-Handled and settled claims with designated policy limits up to $250,000 while partnering daily with defense counsel, litigation, property damage, bodily injury, and subrogation teams on litigation & cost-containment
-Conducted claim/policy review to ensure eligibility of benefits, policy limits, and coverage for New Jersey auto policies
-Managed a running diary of over 250 claims at a time while meeting all deadlines, prioritizing catastrophic claims and staying within Department of Insurance compliance
-Completed extensive claim investigations with the use of ISO claims system, Nexus Lexus and a variety of other claim investigation software
-Assigned claimants to undergo independent medical examinations to prevent excess, unnecessary and unrelated medical treatment
-Identified fraud claims, obtain proper statements, completed documentation, reviewed evidence, and referred claims to the Serious Investigation Unit (SIU) for further fraud analysis
-Submitted appropriate policyholders to underwriting with excess claim exposures, new policy claim exposures, and lapse coverage
-Processed and issued claim payments for legal counsel, medical examinations & medical provider bills