Claims Examiner Senior

Carolyn Mills Goodwine

Ocala, FL 919-***-**** **********@*****.*** Remote Availability

REMOTE LITIGATION SPECIALIST SENIOR CLAIMS EXAMINER Professional Summary

Seasoned insurance claims and litigation professional with over 30 years of experience, including 15+ years specializing in complex and high-exposure litigation claims. Proven track record of managing general liability, commercial auto, professional liability, and construction defect litigation nationwide. Adept in legal strategy, policy interpretation, coverage analysis, and negotiation. Known for delivering favorable resolutions in catastrophic loss cases through effective collaboration with counsel and expert litigation planning.

Core Skills

- High-Exposure Claims Management

- Commercial GL & Auto Litigation

- Professional Liability & Construction Defects

- Legal Strategy & Trial Prep

- Policy Analysis & Negotiation

- Mediation & Arbitration Representation

Certifications

- ARM (2023)

- Casualty Claim Law (AEI)

- Fraud Investigation (AEI)

- Legal Principles (AEI)

- Accident Reconstruction & Arbitration

- AIC (Est. 2025), CPCU (In Progress)

Professional Experience

Claims Specialist - Litigation, Complex & High-Exposure Claims Next Insurance - Remote April 2023 - Present

- Manage national portfolio of litigation claims involving fatalities, policy limits exposure, sexual abuse, bad faith, and catastrophic losses.

Carolyn Mills Goodwine

Ocala, FL 919-***-**** **********@*****.*** Remote Availability REMOTE LITIGATION SPECIALIST SENIOR CLAIMS EXAMINER

- Oversee resolution strategies for commercial general liability, product liability, EPLI, professional liability, and construction defect claims.

- Partner with external counsel on legal budgeting, motion practice, and trial strategy.

- Deliver strategic litigation evaluations and reserve recommendations to executive leadership.

- Represent company at mediations, arbitrations, and trials to drive cost-effective resolutions. Sr. Litigation Claims Examiner - General & Professional Liability Venbrook Companies / OneSource CMS - Remote Aug 2022 - Apr 2023

- Investigated and managed large loss GL, auto, and medical professional liability claims nationwide.

- Performed detailed coverage analysis and coordinated litigation defense strategies.

- Led resolution negotiations in collaboration with internal and panel defense counsel.

- Ensured accurate documentation and compliance with client-specific claim handling guidelines. Senior General Liability Claims Adjuster

PMA Companies TPA - City of Ocala Apr 2019 - Jul 2022

- Handled municipal liability, property damage, and professional liability claims for city departments.

- Collaborated with HR, Risk Management, and Legal departments to mitigate loss exposure.

- Designed and implemented incident reporting and employee safety programs. Casualty Claims Manager - Personal Auto Bodily Injury Nationwide Insurance - Gainesville, FL Aug 2016 - Apr 2019

- Supervised litigation teams handling complex BI claims across multiple states.

- Oversaw claim strategies, legal cost containment, and personnel development.

- Conducted performance reviews and managed compliance with litigation protocols. Claims Specialist II - Commercial Claims & Litigation Nationwide Insurance - Raleigh, NC May 2014 - Aug 2016

- Managed commercial auto, GL, and professional liability litigation, including multi-party disputes.

- Participated in mediations and trials and formulated settlement and litigation avoidance strategies. Claims Specialist II - Personal Auto

Nationwide Insurance - Raleigh, NC Feb 2012 - May 2014

- Investigated and negotiated complex bodily injury and underinsured motorist claims. Carolyn Mills Goodwine

Ocala, FL 919-***-**** **********@*****.*** Remote Availability REMOTE LITIGATION SPECIALIST SENIOR CLAIMS EXAMINER

- Served as Subject Matter Expert and contributed to claims training curriculum. Senior Claims Representative

Allstate Insurance - Raleigh, NC Jul 2004 - Feb 2012

- Managed high-severity injury and fatality cases including reconstruction analysis.

- Mentored new adjusters and assisted with legal strategy development. Various Claims & Administrative Roles

Allstate, Nationwide, UNCW 1994 - 2004

- Held multiple roles: Field Claims Rep, Claims Manager, Data Analyst, and National Trainer.

- Provided claims handling and systems training to adjusters nationwide.

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