D Arcuri Location: Massapequa, NY 11758 ... . Commercial and Personal Lines cases including Pre-Litigation to Trial Stage. These were high and low exposure reserve cases. Experienced in mediation, arbitration and court proceedings including testifying and monitoring. Strong ability in the area of negotiations, evaluations, as well as bulk settlement conferences.Mate rial Damage Adjustment Co., - A Robert Plan Co., Bethpage, NY 1988-2007SR. COURT EXAMINER - Bodily Injury ClaimsSupervised personnel in the handling of major casualty lines suit files, including proper monitoring of trial cases with Defense Counsel to either settlement or verdict. Responsibilities included reserving, evaluation and negotiation of B.I. Commercial a ...
97 hits
2.
B Marcano Location: Brooklyn, NY 11231 ... Experience Rutgers Casualty Insurance Co., New York, NY11/01 – Present Sr. Claims Adjuster * Resolve personal and commercial Automobile Liability claims for New York and New Jersey policyholders * Resolve commercial General Liability and Homeowner claims for New York and New Jersey policyholders * Negotiate with claimants and attorneys in achieving fair settlements. * Conduct timely investigations, and comply with applicable State regulations * Secure recorded statements of insureds, injured parties, and witnesses * Caseload includes more than 40% litigation management; work closely with defense counsel in controlling legal expenses * Responsible for reserv ...
95 hits
3.
N Courto Location: New Hartford, NY 13413 ... e/Albany NY & SCA Appraisal Co* Estimate parts and labor to repair damage, using standard automotive labor and parts- cost manuals and knowledge of automotive repair.* Review repair-cost estimates with automobile-repai r shop to secure agreement on cost of repairs.* Prepare insurance forms to indicate repair-cost estimates and recommendations. * Examine damaged vehicle to determine extent of structural, body, mechanical, electrical, or interior damage.* Arrange to have damage appraised by another appraiser to resolve disagreement with shop on repair cost.* Determine salvage value on total-loss vehicle.* Evaluate practicality of repair as opposed t ...
93 hits
4.
J Skinner Location: Colden, NY 14033 ... service experience. Strong investigative capabilities and well respected within the legal community for technical knowledge and due diligence along with the ability to follow through to resolve issues efficiently. Recognized for high degree of professionalism and dedication to core values that include integrity, confidentiality, and compassion towards others.KEY COMPETENCIESResu lts OrientedDue DiligenceRelatio nship ManagementLegal Research & DocumentationNeg otiation/Mediati onCustomer Service Written & Verbal Communication SkillsCompliance Training & Mentoring PROFESSIONAL EXPERIENCEAix Group -Nova Casualty Company 08/06 to Presen ...
91 hits
5.
C Grimm Location: Baldwin, NY 11510 ... ements, investigations and all phases of liability in a high volume environment. Detail oriented and excellent investigative skills. Proven ability to meet and exceed all goals. ________________ ________________ ________________ ________________ _______ Summary of Qualifications: 4 years experience in all areas of claims from incoming reports to analyzing medical records Skilled in negotiations with other carriers and attorneys to make fair and sound decisions based on evidence presented and extensive investigations. Handled large volumes of claims in a timely fashion to preserve rights Opened all appropriate features based on exposure. Settled over 70 % of claims under reserve values ...
89 hits
6.
T Martinez Location: Troy, NY 12182 ... receiving W-9 forms, adding new providers into system, updating existing providers in the system. Answering incoming calls to an ACD line quoting benefits to customers, giving customers referrals to individual providers, adding & updating outpatient authorizations. Receiving calls from facilities for registration of patients entering out patient clinics, also taking clinical information on patient progression to programs, contacting facilities to verify patients receiving outpatient follow-up care after in-patient stays. Payment or denials of mental health/substance abuse claims for providers & facilities, sending inquiries to other departments to obtain further information if needed ...
87 hits
7.
T Strokosz Location: Staten Island, NY 10314 ... EREXPERIEN CE: GAB Robins N.A., New York 5/04-PresentSENI OR CLAIMS ADJUSTERHandling bodily injury, general liability, property damage and uninsured motorist claims.Presentat ion of cases in Arbitration Forum, Mediation and Small Claim Court.Full handling of Litigation Files.Working knowledge of New York State Regulation 64 and 68Handling all aspects of automobile claims including investigation, SIU referrals, negotiation, settlement, reporting and reserving.Pendin g caseload 300 filesSettlement authority: $ 35,000.Robert Plan, Inc, Bethpage, New York4/02-5/04MUL TI PERIL CLAIM EXAMINERHandling New York, Connecticut and New Hampshire Litigated automobile bodily injury, property d ...
85 hits
8.
T Hickey Location: Greene, NY 13778 ... er Service and/or Office related position which mayoffer opportunities for growth and advancement.Expe rienceNew York Central Mutual Insurance Company Sherburne, NYCustomer Service/Marketin g 03/2004 to 02/2009Licensed Insurance Agent; Claim Adjuster * Customer Service/Marketin g Representative (9/2007-2/2009) handling all aspects ofinsurance questions and problems in Customer Service Call Center * Attended Home Shows in New York State educating the public with the company andbenefits they offer* Licensed Insurance Agent for Property and Casualty Insurance * Licensed Auto Insurance Adj ...
83 hits
9.
M Clune Location: Smithtown, NY 11787 ... zed and assigned claims that require additional investigationRes ponsible for investigating potentially fraudulent claims in New York State and New England and for remaining in compliance with all respective Insurance Department regulations Created training programs for all Claims and Underwriting personnel in New York State in the recognition and referral of claims to the Special Investigative UnitPresented fraud awareness programs to civic organizations and law enforcement personnelClaims Reinspector May 1996 - February 1998Reviewed claim files for trends and patterns that deviated from the Company's policies Implemented training programs to correct those deficiencies found during file rev ...
81 hits
10.
R Gordon Location: Copiague, NY 11726 ... cumentation coordinator SupervisorReques ted medical documentation from all providers of services on all legal cases.Verified provider and treatment information on clients.Reviewed all medical reports received for accuracy.Confirm ed all appropriate diagnostic testing and results were performed and received by attorneys.Contac ted clients to arrange appropriate medical care based on injuries received.Verify coverage for clients and any defendants involved in the case. In addition verify injuries sustained in accident.Review police reports and defendants involved in incident. Send appropriate medical information and authorizations to appropriate insurance carriers.Review all requests from at ...
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