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Claims Adjuster Senior

Location:
Payson, AZ
Salary:
$80,000/yr
Posted:
April 05, 2023

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Resume:

Michele Geerhart-Hoadley **** North Alpine Heights Road

Payson, AZ 85541

805-***-****

adwdgm@r.postjobfree.com

*Highly organized

*Self-Starter

*Team Player

*Able to work independently

*Strong customer service skills

CAREER TRACK

Kemper Insurance March 2015 - March 2023

Chatsworth, CA / Phoenix, AZ BI Senior Claims Adjuster II Supervised trainee adjusters in this non-standard auto claims field with respect to coverage and liability. Promoted to BI adjuster. Analyzed medical reports and records for injured claimants to resolve injury claims. Resolved bodily injury, UMBI and auto property damage. Investigates coverage. Rule out Prop 213 and apply where applicable. Resolved within my authority and within policy limits set forth in the policy. Explorer Insurance Company October 2012 - March 2015 Santa Clarita, CA Sr Claims Adjuster

Handled non-standard auto claims. Analyzed medical reports and records for injured claimants to resolve injury claims. Resolved bodily injury, UMBI and auto property damage. Investigated and ruled out Prop 213. Resolved within my authority and within policy limits set forth in the policy. Midlands Claims Administrators - TPA Const Defect Claims Manager – 2008-2010 Midlands exclusively provided claims services for Arch Specialty Insurance Company. Investigated, negotiated, and settled construction defect claims as well as commercial and professional liability claims. Partnered with defense counsel to develop strategies for case handling and settlement. Managed a heavy caseload with handling authority up to $250,000. Drafted coverage and reservation of rights letters detailing course action to be implemented on specific claims. Prepared authorization reports and settlement check requests.

Zurich Insurance Company Const Defect Claims Adjuster – 2005-2008 Investigated, negotiated, and settled construction defect claims for subcontractors as well as commercial and professional liability claims. Partnered with defense counsel to develop strategies for case handling and settlement. Managed a heavy caseload within my authority. Drafted coverage and reservation of rights letters detailing course action to be implemented on specific claims. Prepared authorization reports and settlement check requests.

CIGA Insurance Company Senior Claims Adjuster – 2001-2005 Investigated, negotiated, and handled multi-line commercial liability, first party property as well as construction defect claims. Worked closely with defense counsel as necessary to resolve specific claims. Supervised TPA’s assigned to my files with a plan of action to move the claims forward to conclusion. Mentored fellow employees about handling specific claims within my knowledge and expertise. Drafted coverage and reservation of rights letters detailing course action to be implemented on specific claim. Prepared internal reports per company requirements and within the perimeters of state statutes. Reliance Insurance Company Claim Representative – 1998-2001 Investigated, negotiated, and handled multi-line commercial liability, commercial auto claims as well as construction defect claims. Retain and managed TPA’s assigned to specific files to conclusion. Worked closely with defense counsel as necessary to resolve specific claims. Managed a heavy caseload. Drafted coverage and reservation of rights letters detailing course action to be implemented on specific claim. Prepared internal reports per company requirements and within the perimeters of state statutes. CIGNA (ESIS) Claim Representative – 1993-1998

Handled manuscript policies for specialized companies. Investigated, negotiated multi-line commercial liability, general liability, and commercial auto claims. Worked closely with defense counsel as necessary to resolve specific claims. Managed a heavy caseload. Drafted coverage and reservation of rights letters detailing course action to be implemented on specific claim. Prepared internal reports per company requirements and within the perimeters of state statutes. EDUCATION

A.A.B.A., Business Administration, American InterContinental University (AIU) 3 Week Course-Policy Interpretation Training, CIGNA Claims Skill School Negotiations, CIGNA and CIGA

Legal for the Layperson 6-week course, South Seattle Community College Various related seminars and training courses throughout my career.



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