Results-driven Claims Supervisor with a strong track record in claims management and policy interpretation. Proven ability to enhance customer satisfaction and resolve complex claims issues through effective team leadership and communication.
Overview
8
8
years of professional experience
Work History
Casualty Claims Supervisor
First Acceptance Insurance
Nashville, TN
01.2023 - Current
Supervised claims processing team, ensuring adherence to company policies and regulatory requirements.
Review insurance policies to determine coverage validity, liability limits.
Direct settlement strategies for high-exposure or attorney represented claims, and manage relationships with defense counsel.
Address escalated complaints and mediate conflicts.
Coordinated with cross-functional teams to resolve complex claims issues, improving customer satisfaction ratings.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
PD 2 Supervisor
First Acceptance Insurance
Nashville, TN
01.2022 - 01.2023
Supervised daily operations ensuring compliance with regulatory standards and company policies.
Trained and mentored new team members to enhance performance and customer service skills.
Implemented process improvements that increased operational efficiency and reduced turnaround times.
Managed scheduling and staffing for optimal resource allocation across multiple departments.
Complex Casualty Claims Adjuster
First Acceptance Insurance
Nashville, TN
08.2021 - 01.2022
Conducted thorough investigations to determine liability, negligence, and damages.
Collaborated closely with defense counsel to resolve injury claims.
Review medical records, bills, treatment plans, and expert reports.
Negotiate directly with claimants, attorneys, medical providers, and insurance carriers.
Casualty II Claims Adjuster
First Acceptance Insurance
Nashville, TN
05.2019 - 08.2021
Gather facts about an accident by reviewing police reports, interviewing involved parties and witnesses, and analyzing photographic evidence.
Determine the degree of fault for all involved parties based on state laws and accident details.
Reviewed hospital bills, medical records, and treatment plans to evaluate the severity of the injury and verify it directly resulted from the accident.
Calculate both economic losses, medical expenses, lost wages and non-economic damages to determine a fair payout.
Negotiate final payouts directly with claimants, defense counsel, or plaintiff attorneys to resolve the claim.
PD 2 ADJUSTER
First Acceptance Insurance
Nashville, TN
05.2018 - 05.2019
Evaluated insurance claims to determine validity and coverage based on policy guidelines
Conducted thorough investigations of claims, including interview drivers, passengers, and witnesses, and review police reports or video footage to establish who is at fault.
Help arrange rental vehicles for policyholders, claimants while their vehicles are in the shop.
Communicated effectively with claimants, providing updates and addressing inquiries regarding their claims.