Multi-Line Commercial, Commercial Auto, GL, Property Claim Adjuster

 Environmental and Professional Liability Claims investigation including complex Coverage/ROR Liability investigation involving unique/complicated contractual agreements and tender requests Involves Nationwide account with 60% litigated files involving multiple parties/complicated discovery and extensive use of ADR’s and/or effective defense strategies.

Motivational Casualty Claims Management & Mentoring

Change in Title, Duties and Job Description subsequent to Purchase and Takeover by Farmers Insurance Exchange to acquire AIG/21st Personal Lines Auto existing book of business and pending claims on their existing software & database. Automobile Standard/Non-Standard Complex Auto BI/PD Casualty claim representative. Coverage and liability investigations with up to $20,000 settlement authority per exposure. Effectively completed and exceeded file quality and handling strategy guidelines consistently. Mastery of DOI regulations with emphasis on Medicare/Medi-Cal lien procedures and preservation. Chosen to tackle runoff claims still pending on obsolete operating system(s) with an extremely high desk volume up to 300 bodily injury exposure lines. Performed job duties in both an individual and team enviroments.

Supervision of all aspects of a team of 6 inside/outside personal lines liability/casualty claims representatives for standard/non-standard auto claims for property damage and personal injury adjudication. Including Training, mentoring, instruction, settlement authority, quality audits for performance evaluation and compensation. Applicant interviews and performed HR duties for hiring, disciplinary action and promotional. Reported to Office Claim Manager and/or Regional Manager as exposures warranted.

Supervised and mentored 6 Non-Standard Auto Casualty BI/PD Adjusters in all aspects of claims handling with high volume of coverage investigation generated by agency automobile and Auto Dealership sold policies.

Promoted to Supervise 7 Liability, Litigation Examiners in all aspects of the claims handling process including litigation planning, expense control and policyholder integrity. Assigned new losses, approved coverage denials, granted settlement authority. Monitored legal mail for policy/time demand constraints and mitigating factors. Utilized file audits for adjuster performance, mentoring, reward, discipline and evaluation. Authorized defense usage and monitored legal expense cost efficiency to outcome.Attended “ADR's” and court proceedings as warranted and responded to all Dept. Of Ins. Inquiries within State and company guidelines.

Insurance Overload systems, Focus staffing and Pacific Resource Group, Orange County, CA.; Services included all aspects of casualty claims for BI/PD including Homeowners and General Liability claims. Investigation and adjusting aspects and authority tailored by each respective carrier/company's guidelines and requirements.

Took new claims directly by phone and handled all Casualty adjusting aspects including automobile and homeowner's liability and Medical payment claims. Effectively managed a high volume of AARP clientele as necessary by contract.

Mastered a High Volume Comprehensive Claim position for automobile claims. Investigated and negotiated settlement of Total Theft Claims utilizing approved Actual Cash Value estimating techniques and SIU protocols as warranted. Promoted to liability/property damage claims for a high volume non-injury position.