Heather Cooper
Huntersville
Summary
Self-motivated, goal oriented, and self-directed team player who eagerly accepts new challenges, is adaptable and flexible in new situations, effectively meets deadlines and is committed to a professional standard of performance. Seeks career advancement within the Insurance industry. Eager to utilize proven leadership abilities, excellent inter-personal and claim handling skills.
Overview
12
12
years of professional experience
Work History
Auto Claims Specialist
Selective Insurance
10.2021 - Current
- Investigate coverage and liability of claims through telephone, automated correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Issue applicable coverage letters.
- Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
- Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
- Evaluate, negotiate and resolve property damage and bodily injury claims within delegated authority.
- Assign appropriate counsel if needed to defend a claim.
- Receive and approve expenses incurred to investigate, process, and handle a claim.
- Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments.
- Explore contribution on all claims assigned.
- Prepare for and participate in claims review and settlement conferences.
- Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence.
- Assign medical or other experts to case and arrange for medical examinations.
Commercial Claims Adjuster II
EMC Insurance Companies
04.2016 - Current
- Investigates multi-line claims of moderate complexity
- Reviews claim notice and policy to verify coverage and deductibles
- Assists in suits, mediations, and arbitrations
- Communicates with other departments to submit referrals or share risk reports
- Initiates contact with insureds and claimants to obtain information on the claim and provide information on the claims process
- Resolves questions of coverage, liability, and the value of claims
- Negotiates, settles and/or resolves claims.
Bodily Injury Claims Analyst
Allstate Insurance Co
02.2012 - 04.2016
- Exercises independent judgment in the negotiation and investigation of bodily injury claims of low to moderate complexity
- Effectively communicates and maintains rapport with insureds, claimant’s, and agents to settle and negotiate claims
- Reviews medical bills and records and analyzes Allstate’s extent of liability
- Committed to providing superior customer service by giving expert advice during claim process and maintaining a strong rapport with customers
- Consistently meet all goals and metrics while attaining regional objectives
- Audit potentially fraudulent claims with focus on accuracy, quality, and cost control.
Education
Bachelor of Arts - International Studies
University of North Carolina At Charlotte
Charlotte, NC12.2011
Skills
- Settlement Determinations
- Coverage Assessments
- Automobile claims specialist
- Insurance policy coverage knowledge
Additional Information
Insurance Arbitrator for Arbitration Forums, Multiple State Adjuster Licenses.
Timeline
Auto Claims Specialist
Selective Insurance
10.2021 - Current
Commercial Claims Adjuster II
EMC Insurance Companies
04.2016 - Current
Bodily Injury Claims Analyst
Allstate Insurance Co
02.2012 - 04.2016
Bachelor of Arts - International Studies
University of North Carolina At Charlotte
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