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Claims Handler, Claims Inspector, Claims Negotiator, Claims Technician, Insuranc Resume
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| Desired Industry: Insurance |
SpiderID: 16366 |
| Desired Job Location: Chicago, Illinois |
Date Posted: 10/16/2007 |
| Type of Position: Full-Time Permanent |
Availability Date: 16/11/2007 |
| Desired Wage: 40000 |
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U.S. Work Authorization: Yes |
| Job Level: Management (Manager, Director) |
Willing to Travel: Yes, Less Than 25% |
| Highest Degree Attained: Bachelors |
Willing to Relocate: No |
Objective:
Claims Handler, Claims Inspector, Claims Negotiator, Claims Technician, Insurance Manager, Team Leader.
Experience:
• Work Experience
Special Investigator Unit (SIU)
Allstate Insurance Company in Sunrise, Florida
September 2002 to September 2007
Investigated fraud and questionable aspects of automobile claims including medical providers, and determined the proper file resolution. Work with law enforcement and investigative agencies. Notified Department of Insurance Fraud (DIF) and/or National Insurance Crime Bureau (NICB) of fraudulent activities
Provided file updates/reports as required by the Claims Best Practice.
Assist with other departments projects, reviews, audits, training, and the development of action plans as required. Run Brio reports to determine patterns and trends.
Senior Claims Adjuster
Meridian Insurance Company in Indianapolis, Indiana
February 1997 to September 2002
Settled bodily injury and property damage claims which include catastrophic losses involving Personal Injury Protection (PIP) claims for the State of Michigan.
Claims Manager
DeVries & Company in San Francisco, California
January 1990 to August 1996
Coaching, counseling, and guiding employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; enforced corporate policies and procedure; identifying and resolving escalated problems. Setting the appropriate reserves.
Subrogaton Specialist
USAA Insurance Company in San Antonio, Texas
January 1988 to August 1990
Documented files, evaluations and decision making process in determine appropriate recovery percentage through negotiation, arbitration and litigation.
Subrogation and Property Adjuster
Fireman's Fund Insurance Company in San Antonio, Texas
January 1983 to June 1988
Investigate and determine appropriate recovery percentage through negotiation, arbitration and litigation; evaluating and estimating property and structural damage from storm, water, and fire losses.
Education:
• Education History
Memorial High School in San Antonio, Texas
August 1976 to June 1980
San Antonio College in San Antonio, Texas
January 1981 to January 1982
Senior Claims Law Associates in Palm Beach, Florida
January 2002 to September 2007
International Association of Special Investigation Units in Orlando, Florida
January 2003 to September 2007
Palm Beach College in Palm Beach, Florida
January 2004 to January 2005
Palm Beach Community College in Palm Beach, Florida
January 2004 to August 2004
• Qualifications
Qualification Grade Achieved
High School
SCLA designee
IASIU member
Adjuster's License
Adjuster's License
Skills:
Claims Handler, Claims Inspector, Claims Negotiator, Claims Technician, Insurance Manager, Team Leader.
Additional Information:
Insurance professional with 18 years experience in the insurance industry which includes investigation of suspicious losses, ring activities, and medical services providers. Conducted recorded interviews and sworn statement (examination under oath) of participants, witnesses, or claimants involved in loss. Handled catastrophe losses involving bodily injury, litigation claims, subrogation, and settled total loss claims.
Candidate Contact Information:
This candidate has chosen not to make contact information available on this page.
Click "Contact Candidate" to send this candidate a response. |
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