100 Broadway Lane New Parkland, CA, 91010 Cell: (555) 987-1234 firstname.lastname@example.org
Detailed and well-versed Insurance Claims Examiner that knows all the guidelines and regulations for successfully reviewing submitted claims. Utilizes the expertise of a variety of trusted contacts in various industries to evaluate and verify circumstances behind claims, as well as thorough personal investigations, and recording data into reports used to make sound settlement determinations.
Adherence to State of California insurance regulations
Work with adjusters on complex claims
Return to work strategies
Litigation and subrogation management
Criminal and civil law
Latest computerized insurance solutions
Insurance Claims Examiner – March 2007 to Present Amble Insurance Companies, New Cityland, CA
Manage investigations and resolutions of workers’ compensation claims.
Ensured all processes complied with workers’ compensation rules, laws and procedures.
Work with employers to implement risk management programs.
Develop financial analysis of claims.
Involved in settlement negotiations.
Prepare and distribute status reports on individual claims and overall operations.
Insurance Claims Examiner – March 2002 to February 2007 Masterson Health Services, New Cityland, CA
Reviewed lower level personal injury and personal damage claims.