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Third Party Bodily Injury

Location:
Deland, FL, 32724
Posted:
August 24, 2023

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Resume:

Milton E. Davy, Jr.

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

Deland, FL 32724

Phone: 407-***-****

Email: ady6z5@r.postjobfree.com

Education: Universidad Dr. Rafael Belloso Chacin B.S. Business Administration. Maracaibo, Venezuela. 1995

Languages: Fluent in Spanish (read, write, speak).

Licensing: FL 6-20 Resident All – Lined and Non-Resident: AL, CA, GA, KY, MA, NC, NY, SC, TNC.

Insurance Company Of The West 9/2022 – 7/2023

Workers Compensation – Triage Examiner

Communicate with insured to obtain information necessary for processing claims.

Conduct interviews with injured worker, witnesses.

Request medical records.

Maintains professional client relationships.

Create reserves within designated authority level.

Create tasks, approves payment of benefits.

Ensure claim filles are properly documented.

Prepare a plan of action and set diaries, in preparation for assigning the file to an examiner for permanent handling.

Intact Specialty Solutions 7/2021 – 9/2022

Accident & Health Claims Examiner (Uber, Amazon Flex, ShiftKey, Wonolo)

Communicate with insured to obtain information necessary for processing claims.

Obtain required forms and eligibility items for coverage verification.

Obtain required coordination of benefits documentation.

Conduct independent contractor recorded statement, photos, police report, animal control report.

Document claim disposition.

Set initial reserves, adjust as warranted.

Review analyze medical records/billing.

Resolve First-Party Injury exposure.

Anticipate and meet all customer needs.

Allstate Insurance Company 7/2016 to 7/2021

ABI Commercial and Personal Lines Unrepresented Moderate Casualty Adjuster

Reviews and analyzes coverage that may apply.

Conduct interviews with all parties involved, witnesses.

Review estimates, photos, police report.

Determine liability exposure.

Summarize liability decisions applying negligence law of jurisdiction.

Maintain connection with parties involved by understanding and meeting their needs.

Set initial reserves, adjust as warranted.

Resolve Collision, Third-Party property damage exposures.

Review analyze injury medical records and billing.

Evaluate injury exposure.

Negotiate settlement of Third-Party Bodily Injury and Uninsured Bodily Injury exposures.

Anticipate and meet all customer needs.

Liberty Mutual Insurance Company 2/2010 to 7/2016

Sr. Claim Representative Bilingual Unit - Sr. BI Unrepresented Claim Specialist

Reviews and analyzes coverage that may apply.

Conduct interviews with all parties involved, witnesses.

Review estimates, photos, police report.

Determine liability exposure.

Summarize liability decisions applying negligence law of jurisdiction.

Review estimates, photos, police report.

Apply Negligence Law of jurisdiction.

Investigate, evaluate and settle Collision, Third-Party Property Damage, Total Loss exposures.

Set initial reserves, adjust as warranted.

Evaluate Bodily Injury exposure.

Negotiate, settle Third Party Bodily Injury exposure.

Anticipate and meet all customer needs.

Direct General Insurance Company 11/2009 to 2/2010

Claims Adjuster

Reviews and analyzes coverage that may apply.

Conduct interviews with all parties involved, witnesses.

Review estimates, photos, police report.

Determine liability exposure.

Summarize liability decisions applying FL Negligence Law.

Investigate, evaluate fire and theft exposures in order to identify possible fraud.

Set initial reserves, adjust as warranted.

Negotiate, settle Collision, Third-Party Property Damage exposures.

Anticipate and meet all customer needs.

Cambridge Integrated Services 6/2006 – 6/2009

Enterprise Rent A Car, Toyota Rent-A-Car, Lexus Courtesy Car Services

Claims Service Representative II

Investigate Third-Party, General Liability exposures.

Reviews and analyzes coverage that may apply.

Conduct interviews with all parties involved, witnesses.

Apply Negligence Law of jurisdiction.

Set initial reserves, adjust as warranted.

Evaluate Bodily Injury exposure.

Negotiate, settle Third-Party Bodily Injury, General Liability exposures.

Anticipate and meet all customer needs.

York Claims Service, Inc. 5/2002 – 6/2006

Personal - Commercial Auto - GL

Claims Service Representative

Reviews and analyzes coverage that may apply.

Investigate First-Party, Third-Party Auto Liability, General Liability exposures.

Conduct interviews with all parties involved, witnesses.

Determine liability exposure.

Summarize liability decisions applying negligence law of jurisdiction.

Review estimates, photos, police report.

Apply Negligence Law of jurisdiction.

Evaluate Bodily Injury exposure.

Settle Third-Party Bodily Injury and General Liability exposures.

Anticipate and meet all customer needs.



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