AMY STRAUSS
Willow Spring
Summary
Results-oriented professional with over 20 years of experience in complex claims, customer service, and workflow prioritization. Proven ability to enhance operational efficiency and deliver exceptional client satisfaction in high-pressure environments. Seeking to leverage extensive skills and knowledge in the Consultant, Commercial Casualty Complex Loss role to contribute to strategic initiatives and drive successful outcomes. Committed to fostering collaborative relationships and delivering tailored solutions that meet client needs.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Claims Business Consultant - Commercial Lines
Nationwide Insurance Company
03.2023 - Current
- Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships.
- Gathered, organized and input information into digital database.
- Evaluated customer needs and feedback to drive product and service improvements.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
NYLL Specialist
James River Insurance
09.2022 - 03.2023
- Evaluated complex New York coverage issues including Third-Party Over Actions.
- Worked closely with New York defense counsel on litigated matters.
- Created and managed project plans, timelines and budgets.
- Managed a large volume of complex New York Labor Law claims.
Field Consultant, Commercial Claims NYLL
Nationwide Insurance Company
06.2021 - 09.2022
- Analyzed complex coverage issues.
- Investigated and evaluated high dollar claims (>$1,000,000) to resolution.
- Attended many mediations.
- Worked closely with staff and panel counsel on litigated matters.
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
E&S Claims Specialist III
Nationwide
02.2017 - 06.2021
- General Liability Claim Examination - Bodily Injury, Property Damage, Inland Marine, and Construction Defect.
- Examine claim forms and contracts to determine insurance coverage.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maintained confidentiality of patient finances, records, and health statuses.
- Followed up with customers on unresolved issues.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Commercial Claims Rep II & III
Nationwide
09.2012 - 02.2017
- Worked productively in fast-moving work environment to process large volumes of claims.
- Determined appropriateness of payers to protect organization and minimize risk.
- Generated, posted and attached information to claim files.
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
Claims Spec II
Allstate
02.2012 - 09.2012
- Auto Claims
Adjuster II
Sentry Insurance
01.2011 - 02.2012
- Review insurance policy to determine coverage.
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
- Transmit claims for payment or further investigation.
Work Comp/PIP
Citizens Insurance
09.1998 - 10.2003
- Work Comp Specialist
- MI PIP Adjuster
Education
MBA - Leadership
Baker College
Flint, MI05.2005
BS - Business
Michigan State University
East Lansing, MI05.1996
Skills
- Claims Business Consultant
- NYLL Specialist
- NY Adjacent Property Damage Specialist
- Investigation
- Negotiation
- Leadership
- Large Loss Specialist - Up to and greater than $1,000,000
- Litigation
- Communication
- Integrity
- Analytical
- Customer Service
- Training
- Planning & Organizing
- Planning and execution
- Training and mentoring
- Customer service management
Certification
- CPCU - Chartered Property Casualty Underwriter
- Licensed P&C Adjuster
Timeline
Claims Business Consultant - Commercial Lines
Nationwide Insurance Company
03.2023 - Current
NYLL Specialist
James River Insurance
09.2022 - 03.2023
Field Consultant, Commercial Claims NYLL
Nationwide Insurance Company
06.2021 - 09.2022
E&S Claims Specialist III
Nationwide
02.2017 - 06.2021
Commercial Claims Rep II & III
Nationwide
09.2012 - 02.2017
Claims Spec II
Allstate
02.2012 - 09.2012
Adjuster II
Sentry Insurance
01.2011 - 02.2012
Work Comp/PIP
Citizens Insurance
09.1998 - 10.2003
BS - Business
Michigan State University
MBA - Leadership
Baker College