Amelia Casey Email and Phone Number

ASI – CAT HomeownersProvide outstanding customer service to all parties involved, frequently communicates with all appropriate parties involved with the claim Examine claim forms and other records to determine insurance coverage Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim.Responsible for all phases of CAT property claims adjustingApprove and adjust estimate using Xactanlysis and Xactimate software Interview, telephones, or corresponds with claimant and witnesses, consult police and hospital records, inspect property damage to determine extent of company liability, varying method of investigation according to type of insuranceSchedule inspections and reporting of up to 200 simultaneous claims valued up to $1M with little direct supervision during CAT situations Coordinate the services of mechanics, architects, contractors, etc in order to ensure damage is repaired while using appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claimsReview engineer reports while comparing to policy coverages to determine if any exclusions apply to lossDraft appropriate denial letters when applicable to loss being sure to extract exact policy language to incorporate into letterPrepares report of findings and negotiates settlement with claimant Revises case reserves in assigned claims files to cover probable costs Maintain daily diary to keep metrics at company standards

MetLife Insurance – Auto Liability Analyzes and investigate the nature of the damage being claimedFrequently communicates with all appropriate parties involved with the claimCalculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.Interview witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claimEvaluate police reports, video footage, previous insurance claims and other information to further understand the incidentCreate reports detailing the events and damage related to the claimResearch the costs of repairing the damageReview the claim-holder's insurance policy in order to determine what should be coveredCoordinate the services of mechanics, architects, contractors, etc in order to ensure damage is repaired while using appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claimsNegotiate claim settlements with insureds, claimants and/or their legal teamsPrepares necessary state filings within statutory limitsFile Authority up to $50,000 on behalf of MetLife Act as a Subject Matter expert for colleagues with less claim adjusting experienceProvided training to newer employees on the liability team and to volunteers from other departments who were backfilling for absent unit members that were away during catastrophic events

Sedgwick TPA - LiabilityHandle all levels of third party liability losses for GE Appliances from receipt of claim until full conclusion May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.Ensures claim files are properly documented and claims coding including reserves are correct.Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolutionHandles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; and meets quality/production goals and customer guidelines and deadlines.Work with claimant’s employer and claimant to develop and coordinate general liability claims' action plans to resolution, return-to-work efforts, and approves claim paymentsApproves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract Act as a Team lead/Subject Matter expert for colleagues with less claim adjusting experience Maintain daily diary to keep metrics at company standards

Two separate assignmentsAssignment # 1 11/01/2016- 08/25/2017State Farm – Bodily Injury Attorney RepresentedProvide outstanding customer service to all parties Investigate, evaluate, and settle claims applying technical knowledge and human relations skills to effect fair and prompt disposal of casesPay and process claims within designated authority levelTranscribe recorded statements into claim fileReview attorney demands write up own reports for review to acquire a range of settlement Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and proceduresContact or interview claimants, doctors, medical specialists, insured, agents, employees, and other necessary parties to get additional information regarding claimsReport any fraudulent activities Prepares report of findings and negotiates settlement with claimant and/or claimant attorneyAct as a team assist for adjusters with less experience Assignment # 2 9/1/2017- 11/30/2017 Independent Claim Adjuster ASI – CAT Homeowners Provide outstanding customer service to all parties involved Examine claim forms and other records to determine insurance coverage Responsible for all phases of CAT property claims adjustingApprove and adjust estimate using Xactanlysis and Xactimate software Interview, telephones, or corresponds with claimant and witnesses, consult police and hospital records, inspect property damage to determine extent of company liability, varying method of investigation according to type of insurancePrepares report of findings and negotiates settlement with claimant Revises case reserves in assigned claims files to cover probable costs