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Claims Supervisor

Location:
Oviedo, FL, 32766
Salary:
$65,000
Posted:
July 08, 2009

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Resume:

Jazmin M. Martinez

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

Oviedo, Fl. 32765

203-***-**** (Cell)

407-***-**** (Home)

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

SUMMARY:

Accomplished claim supervisor with personal and commercial lines experience in multiple jurisdictions.

Key strengths include the ability to communicate within all organizational levels, technical skills, and problem solving abilities focused on results. Demonstrated experience in building, training, developing and supervising at all levels within the claims organization.

Professional Experience:

Response Insurance, Meriden, CT 2008-2009

Florida Injury Team Supervisor

· Supervised a team of claim handlers who investigate, negotiate and settle bodily injury/property damage claims.

· Review claims for reserve and settlement authority

· Ensure time limit demands are reviewed, evaluated and an offer made to avoid bad faith.

· Perform monthly quality audits and annual performance reviews

Progressive Insurance, Milford, CT 1999-2008

Casualty Specialist

· Conduct investigations, coverage analysis, evaluation and negotiations of claims.

· Heavily involved in all phases of litigation (80% of pending in suit) and ADR.

· Coordinate and schedule judge-free mediation days quarterly with attorneys to settle files face to face and lower reserves & litigation costs.

Field Claims Trainer

· Analyze the business need for training in bodily injury handling, state regulations & customer service; compose and deliver the training.

· Prepare and monitor pay for proficiency planners to ensure each employee is heading for future advancement within the company. Evaluate employee performance after training is delivered

Team Leader

· Supervise 1st & 3rd party Auto (Commercial & Personal lines), which consists of inside representatives handling preliminary bodily injury claims and property damages.

· Monitor every bodily injury feature reported, to rule out serious injury and settle before attorney representation.

General Accident Insurance, Melville, NY 1995-1999

Claims Supervisor

· Supervise 1st & 3rd party Auto (Commercial & Personal lines), that consists of Service Representatives.

· Complete quality control audits as well as Regulation 64 compliance.

· Supervise 1st party Property department for both Commercial and Personal lines.

· Confirm coverage on newly reported losses.

Responsible for Home Office reporting.

Participate as a panel member for Arbitration forums

Senior Claims Examiner Auto Liability

· Conduct investigations, coverage analysis, evaluation and negotiations.

· Heavily involved in all phases of litigation (50% of pending in suit).

· Work closely with the Special Investigations Unit on claims of a suspicious nature.

CNA Insurance, Melville, N.Y. 1993-1995

Senior Adjuster

· Handle pending Auto & General Liability claims, many in suit (250 pending).

· Conduct investigations, evaluations and negotiations.

· Conduct mediations & court negotiations.

· Specialize in UM/UIM cases

Hartford Insurance, Hauppauge, NY 1990-1993

Senior Adjuster

·

Multi-line claims handling, specifically: General Liability, No-Fault, Property and Auto (Commercial & Personal lines).

· Service National Accounts.

· Handle subrogation & prepare files for arbitration.

EDUCATION:

· BA Law & Humanities, Stony Brook University, Stony Brook, New York

LANGUAGES:

· Fluent in Spanish and English.

PROFESSIONAL DESIGNATIONS/LICENSES:

· AIC Designation

· Currently licensed in CT, GA, FL.



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