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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Phone Cell PHONE NUMBER AVAILABLE EMAIL AVAILABLESUMMARYVersatile Client Relations Management professional with over 20 years progressive experience in the Insurance Industry. Strong oral and written communication and customer focused skills which facilitate success in developing partnerships across all levels of management; attaining commitment and formulizing teamwork that help manage a projects ongoing development from implementation to maintenance. Able to function independently within broadly defined criteria. PROFESSIONAL EXPERIENCEPlymouth Rock Assurance {Formerly Palisades Insurance}, Wall, NJ 2022-Present Personal Injury Adjuster and PIP Litigation Adjuster (PIP) Provide support to the injured individual, by offering customer service assistance, answering billing questions, and assisting in referring claims for medical management to our outside vendor Determine the relationship of the injured party to that of the insured, and if they are an injured passenger I will further investigate whether or not there is active insurance in the household and determine if coverage is available Conduct Undisclosed Investigations of the drivers that are not listed on our policy and further investigate the claim with our Special Investigative Unit (SIU) Handle PIP Suits and PIP Arbitrations until settlement is made Claims Adjuster (2002 2003)Resolved auto insurance and property damage claims in a timely manner. Ensured contact with insureds and/or claimants within a 24 hour timeframe. Obtained statements, requested police reports, and damaged appraisals Gathered the facts of the loss, determined the damage to the automobile and referred damages to either in house staff or body shops Referred claims that have undisclosed drivers, vehicle theft and Fraud to our Special Investigative Unit (SIU)CSAA Insurance Exchange (Formerly AAA Mid-Atlantic) Edison, NJ 2012 2022 Personal Injury ParalegalProvides support to House Counsel by maintaining House Counsels calendar, drafting documents, assisting in writing briefs, organizing files, opening new files, closing files, obtaining expert medical reports. Handle PIP suits and PIP arbitrations Negotiate Settlements with Plaintiff Counsel Assist in writing briefs and preparing Exhibits for Court Request Medical Director Reports, Independent Medical Exams and Code Reviews in order to defend a Matter. Conduct Legal Research via LexisNexis Review Medical Records Review and Prepare DiscoveryCandidate's Name , C: PHONE NUMBER AVAILABLE Page TwoPlymouth Rock Assurance {Formerly Palisades Insurance}, Wall, NJ 2002 - 2012 Personal Injury Adjuster and PIP Litigation Adjuster (PIP) (2003 to 2012) Provide support to the injured individual, by offering customer service assistance, answering billing questions, and assisting in referring claims for medical management to our outside vendor Determine the relationship of the injured party to that of the insured, and if they are an injured passenger I will further investigate whether or not there is active insurance in the household and determine if coverage is available Conduct Undisclosed Investigations of the drivers that are not listed on our policy and further investigate the claim with our Special Investigative Unit (SIU) Handle PIP Suits and PIP Arbitrations until settlement is made Claims Adjuster (2002 2003)Resolved auto insurance and property damage claims in a timely manner. Ensured contact with insureds and/or claimants within a 24 hour timeframe. Obtained statements, requested police reports, and damaged appraisals Gathered the facts of the loss, determined the damage to the automobile and referred damages to either in house staff or body shops Referred claims that have undisclosed drivers, vehicle theft and Fraud to our Special Investigative Unit (SIU)Metropolitan Life Insurance Company, Bridgewater, NJ 2000 - 2003 Market Research Consultant (2002 - 2003)Provided support to the many Research Managers in terms of channel metrics reporting, primary market research {exploratory needs research, usability testing, satisfaction research} and competitive intelligence research Demonstrated commitment and accountability for projects and demonstrated the ability to work effectively with multiple people and partners, internally and externally Managed the various studies that were conducted within the Group Regional Sales Offices throughout MetLife Managed the various studies that were conducted within the National Service Center of MetLife Multi-Product Marketing Analyst (2001- 2002)Manage the second sale marketing campaign implementation (proposal and strategy) Ensure the delivery of campaigns according to the set strategy, the allowable budget and error free communications Served as a liaison and effectively transition cases post-implementation to marketing partners Effectively managed client and customer expectations delivering client specific strategies and presentations Supported pre-sale and post sale efforts with customer proposals, transitions and reporting Account Representative (2000 2001)As an Account Representative my role is to act as the primary for the Payroll Deduction contact for the Corporate Customer. Responsible for the on-going administration of Group Auto and Home accounts in Voluntary Benefits. Worked in a customer focused environment project managed the daily service issues arising from the corporate customer including billing, and system issues. Project managed the implementation of new cases that had were bringing on new third party products to the Metlife PlatformCandidate's Name , C: PHONE NUMBER AVAILABLE Page ThreePrudential Life Insurance Company of America, Edison, NJ 1995 - 2000 Claims Examiner Handled customer inquiries and complaints via written and verbal communications with customers and State Departments of Insurance Communicated with the State Departments of Insurance, Executives of Prudential and various Branches of Prudential to resolve customer concerns. Trained new associates on a wide array of topics, including Life Insurance Product Knowledge, the required duties of their job, and computer systems within and out of Prudential. Education Bachelor of Arts Degree, Political Science, Kean University Certificate of Completion, Estimatics How to Write an Estimate, Vale University Paralegal Certification, Honors Graduate, Horizon Institute of Paralegal Studies Awards/CertificatesDeans List Kean University and Horizon Institute of Paralegal Studies Key Club MemberCertificate in Retirement Plans- International Foundation of Employee Benefits Computer ExperienceProficient in Microsoft Word, Excel, Advanced Excel, and several systems for MetLife Operate comfortably in Windows /currently using Windows NT |
