Amy Binder Email & Phone Number

Portland, Or, Us

United States

Customer-Driven Solutions: Demonstrated experience in providing customer-driven solutions, support, and service, ensuring customer satisfaction and loyalty.• Independent Work: Effectively worked independently at a location removed from immediate supervision.• Industry Knowledge: Solid knowledge of the property casualty insurance/claim industry and regulatory environment, ensuring compliance and best practices.• Complex Human Resource Handling: Demonstrated ability to handle complex performance and employment with tact, diplomacy, and persuasion under changing conditions.• Claim Handling Processes: Comprehensive knowledge of office and field claim handling processes across organizations.• Policy Understanding: Thorough understanding of policy language, coverages, and underwriting intent, ensuring accurate claim assessments.• Claims Expertise: Demonstrated experience in roles such as claim leader, specialist, or examiner, exhibiting extensive knowledge, skills, and performance.• Teaming Environment: Supported an environment of teaming where adjusters make decisions and close files within and outside of their assigned inventory. Developed and shared innovative solutions for dealing with problems, situations, and conflicts.• Compliance: Responded to inquiries and handled complaints from individuals or their representatives, insurance departments, Consumer Affairs, and other agencies.• Strategic Planning: Established, communicated, and implemented departmental plans, objectives, and strategies. Participated as a member of the management team.• Operational Management: Managed direct reports, systems, and projects to achieve operational goals in accordance with company policy. Provided leadership by exhibiting influence and expertise, thus affecting the results of the operating area.• Employee Development: Developed employees by coaching, providing performance feedback, conducting effective performance reviews, and establishing developmental plans.

Or & Co

➤ Efficiently verified and analyzed data used in adjusting claims to ensure validity and handling according to company practices and procedures, as well as all statutory requirements.➤ Investigated, reserved, negotiated, evaluated, and settled casualty claims of complex exposure, including fatalities, and presented evidence in legal proceedings, while maintaining adequate production levels.➤ Interviewed claimants and witnesses, contacted experts and special investigation units, obtained official reports, inspected physical damage, and arranged appraisals, while comparing claim information with evidence.➤ Settled high-exposure PIP and Medpay claims in WA and OR, determining carrier's liability, client's instructions, and authority levels required by obtaining demands and making offers to claims.➤ Conferred with legal counsel on claims requiring litigation/arbitration, and issued settlement checks, as well as made filings with regulatory agencies, disposed of salvage, and pursued subrogation when appropriate.➤ Served as a Customer Service Committee member in Portland, partnering with leadership to ensure delivery of seamless claim service at all times, and provided FNOL overflow for the Storm Team Task Force from 2011 to 2013.➤ Expertly interpreted and determined policies, leases, by-laws, declarations, articles, and contract coverages and applied to all parties for assigned losses.

Lake Oswego, Or

➤ Built-out the First Party Medical Unit from scratch, including recruiting, hiring, training, and developing a unit of 7 Claims professionals in Personal Injury Protection and Medical Payment claims.➤ Ensured proper claim handling to protect the integrity of the brand, and ensured consistent service quality across 6 Western Region States, OR, WA, ID, MT, AK, and HI, and worked as required to support NY, NJ, FL, MI, and TX.➤ Developed strategy and created action plans, focusing on streamlining operations and driving claims resolution, while maximizing cost effectiveness and helping the business understand drivers and product stress points.➤ Successfully leveraged data, management information, and technology to identify and make the most of opportunities.➤ Operated within the agreed upon expense budget to achieve optimal business results through productivity, appropriate resource allocation, inventory management, and $0.5M allocated loss adjustment expense.➤ Directly oversaw $5M in annual claim payout, fulfilling all obligations, while developing relationships with colleagues, agents, customers, regulatory agencies, and business partners to achieve organizational goals and create better outcomes.➤ Utilized data and analytics to evaluate productivity and claim volume, recommending staffing and process changes, as well as successfully implemented Quality Management and Key Performance Indicator initiatives.➤ Identified training needs, developed and implemented a plan on ICD-9, CPT, and HCPCS coding for Adjusters, and implemented and effective reward system to distinguish top performers and significant achievements.

Tigard, Or

Master'S Degree, Project Management, With A Specialization In Organizational Leadership & Change Management, Gpa: 4.0

Bachelor Of Science (B.S.), History, With A Minor In Anthropology

Advanced courses in Communication; Extensive experience in documentation and research analysis