claims examiner

Posted on: 2006-05-18

IRINA AMIR 125 Weed Ave Staten Island, NY 10306 Email : [email protected] home :(718)872-6786 mobile:(646)644-8809 EXPERIENCE AMERICAN TRANSIT INSURANCE, New York, NY 04/02- Present Property Damage Examiner 1.Responsible for determining coverage, investigating, appraising, and negotiating settlements in auto and subrogation claims. 2.Effectively communicate with claimants, insured, employers, police offices, witnesses, agents, auto repair firm personnel, attorneys, medical providers, and personnel of other insurance companies regarding the facts surrounding the loss and the nature of injuries. 3.Assist insured and claimants in obtaining an estimate of the cost of the damage imposed on the vehicle and other property involved in the loss. In cases when the estimates are prepared by non-American Transit personnel, evaluate the estimates for accuracy & completeness, including hours required to repair/straightening versus replacement with new or equivalent parts. 4.Interpret and evaluate the auto damage repair estimates. 5.Dispose of assigned claims by settlement, denial or referral as delegated by assigned supervisor. 6.Determine actual cash value in total loss cases. 7.Settle all litigation claims which involve law suits & judgements. 8.Prorate claims which exceed the policy limit. 9.Review files of unsatisfied offers made by other examiners to reach amicable solution. ALAN LEVIN, ESQ, Brooklyn, NY 03/00-04/02 Legal Assistant- Personal Injury Law Firm 1.Prepared legal documents.Acquired extensive experience with handling suits & arbitrations. 2.Prepared and processed all phases of No-Fault applications, Property Damage, Bodily Injury & Uninsured motorist claims. 3.Identified coverage, investigated, evaluated and negotiated No-fault & Auto claims. 4.Requested and reviewed clientÕs medical records .Attained strong familiarity of the medical terminology & treatment procedures. 5.Coached and assisted the new or less experienced personnel. 6.Conducted client interviews. 7.Conducted research and succeeded in resolving a variety of customers complaints and issues. EDUCATION SYDNEY UNIVERSITY, Australia Studies towards the BS in Psychology, 1997-1999 American Institute for CPCU AIC 33-The Claims Environment, 2/14/06 SKILLS 1.Fluency in Russian 2.Excellence in analytical, organizational, investigative and negotiation skills. 3.Ability to maintain composure under pressure. 4.A high degree of motivation and team orientation. 5.Proficiency with the Windows-based software packages including WordPerfect, Microsoft Office, Lotus Notes & Act.