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Click here or scroll down to respond to this candidateCandidate's Name
Austin, TX Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLESUMMARYCurrent 08-All Lines License, License Number. Dedicated, professional, skilled and builds strong relationships with fellow co-workers. Also, interested in working remote.RELATED SKILLSClaims handling management * High priority projectsRisk management & mitigation * Policy interpretationDamage assessment * Word, Office 354, OnBase ExcelEvaluation of liability exposure * Processed salvage/subrogationIdentified subrogation/recovery * Self motivated, dependable, organizedCatastrophic claims * Bi-lingual - Spanish read/writeAbility to work with all employees * Ability to work without supervisionEXPERIENCE10-10-19 to 3-30-20 End of contract. Pharmacists Mutual Insurance Company.Claims Specialist - Duties include, but not limited to the following. Investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with Company guidelines. Provides timely, professional claim handling and excellent customer service.1-2008 to 07-2017 - Texas Association of Counties - APD/AL Claims Specialist. Managed claims for 219 Texas Counties. All Members/Insured were Governmental related. Investigated and processed various lines of coverage (APD, AL, GL) claims Responsible for managing a third party administrator (TPA) to oversee a block of claims on various lines of business. Responsible to assist the clerical staff, claimants, vendors, field service representatives and underwriting with coverage scenarios/issues, etc. Made approval or denial decisions and negotiate settlements with claimants in accordance with provisions. Acted as liaison to Members, who were Governmental entities (254 Texas Counties). Collaborate with third party carriers, interview claimants, statements for confirmation of facts, rectify omissions and investigate questionable issues, etc. Excelled on subrogation recoveries. During my employment, I received 3 perfect audits out of 3 audits completed. Handled on average of 200-425 claims. Took pride in providing excellent customer service.1-1992 to 04-2007 - Texas Property & Casualty Ins. Guaranty Assoc. Litigation Specialist. Responsible for handling different lines of business. About 75% of assigned claims were in litigation. Prepared claims for mediation/trial. These included settlement, salvage, subrogation, retained defense counsel. Provided periodic current status of claims/cases to insured.5-89 to 12-1991 - JI Specialty Services - Claims Adjuster. Responsible for handling files assignment from beginning to closure. All insureds wereGovernmental related. Claims were automobile, auto liability, general liability, errors & omission claims and litigation as well. Handled claims from beginning to closure.EDUCATIONCanterbury Christ Church University - Bachelor of Arts; Liberal Arts; Minor in Spanish |
