuster for a third party administrator this position entailed evaluation and successful negotiation of bodily injury claims for a substantial corporate clientele. Jurisdictions include the northeast, the southeast and the mid-Atlantic United States. Utilization of alternative dispute resolutions and consultation software applicable to claim resolutions. Hanover Insurance Company, Melville NY

Casualty Adjuster 1999 – 2001

Negotiated and effectively settled claims for bodily injury and property damages, under a variety of personal and commercial line policies. Attended extensive company training courses for bodily injury evaluation and negotiations, as well as commercial general liability and contractual liability. Hanover closed their New York, Long Island office in 2001

Fireman’s Fund Insurance Company, Melville NY

Subrogation Specialist 1994-1999

Subrogation claims for commercial auto, commercial property as well as negotiated workers’ compensation liens with significant recovery results. Maintain branch salvage diary. Instrumental in pursuing sales of a variety of commercial property salvage and monitored auto salvage sales. Panelist for Arbitration Forums. Inc.

EDUCATION

College of Saint Elizabeth, Convent Station, New Jersey Personal Automobile Coverage, Insurance Institute of America, Inc. Principles of Insurance, Insurance Institute of America, Inc. Associate in General Insurance (AINS), Insurance Institute of America, Inc. Senior Claim Law Associate (SCLA), American Insurance Institute. PROFESSIONAL AFFILIATIONS

Panelist for Arbitration Forums, Long Island, NY

**Licensed Adjuster in multiple states as a Property and Casualty Adjuster. (Including Florida, Georgia, North Carolina, South Carolina, Indiana, Texas and Hawaii.)



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