NICOLE L. GREEN

**** *. ******* **** #***, Tampa, Fl. 33609 713-***-**** adypq2@r.postjobfree.com

Professional Summary

Seasoned risk management professional with over 22 years of experience in managing claims in support of company interests and industry objectives. High-level customer service initiatives in a variety of parallel industries, including disaster recovery. Extensive experience in risk assessments, estimation of property damages, litigation, subrogation, and negotiation. Continually exceeds expectations by creating valuable partnerships and works well with people at all levels of the organization, including customers, team members, and vendors.

Skills

Establishing & Maintaining Strong Relationships

Staff Development & Goal Setting

Delivering Unique & Reliable Solutions

Employee Training & Mentoring Experience

Establishing Action Plans & Maximizing Resources

Developing Workflows & Increasing Efficiency

Judicious Use of Discretionary Authority

Troubleshooting & Conflict Resolution

Claim Settlement Values & Policy Application

Excellent Facility with Industry Terminology

Ensuring Peak Performance Levels

Reports & Supporting Documentation

Loves a Challenge & Has a Willingness to Learn

Excellent Verbal & Written Communication

Technical Skills

Proficient in Symbility/Mobile Claims & Xactimate/Xactanalysis 28 for estimating and claim administration. Mastered the use of EPIC, Guidewire/Innovation, and Reflections systems for claims management and documentation Work History

Quality Assurance Analyst /Property Fast Path Team Lead Sedgwick Quality Analyst-(Liberty Mutual Fast Path Quality Assurance) 07/2022-Present Sedgwick Team Lead (Property Fast Path Claim-Liberty Mutual) 09/2021-07/2022 CAT Team Lead (Contract Position-Zurich)-Cunningham Lindsey-Dallas, TX 09/2017-11/2017

Coordinate, plan, and perform general/focused claim file audits to the ensure processes and procedures are accurately followed.

Identify procedural gaps, develop remedial action plans, and support management with execution on initially and follow up claim audits.

Managing Desk Adjusters to establishing immediate contact with policyholders regarding, loss to property, conducted investigations, set up field adjuster/vendors to verify and document damages, and establish value to the damaged property.

Managed CAT Operations throughout the Company footprint for Zurich International Builder’s Risk and Inland Marine Commercial Claims.

Selected, trained, and managed the performance of 7-10-person team, while coordinating workflow and the schedules for the Sedgwick (Liberty Mutual Fast Pat) and Cunningham Lindsey (Zurich CAT Operations).

Encouraged employees to assist policyholders and claimants with vendor inspection, request documentation of damages through photographs and estimates, assist in confirmation of damages and if the damages are associated with a covered cause of loss on policy.

Evaluated and made recommendations to client management regarding coverage/non-coverage on reported losses, evaluated and controlled costs for indemnity payments and expense cost according to policy and company guidelines.

Directed claim staff on total losses, how to dispose of salvage, forward settlement letters with estimates, and indemnity payments to named insureds.

Prepared daily & weekly report for distributing in CAT OPS, Metrics, and individual employee performance. Sr. Claim (Desk) Representative/Adjuster/Examiner/Independent Adjuster Tri-Star Claim Solutions IA-Heritage Insurance - Clearwater, FL 05/2021-08/2021 Stillwater Insurance Group, Jacksonville, FL 11/2020-05/2021 American Integrity Insurance Corporation-Tampa, FL 04/2019-10/2020 Louisiana Citizens Property Insurance Corporation-Metairie, LA 06/2018-11/2018

Reviewed, investigated, and confirmed coverage, as well as determined liability of first-party property insurance claims.

Effectively collaborated and communicate with insured's, claimants, producers, attorneys, internal staff, and all other involved parties regarding claims process.

Examined claim files, insurance policies, and pertinent claim documents. Verified and analyzed data to ensure validity and settlements/denials were made according to policy, company practices, and industry procedures.

Determined coverage/non-coverage applicable to the reported loss, established damages, negotiated settlements, and documented denials of assigned losses.

Recorded claim files to support actions taken, handled claims in compliance with statutes, regulations, and case law, as well as updated adequate reserves.

Maintained current knowledge of policy contracts, Unfair Claims Settlement Practices, court decisions affecting claims operations, claims plan, claims to handle procedures, corporate policies and procedures, and industry trends.

