Liability Claims Adjuster
Resume:
YADIRA FERNANDEZ
**** ** *** ******, ******** Pines, FL 33023 - Cell: 954-***-****
E-mail: *******************@*****.***
Adjuster Experience: 26 years
Product Lines
● Residential Property – [3 years]
● Commercial Property – [3 Years]
● Mobile Manufactured Homes – [ 0 ]
● General Liability Casualty Claims – [ 22 years]
Licenses/Certifications
● 5-20 All Lines adjuster’s license - Florida
● Notary Public
Professional Organizations/Development
● Attended numerous Claims Management Conferences, seminars and on-line courses
● Attended seminars Business Torts, Misrepresentation, Contract interference and Unfair Competition, Construction Defects Litigation, Appraisal, Examination Under Oath, Mold and Water Extraction
Work Experience:
LanceSoft Inc. Staffing Company/ Temporary Work Assignment with Sedgwick Claims Management Services October 2021 - November 2021
Liability Adjuster III
Duties Include:Handling all phases of liability claims management for Amazon’s commercial vehicles throughout numerous states Coverage review, investigation process, evaluation of claim and settlement negotiations; monitoring and assistance to defense counsel with litigated cases.
AmTrust of North America – Trucking & Taxi Commercial BI liability September 2015 - December 2019
Senior Commercial Liability Claims Adjuster –
Duties Include: Handling and specialized in all phases of bodidy liability claims management for commercial semi-trailer trucks throughout numerous states Coverage review, investigation process, body injury evaluation of claim and settlement negotiations; monitoring and assistance to defense counsel with litigated cases. Attended depositions, mediation and trials.
OptaComp affiliate of Florida Blue and CompOptions (acquired by AmTrust) May 2013 – September 2015
Third Party administrator for Sedano’s Supermarkets throughout the State of Florida.
Senior Liability Claims Adjuster – Sedano’s Supermarket Duties include: Initial contact with the insured’s employees, claimants, attorneys and witnesses; initiation and completion of the investigation process; taking statements, field inspection, etc.; perform liability assessment/ recommendation; medical record review and evaluation of claims based on liability % and claim value; undergo settlement negotiations; supervision and claim instruction to field adjusters; monitoring and assistance to defense counsel with litigated cases. Free State Staffing Services, Inc.
January 2013 – May 2013
Senior Liability Claims Adjuster – Temporary assignment with OptaComp affiliate of Florida Blue
OptaComp is the Third Party administrator for Sedano’s Supermarkets Duties included: Handling all phases of bodily injury liability claims including slip and falls, trip and falls, food poisoning for Sedano’s Supermarkets throughout the State of Florida; from initial contact, investigation, liability assessment, injury evaluation, case value recommendation and settlement negotiations. Supervision and claim instruction to field adjusters. Monitoring and assisting defense counsel with litigated cases.
Insurance Service Adjusting Company (ISAC)
March 2012 – July 2012
Senior Claims Adjuster - Temporary assignment as an Independent Contractor for Citizens Insurance Company
Duties included: Handling homeowners bodily injury liability claims, claims including slip and falls, trip and falls and other injury claims relating to product defect claims in the state of Florida; from initial contact, coverage determination/recommendation, investigation, liability assessment, injury evaluation of claim, case value recommendation and settlement negotiations. Supervision and claim instruction to field adjusters.
Insurance Overload Services, Inc.
May 2011 – March 2012
Claims Supervisor –Temporary position with Farmers Insurance Company
Duties included: Supervised the PIP pre-suit department involving all PIP demands. Provided written accounts/statistics to management, assisted with the evaluation and recommendation of pre-suit PIP cases. Supervised an average of 12 people.
Insurance Service Adjusting Company (ISAC and DMA) April 2010 –May 2011
Third Party administrator for Universal Insurance Company of North America Insurance Company and Universal North America Insurance Company
Liability Claims Supervisor– ISAC
Duties included: handling liability homeowners and commercial policies involving liability claims; both property claims and bodily injury claims. Supervision and claim instruction to field adjusters throughout the states of Florida, Georgia, North Carolina, South Carolina, Nevada and Texas. Liability Claims Supervisor– DMA
Duties included: handling claims from a limited assignment to a full assignment from numerous insurance companies throughout the states; homeowner’s policies, commercial policies and automobile policies, Supervision and claim instruction to field adjusters throughout the states. Reported in accordance with carrier’s guidelines.
April 2009 – April 2010
Insurance Overload Services, Inc.
Claims Examiner –Temporary position with Bristol West Insurance Group/ Farmers Insurance Company
Duties included: PIP demands and PIP claim files review. Evaluation of claim with recommendation to honor demand or deny allegations set forth in demand.
First Commercial Claim Services, Inc.,
April 2006 - Sept. 2008
Third Party Administrator for First Commercial Insurance Company Claims Supervisor
Supervised the department handling commercial and, personal lines claims, garagekeepers, the personal injury (PIP) department and the For-Hire-special transportation department (includes taxicabs, limousines and special transportation vehicles-over 60 different companies).
Duties included: Supervised an average of 10 liability adjusters handling property damage, general liability
and PIP claims, monitored pre-litigation and litigation claims. Personally handled the more complex bodily injury cases involving serious injuries; death, coverage issues and E&O claims. Assisted counsel with the discovery process. Attended depositions, mediation and trials. Assisted management in implementing procedures for claim handling, Statewide Adjusters, Inc.
Aug. 2004 - April 2006
Third Party Administrator for Southern Group Indemnity Insurance Company
Senior Claims Examiner promoted to Claims Manager –2005 Duties included: Handling all phases of bodily injury liability claims management for the For-Hire claims, taxicabs, limousines and special transportation. SGI was purchased by First Commercial Claims Services, Inc. Attended depositions, mediation and trials.
Arthur J. Gallaher & Company
Feb. 2003 - May 2004
Third Party Administrator for Southern Group Indemnity Insurance Company.
Senior Litigation Claims Examiner
Duties included: Handling casualty claims for the For-Hire policies. Attended depositions, mediation and trials.
Hamilton Risk Management
Sept. 2001 - Jan. 2003
Third Party Administrator for U.S. Security Insurance Company Litigation Examiner – PIP
Duties included: Managing suit cases relating to Personal Injury Protection (PIP) claims.
Onyx/Gamma Adjusters, Inc.
June 1995 - July 2001
Third Party administrator for Aries Insurance Company and American Skyhawk Insurance Company.
Litigation Claims Examiner - Team Leader
Duties included: Supervised 10 adjusters - liability - property damage and bodily injury claims. On or about the year 2000, a litigation department was established and I was asked to join the litigation team. Effectively managed and assisted in all aspects of litigation process. Attended depositions, mediation and trials.
Language/Computer Skill
. Verbal and written fluency in Spanish
. Microsoft Suite (Outlook, Word and Excel)
. Imageright . ICAM . KISS . AS 400 . Cuda . PowerTrac . File Handler . CMAC. . IVOs
Ana Claims
Education
. Completed claim law courses - Received designation as Casualty Claim Law Specialist.
Designation awarded by the American Educational Institute - December 2002
. Associates Degree. Legal Assistant, Norwalk Community College, Norwalk, CT - June 1985
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