Anthony Cudjoe

Address -Greenbelt MD

PHONE-240-***-****

adx3yw@r.postjobfree.com

Summary:

●Excellent professional with experience in processing collected payments, negotiating payments and filing arbitration on disputed cases.

●Experienced in inspecting and writing damage appraisals.

●Experience in personal auto, boats and medical insurance

●In-depth knowledge of Property Damage insurance and medical terminology

●Organized and efficient in all work

●Ability to meet deadlines and follow up in a timely manner.

●Great ability to gather information and input data into computer system

Skills:

●Exceptional communication skills with customers and coworkers

●Ability to grasp and apply technical knowledge, including litigation case management and adjusting skills.

●Effective reasoning, analysis and decision making skills.

●Effective influence skills.

●Strong negotiation skills.

●Strong organization skills.

●Strong hospitality skills.

●Demonstrate strong leadership abilities.

●Ability to prioritize work.

Education:Bachelor’s Degree – Economics, University of Ghana, 2002

Exelon (SGS Consulting) Contractor April 2019- Present

Claims Coordinator

●Responsibilities:

●Coordinate the billing and collection for cases involving damage to Company property. Identify and obtain information and documentation essential for case disposition, participate in settlement negotiations, establish, and monitor extended payment arrangements, prepare, and distribute related correspondence and monitor case status.

●Provide general office and secretarial support to the Claims groups including typing, transcription, file maintenance, handling inquiries and other office support functions.

●Interface with other departments in Exelon including Audit Services and corporate accounting.

●Recommends policy and procedural changes within the support area to ensure both client & customer satisfaction.

●Handle confidential data and matters in a professional and efficient manner.

●Coordinate billing and collection of Company damage cases up to $15,000 and property damage cases up to $2,500.

●Provide a high-level administrative support to include conducting research, preparing statistical reports, handling information requests, and performing Administrative Assistant functions.

●Enter data into the Risk master and accounting software system to perform basic accounting functions.

●Process customer checks that is received and mailing out to remittance

●Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy.

●Evaluate claims for potential third party or subrogation recovery.

●Participate in the Service Call Program and complete required Service Call reports detailing current case status.

Experience:

Agency Insurance Company (Apex Systems), Hanover, MD October 20 18 – April

Claims Representative

Responsibilities:

●Investigated, determined liability, confirmed coverage, established damages, and negotiated settlement of claims.

●Received and reviewed appraisal assignments, reviewed and interpreted coverage, determined liability, identified exposures, contacted all parties involved, and set up inspection appointment.

●Sent PIP application forms to insured’s and attorneys and review medical bills.

●Evaluated BI and negotiated appropriately, ratings, and conditions of vehicles to determine if a vehicle is repairable or a total loss.

●Submitted evaluation details to obtain a total loss value.

●Obtained salvage quotes, settled total loss claims.

●Processed collected payments, negotiated payments and filed arbitration on disputed cases.

●Effectively generated a large volume of complex letters.

●Maintained high volume of paper files, hired vendors and attorneys to manage cases and suits.

●Subjugated insurance companies, third parties, and uninsured for payment.

●Reviewed and analyzed suspicious and potentially fraudulent insurance claim.

●Compared data from surveillance footage on medical data.

●Soft tissue to severe auto bodily injury claims, mediation, global settlement and attending court trials with attorneys.

●Handles 1st party property claims of moderate severity and complexity as assigned.

●Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.

●Broad scale use of innovative technologies.

●Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.

●Establishes timely and accurate claim and expense reserves.

●Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

●Negotiates with multiple constituents, i.e.; contractors or insured’s representatives and conveys claim settlements within authority limits.

●Writes denial letters, Reservation of Rights and other complex correspondence.

●Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

●Meets all quality standards and expectations in accordance with the Knowledge Guides.

●Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.

●Manages file inventory to ensure timely resolution of cases.

●

Paramount Insurance, Baltimore MD March 2017 – Oct 2018

Claim Representative

Responsibilities:

●Investigated, determined liability, confirmed coverage, established damages, and negotiated settlement of claims.

●Received and reviewed appraisal assignments, reviewed and interpreted coverage, determined liability, identified exposures, contacted all parties involved, and set up inspection appointment.

●Inspected and wrote damage appraisals for private passenger vehicles.

●Commercial vehicle and/or motorcycle vehicle appraisal experience.

