Objective: Underwriter / Claims Adjuster
| Work Desired: | Sub Contract |
| Citizenship: | US Citizen |
| Resident Of: | State: Delaware - Area Code: 302 |
| Willing To Relocate: | No |
| Posted By Candidate: | 1+ Year Ago |
| Experience: | More than 3 years of work-experience |
| Technical Skills: | , Project Management |
| Work Experience: | |
DEMETREECIA O DAVIS
12 Mandolin Court, Newark DE 19702
(302)838-7449
[Send email using form at bottom]
SUMMARY
Resourceful and results oriented Insurance Professional with experience in
Property, Casualty and Homeowners claims. Customer focused, responsive and
flexible as well as a team player that is well organized and reliable.
Professionally recognized in 2008 as a fraud fighter award certificate
recipient.
PROFESSIONAL EXPERIENCE
Liberty Mutual Insurance, Blue Bell PA November 2009-
Present
Senior Claim Specialist I- Bodily Injury
Assess policy coverage, contact insured, determine and establish reserve
requirements
Plan and conduct investigations to analyze coverage, determine liability,
compensability and damages of claims.
Determine need for independent adjusters, cause and origin experts and
independent examiners
Evaluate claims for potential fraud
Assess actual damages associated with the claim and conduct negotiations to
settle the claim.
Handle litigations claims as necessary.
Nationwide Insurance, Newark DE April 2001-September 2009
Master Field Claim Representative
Specialty-Bodily Injury, December 2001-September 2009
Determined proper policy coverage.
Applied best claim practices to investigate, evaluate, negotiate, and settle
assigned bodily injury claims.
Worked with various attorney offices to resolve assigned cases.
Worked with all levels of employment in the organization as well as in the
community.
Served as single point of contact for material damage claims.
Conducted scene photos and vehicle photos when necessary.
Planned and executed all time schedules necessary to promptly conclude
assigned cases.
Established and authorized reserves and claim payment within delegated
authority.
Maintained current knowledge of liability and bodily injury coverage and court
decisions that may impact the claims function.
Served as a recruiter in the MD/DE/DC area for anticipatory positions within
the organization.
Liability Claim Representative
Specialty-Liability and Physical Damage, April 2001-December 2001
Investigated and settled all material damage and physical damage claims.
Participated in preferred and direct repair shop claims.
Authorized and approved all claims payments within the delegated authority.
Assisted files for suit, trial or subrogation.
Handled manual and proper losses.
Cigna Healthcare, New Castle DE March 1997-March 2001
Customer Service Advocate
Acted as interim manager; assisted customer service advocates; handled all
supervisor calls.
Acted as key resource for up training and team leader for customer service
advocates.
Answered inquiries regarding member eligibility claim processing; benefit
coverages and administrative procedures.
Educated prospective enrollees, members and healthcare providers about
products.
Created yearly history summary spreadsheet upon request from customers.
EDUCATION
Wilmington University, New Castle Delaware
Bachelor of Science in Criminal Justice
Graduated August 2000
PROFESSIONAL LICENSES AND CERTIFICATIONS
Pepperdine Negotiations Certification May 2007
Motor Vehicle Adjuster License June 2003
Motor Vehicle Appraiser License January 2003
Casualty Adjuster License January 2003
Property Adjuster License October 2002
COMMUNITY SERVICE/MEMBERSHIP/AFFILIATIONS
Active Member- Alpha Kappa Alpha Sorority, Incorporated, Zeta Omega Chapter
Active Member- Sigma Beta Delta International Honor Society for Business
Management and Administration
|
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