Examine claims for personal, casualty, or property loss or damages. Determine the extent of the insurance company’s liability; and negotiate out-of-court settlement with the client. Review insurance forms for accuracy and completeness and call or write to the insured party or others involved to secure missing information. Review the claim file and the insurance policy to determine coverage. Transmit routine claims for payment; informs claims supervisor of those claims needing further… Show more Examine claims for personal, casualty, or property loss or damages. Determine the extent of the insurance company’s liability; and negotiate out-of-court settlement with the client. Review insurance forms for accuracy and completeness and call or write to the insured party or others involved to secure missing information. Review the claim file and the insurance policy to determine coverage. Transmit routine claims for payment; informs claims supervisor of those claims needing further investigation. Investigate claims as necessary, through use of physical evidence, securing testimony from relevant parties, and examining reports. Promptly negotiate settlements, making sure that the settlement reflects the actual claimant losses while also being certain that the insurer is protected from invalid claims. Show less

Investigated, evaluated and negotiated settlements of large scale commercial and residential property and casualty insurance claims including total loss homes, commercial water damage, fire, theft, and a wide range of other perils. Analyzed policy coverage accurately including complex commercial property policies. Gathered supporting data including loss scope, appraisals, interviews, police reports, and statements related to the claim, utilizing telephone and written correspondence. Visited… Show more Investigated, evaluated and negotiated settlements of large scale commercial and residential property and casualty insurance claims including total loss homes, commercial water damage, fire, theft, and a wide range of other perils. Analyzed policy coverage accurately including complex commercial property policies. Gathered supporting data including loss scope, appraisals, interviews, police reports, and statements related to the claim, utilizing telephone and written correspondence. Visited the claims scene to take photos, measurements, interviews, etc. to gather information and data related to the claim. Evaluated potential financial risk to the company and set reserves based on current exposure. Updated reserves based on additional data or facts gathered. Ensured that checks/drafts were issued in a timely manner to assist with efficiently closing claims. Settled claims in a fair and equitable manner based on policy coverages and the information gathered during the investigation. Show less

Resolved complex coverage and liability claims with minimal supervision and recommended appropriate resolution to management. Strategized and conducted investigations of moderate to complex claims, confirmed or denied coverage in accordance to insurance policy contracts. Oversaw scene investigation and recorded interviews with policyholders, claimants, and witnesses to determine liability. Integrated data, evaluated, and negotiated the settlement of total loss claims to reach a reasonable… Show more Resolved complex coverage and liability claims with minimal supervision and recommended appropriate resolution to management. Strategized and conducted investigations of moderate to complex claims, confirmed or denied coverage in accordance to insurance policy contracts. Oversaw scene investigation and recorded interviews with policyholders, claimants, and witnesses to determine liability. Integrated data, evaluated, and negotiated the settlement of total loss claims to reach a reasonable and just settlement. Wrote coverage memos, evaluation reports, and letters. Show less