●Evaluated options, ratings, and conditions of vehicles to determine if a vehicle is repairable or a total loss.

●Submitted evaluation details to obtain a total loss value.

●Obtained salvage quotes, settled total loss claims.

●Negotiated with auto repairs facilities, tow facilities, salvage yards, vehicle owners, lien holders, and attorneys.

●Handles 1st party property claims of moderate severity and complexity as assigned.

●Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.

●Broad scale use of innovative technologies.

●Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.

●Establishes timely and accurate claim and expense reserves.

●Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

●Negotiates with multiple constituents, i.e.; contractors or insured’s representatives and conveys claim settlements within authority limits.

●Writes denial letters, Reservation of Rights and other complex correspondence.

●Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

●Meets all quality standards and expectations in accordance with the Knowledge Guides.

●Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.

●Manages file inventory to ensure timely resolution of cases.

●

Erie Insurance Group (IOS), Silver Spring, MD December 2015 – Marc 2017

Property Damage

Responsibilities:

●Investigated, determined liability, confirmed coverage, established damages, and negotiated settlement of claims.

●Received and reviewed appraisal assignments, reviewed and interpreted coverage, determined liability, identified exposures, contacted all parties involved, and set up inspection appointment.

●Inspected and wrote damage appraisals for private passenger vehicles.

●Commercial vehicle and/or motorcycle vehicle appraisal experience.

●Evaluated options, ratings, and conditions of vehicles to determine if a vehicle is repairable or a total loss.

●Submitted evaluation details to obtain a total loss value.

●Obtained salvage quotes, settled total loss claims.

●Negotiated with auto repairs facilities, tow facilities, salvage yards, vehicle owners, lien holders, and attorneys.

●Handle and resolve conflict effectively

●Meet goals & objectives established by ESIS and the Claims Vice President

●Escalate issues appropriately and follow through

●Be a problem solver with excellent problem resolution skills

●Meet and maintain customer service requirements and have the ability to follow ESIS processes.

●Make sound judgment decisions and have the ability to differentiate information.

●Communicate effectively both written & orally

●Respond to customers appropriately, timely & accurately

●Ability to remain calm and professional during peak periods of activity.

●Handle multiple computer applications and vendor systems to manage caseloads

●Identify and determine short term and long term financial exposures and establish accurate financial reserves to meet Client, ESIS and Carrier expectations

●Effectively and accurately manage large sums of client or carrier funds

●Comply with all statutory reporting and licensing requirements for multiple jurisdictions

●Determine, calculate and issue accurate benefit payments to injured workers, medical providers and vendors in a timely fashion

●Clearly and concisely document the ESIS claim system with activities, investigations and plans in a timely fashion

Allied Health, Columbus, OH January 2013 – October 2015

Property Damage

Responsibilities:

●Investigated, evaluated, negotiated and settled auto claims in assigned areas to include confirmation of coverage, legal liability and extend of damage to persons and property.

●Applied knowledge of policies, procedures, methodologies, laws, statutes and insurance regulations when determining coverage, liability and property damage.

●Worked in partnership and provides instruction to claim associates.

●Consistently delivered a remarkable customer experience through handling property claims.

●Processed claims whiles remaining at the top of the department to relative to metrics and customer service.

●Knowledge and training to handle complex situations in unique claim areas.

●Communication, decision making and judgment and improved team effectiveness within and outside the department.

●Evaluated total loss vehicle estimates, vehicle inspection reports and prepare settlement packages.

●Develop leads, schedule appointments, identify customer needs, and market appropriate products and services.

●Establish customer relationships and follow up with customers, as needed.

●Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.

●Work with the agent to establish and meet marketing goals.

●Use a customer-focused, needs-based review process to educate customers about insurance options.

●Handles 1st party property claims of moderate severity and complexity as assigned.

●Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.

●Broad scale use of innovative technologies.

●Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate.

●Establishes timely and accurate claim and expense reserves.

●Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.

●Negotiates with multiple constituents, i.e.; contractors or insured’s representatives and conveys claim settlements within authority limits.

●Writes denial letters, Reservation of Rights and other complex correspondence.

●Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.

●Meets all quality standards and expectations in accordance with the Knowledge Guides.

●Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.

●Manages file inventory to ensure timely resolution of cases.

TECHNICAL SKILLS:

●Microsoft Word, Microsoft Excel, Microsoft Teams, Hyperion, Nitro Pro and SAP ERP.

Contact this candidate