Managed assigned claims caseload comprised of claims with complex damages including specialty claims. Updates initial reserve levels.Partnered with vendors and internal business partners to facilitate complex claims.Investigated claim damages by conducting research from various sources, including the insured, third parties, and external resources.Identified and engaged in additional confirmation of potential discrepancies involving complicated situations.Served as a resource for less experienced staff, providing informal coaching as appropriate.

Identified coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriateDetermined coverage through analyzing information involving complex policy terms and contingencies.Communicated with insured about coverage or any issues that involve additional information or considerations regarding settlement amount.Determined and negotiated complex claims settlement. Makes recommendations to management for settlement amounts outside of authority limits.Maintained accurate and current claim file documentation throughout the claims process for complex claims.Utilized platforms to prepare claims estimates in order to manage complex property insurance claims.Supported workload surges and/or Catastrophe (CAT) operations as needed.

Handled large and complex losses, including but not limited to total losses and large fire.Personal property, ordering vendors (experts, fire investigators, housing vendors, etc contents evaluations, and much more.Reviewed field adjuster work product, policy forms and endorsements, to ensure proper coverage determination made on each file.Assessed files for expert involvement, engage third parties as needed, and manage files from inception to closure.Made determinations based on claim facts the appropriate coverages and relay the coverage determination to the insureds via phone call, email, and written coverage determination lettersCreate coverage determination letters with appropriate policy language.Managed large losses with ease and remain empathetic to insureds who have just had a life altering event.Toggled between multiple claims management systems, issuing payments, setting reserves, updating claim statuses timely.