No-Fault Adjuster

Posted on: 2007-05-25

No Fault Adjuster/ AutoOne Insurance Company 2004-2007 *Assigned Risk claims handling. *Knowledge of Regulation 68. *Determining approximate exposure in order to adequately reserve accordingly. *Identify coverage and underwriting issues. *Assess, assign and coordinate internal and external resources. *Consult directly with SIU. *Evaluate and Negotiate No-Fault Claims. *Investigate, evaluate and process all medical and vendor billing. *Manage all Independent Medical Exams and Peer Reviews. *Identifying all phases of subrogation. *Process all correspondence and medical bills. *Issue payments, delays and denials in accordance with Regulation 68. *Handle all contacts and inquiries with insureds, claimants, attorneys and providers. Claims Technical Assistant/AutoOne Insurance/General Assurance Company 2002-2004 *Process Legal Correspondence to attorneys. *Assist Adjusters with maintaining claim files and keeping in compliance. *Process correspondence to insured’s claimants and providers. *Trouble-Shoot claim files with adjusters. *Record all Bodily Injury into Cybersettle. *Administer ISO Reports on claimants for adjusters. *Obtain information from DMV on claim files. *Handle inquiries from insureds, claimants, attorneys and providers. *Prepare and organize all correspondence for the subrogation files. *Participate in the training of employees. *Assist other departments when necessary. *Work in a team environment to achieve departmental goals. Senior Account Executive/CSR/Driversshield.com 1997-2002 *Worked in a team environment achieving departmental goals and objectives. *Handled clients, drivers, insurance companies and body shops inquiries. *Prepared reports for insurance companies and clients. *Processed estimates and pictures through the audit department. *Issued purchase orders and coordinated repairs for customer/client vehicles. *Assisted Clients by Trouble Shooting accounts/claims. *Acting Supervisor when supervisor was not available. *Assisted supervisor with daily departmental goals. *Department Team Leader *Trained, instructed, demonstrated proper procedures to new employees.