Service Representative Claims Examiner

Kevin Smith

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

Baldwin, NY, ****0

Tel 646-***-****

***********@***.***

Employment History:

Farmers Insurance Group

No Fault Arbitration/Litigation Claims Examiner October 2015 –Present

Review arbitration and lawsuits filed against Farmers for denied claims

Refer appropriate claims to our legal department for defense and monitor the status of the dispute

Negotiate settlements of lawsuits or arbitrations when settlements are warranted

Senior Med/Pip Claims Examiner February 2011- October 2015

Processed No Fault medical claims and lost wages for our injured parties in a timely manner

Medically Managed claims by requesting Peer Reviews and Independent Medical Examinations

GEICO Woodbury, NY

Bodily Injury Claims Adjuster September 2008- February 2011

Review medical records and evaluate third party bodily injury claims

Negotiate fair settlement values with attorneys and injured third party claimants

No Fault Claims Examiner October 2007- September 2008

Process medical bills and lost wage payments for injured policyholders in a timely manner

Request Independent Medical Examinations for injured policyholders to determine if further treatment is warranted

Liability Claims Representative May 2006- October 2007

Conducted a thorough investigation by getting recorded statements from all drivers and witnesses, as well as obtaining police reports, photos of accident scene and all vehicles involved

Determine the appropriate percentage of negligence on each driver based on analyzing all of the information obtained regarding the accident and settle claims in a fair and timely manner.

Determine if there is exposure for Underinsured Motorists claims when presented

Claims Service Representative December 2004- May 2006

Generated claims for customers desired to file a claim for damages due to an automobile accident

Explained coverages to policyholders and advise them on how to proceed with their claims

Education:

St. John’s University, Jamaica NY

Bachelor of Science in Business Management

Graduated May 2006, Major G.P.A 3.37

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