Summary
Overview
Work History
Education
Skills
References
Timeline
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Charlene  Kristiansen

Charlene Kristiansen

Claims Examiner
Edmonton,AB

Summary

Organized Insurance Claims professional offering expertise in investigation, litigation and settlements. Proficient in executing claims transactions and applying settlement protocols to foster timely, fair and accurate claims processing. Track record of superior performance in team leadership roles.

Overview

33
33
years of professional experience

Work History

Power of Attorney/ Executor

Self Employed
Edmonton, CA-AB
2021.09 - 2023.08
  • Excellent communication skills, both verbal and written.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Proved successful working within tight deadlines and a fast-paced environment.

Senior Claims Examiner

Millenium Insurance
Sherwood Park, AB
2017 - 09.2021
  • Handled and processed variety of claims, including bodily injury and .claims involving Alberta insureds involved in motor vehicle collisions in the United States.
  • Investigated and assessed risk of claims against my employer's insured.
  • Argued liability with Third Party adjuster
  • Handled claims directly with counsel for third party directly, unless third party retained counsel.
  • Sought sufficient details from Third party or their counsel to assess

our risk and to obtain sufficient settlement authority from my employer to conduct settlement negotiations.

Claims Examiner

Intact Insurance
Edmonton, Alberta, AB
08.2001 - 12.2017
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Handled and processed variety of claims, including Accident Benefits and Bodily injury and property damage claims.
  • I was the in house adjuster for the Formula Transport Risk Policy.[Type].
  • Paid and processed claims within designated authority level.
  • Entered claim transactions, payments, reserves and other documentation.
  • Obtained necessary information to complete proper evaluation of injury claims.

Claims Adjuster

ICBC Claim Centre
Burnaby, BC
05.1990 - 07.2000
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Answered customer questions regarding deductibles.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Researched and analyzed policy contracts to verify proper payment of claims.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Documented all investigation activity and presented reports to management.
  • Evaluated insurance policies and analyzed damages to determine coverage.BI
  • Organized, planned and documented materials for BI claims.
  • Established relationships with clients and insurance companies to foster timely claims resolution.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Substantiated legitimate claims and denied unjustified claims.
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
  • Verified accuracy of Medical and employment records to maintain accuracy of records database.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Negotiated BI settlement agreements to resolve disputes.

Education

Associate of Arts - Legal Assistant Program

Capilano University
North Vancouver, BC
1983

Associate of Arts -

Insurance Institute of Alberta
Edmonton, AB

Skills

  • Benefit explanation
  • Property claims
  • Fraud identification
  • Investigation management

References

Mr.Guy Valle Lawyer Parlee McLaws

780 423 8500

gvalle@parlee.com

Sherry Johnson All State Insurance

Claims Adjuster BI

780 499 9854

Timeline

Power of Attorney/ Executor

Self Employed
2021.09 - 2023.08

Claims Examiner

Intact Insurance
08.2001 - 12.2017

Claims Adjuster

ICBC Claim Centre
05.1990 - 07.2000

Associate of Arts - Legal Assistant Program

Capilano University

Associate of Arts -

Insurance Institute of Alberta

Senior Claims Examiner

Millenium Insurance
2017 - 09.2021
Charlene KristiansenClaims Examiner