Conduct detailed client intakes, manage pre-suit personal injury cases from intake to settlement. Manage pre-suit personal injury cases from beginning to settlement. Analyze applicable insurance and medical coverages, develop case through monthly contact with clients to check injury/treatment status and recommend additional diagnostic testing/medical specialists. Medical records review and analysis. Determine timeline to submit demand, prepare medical exhibits, draft demand letter and negotiate settlement with adjusters.

Manage pre-suit personal injury liability claims from beginning to settlement. Daily Tasks include: Analyze case; analyze insurance and health coverages; explain pre-suit process to clients; follow-up with clients every 4 weeks to discuss their injury and treatment status; educate clients with PIP, UM and BI limits/settlements; thoroughly read insurance policies/Dec pages to determine limits; file for reimbursement should the client have out of pocket expense(s), e.g., prescriptions, medical bills, mileage, and lost wages, order traffic accident reports; confirm UM rejection selection form is signed by client, if not signed within active policy period, request proof from insurers that no applicable changes had taken place; coordinate recorded statements, prepare the client, accompany client during the statement; update client immediately upon receipt of Independent Medical Examination and petition the insurer reasons IME should be cancelled; analyze MRI reports and client subjective complaints, cultivate the case by assuring client has seen all applicable medical specialists; determine when a case is ready to be sent to demand, prepare printed exhibits, draft demand letters; keep client apprised of all settlement offers and counter demand figures; upon BI settlement, immediately submit UM Subrogation waiver to the UM carrier.

Assist agents and agents staff with questions regarding personal auto insurance policies and to help maintain a profitable book of business. Communicate complex underwriting concepts concerning eligibility, cancelations, policy coverage and endorsements. My high quality of work and performance led to an internal promotion, handling calls with higher complexity.

Apply knowledge of learning & development training concepts and methods to contact center training. Provide in-depth training on product and business tools for internal claim departments along with functional and technical expertise in support of the - Initial Loss Reporting and Auto Express departments. Review effectiveness of training and provide measurements surrounding the same. Facilitate classroom training for technical applications.Conduct onboarding/reboarding to successfully transition existing and new hires into new roles. Deliver training created by the Learning and Development department in collaboration with the Claims Dean Team. Conduct trainer effectiveness evaluations; provide in-time coaching and feedback to improve future learner interactions.Meet with training leadership to debrief on training effectiveness – develop strategies to make improvements where needed. Conduct ongoing needs analysis leveraging learner feedback, field interactions, and subject-matter-expertise to adjust learning strategy and curriculum; recommend improvements for training programs resulting in quick implementation. Act as ambassador for Change Adoption Team, helping team members manage the growth of our business

Extensive experience and knowledge of medical, liability and auto claim handling.Evaluated and managed the risk of potential exposures and prepared sound claim litigation strategies for defense counsel.Coached less experienced claim handlers on proper review and analysis of medical, injury, and auto claim handling cultivating ongoing mentoring relationships.Investigated, evaluated and resolved complex/non-routine lawsuits and alternative dispute resolutions.Accurately and timely analyzed coverage, liability, and collaborated with counsel to develop effective litigation strategies for claim resolutions.Researched, evaluated, and made thorough and accurate claim decisions based on the needs and merits of the claim. Often selected by management to handle complex claims due to having extensive experience in handling difficult claim issues.

Investigated, negotiated, and settled auto liability claims in a team environment. Effectively interpreted and applied appropriate policy coverage to auto losses while providing a high level of customer service to insureds and claimants.