Detail-oriented Bodily Injury Claims Adjuster experienced in high-level negotiation and persuasion to resolve claims effectively. Managed high call volumes in fast-paced environments, demonstrating reliability and strong communication skills. Committed to professional development through completion of required courses for CIP certification.
Overview
7
7
years of post-secondary education
13
13
years of professional experience
Work History
Bodily Injury Claims Adjuster
The Co-operators Insurance
St. John's, Newfoundland and Labrador
06.2016 - 03.2026
Evaluated bodily injury claims for accuracy and compliance with company policies.
Investigated liability issues related to bodily injury claims.
Analyzed medical records and reports to determine claim validity and coverage.
Assessed medical records and other relevant documents to determine the extent of injuries sustained.
Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
Conducted field investigations for complex cases.
Coordinated communication among clients, medical providers, and legal representatives to facilitate effective claim processing.
Sourced additional information to substantiate claim decisions and enhance overall claim validity.
Adhered to established standards of practice when evaluating bodily injury claims.
Managed claim resolution timelines while prioritizing customer satisfaction throughout the process.
Negotiated settlements with claimants or their representatives in accordance with state laws and insurance policies.
Attended mediations and court hearings as required by law or requested by the client.
Collaborated with colleagues within the department to ensure that all deadlines were met.
Auto Claims Representative
The Co-operators Insurance
Calgary, Alberta
06.2013 - 06.2016
Processed auto claims by gathering necessary documentation and evidence.
Evaluated claim details to determine coverage and assess liability.
Updated clients on claim progress and clarified status to ensure understanding and satisfaction.
Collaborated with repair shops to coordinate vehicle inspections and repairs.
Advised clients on their rights and responsibilities during the claims process.
Managed multiple claims concurrently while keeping detailed records to support efficient processing.
Trained new team members on procedures and best practices for claims management.
Interviewed claimants to gather additional information, enhancing the accuracy of claims assessment.