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Yyyyyy x. yyyyyy

1069 Coolidge ö Xxxxxx, XXXXXX xxxxxx ö (xxx-xxx-xxxx ö abc@xyz.com

 

Willing to Relocate at Personal Expense

Highly Experienced Workers Compensation Adjustor eager to integrate strong organizational, communication and research skills toward supporting the claims processing goals of a progressive organization.   Proven track record of managing a high-volume caseload, assessing potential for exposure, conducting benefits sexxxxxxnars and negotiating settlements with claimants and plaintiffs.

 

Core competencies include:


   Send and Receive Claims Electronically

   Negotiate Settlements

   Participate in Workers Compensation Hearings

   Provide Superior Customer Relations

   Investigate, Evaluate and Settle claims

   Concise Attention to Detail

   Excellent Communication Skills

   Manage Complex Claims Processes


 

Professional Experience

 

Hastings Mutual Insurance, Hastings, XXXXXX - Workers Compensation Adjuster                                                      2005 to 2007

   Spearheaded settlement efforts for higher level complex legal issues, suspicious claims and severe injury claims.

   Attended trials and facilitated mediation via teleconference; assessed potential for exposure, legal costs and lost wages.

   Orchestrated continuing education/informational sessions biannually to maintain current industry updates.

 

Foremost Insurance Company, Grand Rapids, XXXXXX - Property Adjuster                                                                       2004  to 2005

   Accountable for adjusting low to moderate severity property loss and third party property damage cases; created comparative estimates on Xactimate software, and reviewed charges to deterxxxxxxne coverage per policy.

 

Farm Bureau Insurance, Lansing, XXXXXX - PIP Adjuster                                                                                                 2003 to 2004

   Effectively managed catastrophic claims processing; made deterxxxxxxnations for liability under the order of priority and review subrogation potential. 

   Secured necessary medical records and information to make medical benefits deterxxxxxxnations as it related to the claim under the no-fault statute.

               

Crawford & Company, Grand Rapids, XXXXXX - Workers Compensation Adjustor                                                                           2003

   Provided guidance on lost time and litigated cases in this temporary positions; secured statements from claimants and witnesses, estimated exposure and assigned medical management and vocational rehabilitation as appropriate.

 

Liberty Mutual Group, Farxxxxxxngton Hills, XXXXXX - Senior Claims Adjustor                                                                           1998 to 2003

   Analyzed and assigned risk clients; advised claims adjustors on protocols, and led settlement negotiations with an authority of $35K.

   Established and maintained reserves on claims, and attended legal proceedings at the Workers Compensation Bureau.

 

Travelers Insurance, Southfield, XXXXXX - Litigated Specialist                                                                                                  1997 to 1998

   Managed litigated claims for insured and self-insured clients; obtained first statements from employer, employee and medical provider for suspicious claims. 

 

Crawford & Company, Southfield, XXXXXX - Workers Compensation Adjustor                                                                                1995 to 1997

   Provided claims guidance, lost time and litigation services for self insured clients; maintained appropriate reserve levels, monitored loss runs, and oversaw day to day office activities in the supervisors absence.

 

Education / Professional Development / Licensure

 

Henry Ford Community College, Dearborn, XXXXXX - Associates Degree, Business

Medical Billing & Coding with Medical Terxxxxxxnology

Spanish 101, Spanish in the Workplace, AIC Workers Compensation,  AIC Introduction to Claims and Errors and Oxxxxxxssions

Xxxxxx Insurance Bureau - Fire Hazard with Workers Compensation

Yyyyyy x. yyyyyy

1069 Coolidge ö Xxxxxx, XXXXXX xxxxxx ö (xxx-xxx-xxxx ö abc@xyz.com

 

 

Name

Hiring Manager

Company

Address

City, State Zip Code

 

Date Here

 

Dear Mr./Mrs. Name Here

 

My experience as a Workers Compensation Claims Adjustor spans 15 years.  I am certain that I have the expertise in investigating, analyzing, and negotiating claims to fit your needs.  I have a reputation for being persuasive, objective and deterxxxxxxned in representing my employers interests, and have the hands-on, long term experience that is necessary to be successful in this role.  Please accept this letter and resume as application for the position of <position here>.

 

A good Claims Adjustor will be able to respond to claims, manage clients and oversee the process.  A great Claims Adjustor will be able to navigate through the complex maze of litigants, plaintiffs, insurance company representatives and mediators with ease.  This is who I am as a professional, and know that I could not only contribute to your organization by doing my job well, but by also setting an example, and offering guidance and mentoring to your staff.

 

I am very interested in pursing a position in <city here>, and am willing to fund my own relocation.  I am excited about this next chapter in my career, and hope that you are looking forward to meeting me as well.

 

I can arrange to come to your office at your convenience to discuss the duties and responsibilities this job requires. Please give me a call at (xxx-xxx-xxxx and let me know the day and hour that work for you, and I'll confirm.

 

Sincerely,

 

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