Completed desk estimate using investigative information (report, pictures, statement) in Xactimate and Symbility. Construction Cost Analyst (Contract Position)

Catholic Charities of the Diocese of Baton Rouge – Baton Rouge, LA 10/2016 to 09/2017

Received the distinguished honor of Construction Cost Analyst of the Month and worked as the only female on a team of 10 people, while maintaining the Catholic Charites Core Values of Compassion, Teamwork, Respect, Integrity, Customer Service, and Justice.

Provided knowledge and guidance to disaster case staff on insurance contracts including National Flood Insurance Dwelling Policy and standard ISO Homeowner's, Dwelling/Rental, and Condominium Policies.

Prepared damage cost estimates with Xactimate 28, which Case Managers used for formal appeals with FEMA to advocate for additional coverages for homes affected by the March 2016 and August 2016 flood events.

Assisted in the presentation of cost estimate and inspection reports to long-term recovery groups, and community partners in order to secure funding to complete residential repairs in East/West Feliciana, East/West Baton Rouge, and Pointe Coupee Parishes.

Received several approvals for additional funding from FEMA, NFIP, long-term recovery groups, and community partners on the cost estimates prepared in each parish, while evaluating donated material and contractor's estimates to ensure line up with the structural damages.

Reviewed all insurance settlements to ensure all coverages were provided under the policy, as well as assisted eligible clients with NFIP Increased Cost Compliance Coverage.

Communicated directly with building code officials in each parish for clarity, while assisting the Case Managers in monitoring repairs to ensure repairs and appeals met the safe, sanitary, and secure standards of FEMA.

Represented Catholic Charities at public town hall meetings to explain the Construction Cost Analyst Role in the recovery effort, as well as served as a representative on the Disaster Case Manager Council to assist in improving work relations between upper management and staff.

Licensed Field Claims Adjuster

United Services Automobile Association (USAA) – Baton Rouge, LA 08/2006 to 08/2016

Handled a variety of claim types, thoroughly investigating all claims that led to precise coverage analysis and indemnity payments, while ensuring all objectives were met with speed and accuracy for both the client and company.

Actively processed, investigated, evaluated, and settled 30 to 40 homeowner claims monthly, with settlement authority between $20K to $100K, as well as exercised sound judgment in negotiating settlements with policyholders, claimants and outside representatives.

Developed and analyzed data with regard to the insurance contract and research coverage questions, while thoroughly evaluating conditions and analyzing causes for loss, gathering supporting information to support the cause of loss.

Complied with Property Best Practices in determining applicable coverage or non-coverage and claim settlements, as well as prepared estimates reflecting dollar value of damages associated with claim losses.

Assisted insured parties and claimants in obtaining repair estimates, evaluated outside estimates and interpreting findings for claimants, while also communicating effectively with all parties involved throughout the entire lifecycle of the claim.

Consistently approached each situation with objectivity and effectively applied strong listening and critical-thinking skills, as well as utilized trade nomenclature and rapidly acquired strong proficiency with claims management with the continued increase of adjuster claim load and expansion of adjuster claim territory.

Contracted all professional vendor personnel to ensure an appropriate property assessment, while also maintaining knowledge of construction repair practices, structural design elements, and acceptable work standards for carpenters, roofers, painters, and other tradesmen.

Previous Work History

Licensed Field Claims Adjuster - St. Paul Travelers Insurance Company, Houston, TX – 2003 to 2006 Licensed Field Claims Adjuster (State Farm) - Crawford Insurance Company. Houston, TX – 2002 to 2003 Licenses

National Flood Adjuster License (#3002378)-2007-Renewing this year

Licensed Property and Casualty Adjuster/All Lines – 2003 to Present Texas #1216285, Louisiana #433539, Florida #W172933, North Carolina #7465329, New Hampshire #7465329, West Virginia #7465329, Oklahoma #40130214, Rhode Island #2279304, Vermont #936763, Delaware #1348257, Wyoming

#259481, Mississippi #10785226, Connecticut #7465329, Alabama 300*******, and South Carolina #746529. Education

University of Southwestern Louisiana, Lafayette, LA – May 1998 Bachelor of Science in Criminal Justice, Minor in English & Military Science Community Organizations

Excelsior #84 Order of Eastern Stars-Crowley LA.

Al Kadr Court #124 Oasis of Lake Charles, Desert of Louisiana Tampa Bay Black Heritage Festival Vendor Committee Coordinator

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