Determine if estimates or appraisals are appropriate based upon reported damages and other evidence Report to Excess carrier on any claim that meets the requirements to do so including status reportsIdentify and assign defense counsel on claims where suit is filed. Communicate with defense counsel to resolve litigationDetermine and evaluate injury status of all persons asserting Bodily Injury claimsDevelop working knowledge of PIP/No Fault Law Review correspondence for claimant's compliance with F.S. 768.28 Sovereign Immunity

Reviewed and directed production of deposition transcripts. Ensured transcripts were prepared within state requirements and guidelines. Arranged for timely delivery and payment.

Maintained current knowledge of liability and bodily injury coverage court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. Initiates and conducts follow-ups via proficient use of claims systems and related business systems.Assisted and prepared files for suit, trial, or subrogationManaged and resolved pending Property Damage litigation files. Promptly investigated, managed and resolved Homeowner liability claimsRegularly provided coaching and assistance to co workersProvided Claims Support to North Carolina Non Injury Claims Operation (December 2006-February 2007)Provided Claims Support to Florida Non Injury Specialty Claims Operation (October-December 2007, and April 2008)Provided Claims Support to Commercial Casualty Operations

Determined proper policy coverage and applied best claims practices to investigate, evaluate, negotiate and equitably settle assigned claims cases Maintained current knowledge of liability and bodily injury coverage court decisions which could impact the claims function, current guidelines in the claims function, and policy changes Set reserves and claims payments within delegated authority.Applied skills necessary to make decisions and resolve conflicts in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions.

Determined applicable coverage, medical necessity and appropriateness of charges related to PIP injury claimsDetermined and initiated appropriate requests for medical and non-medical information needed to properly pay claims.Reviewed and researched medical bills and surgical reports obtained from providers for contestability and pre-existing health history.Utilized internal sources (special investigation, medical review, claims legal etc.) to aid in the investigation and resolution of claims.