Olivia King

• Phone: +1 416 555 0123
• Email: olivia.king@email.com
• Location: Toronto, Canada
• LinkedIn: oliviakingclaims

Summary

Over 7 years of dedicated experience in claims investigation and adjustment, successfully managing complex property and casualty claims from initial report to final settlement. Proven ability to analyze policy coverage, negotiate effectively, and mitigate financial loss for insurance carriers, consistently resolving over 150 claims monthly.

Expert in utilizing forensic evidence and interviewing techniques to determine claim validity and exposure, ensuring fair and accurate settlements while adhering to regulatory compliance standards. Recognized for reducing average claim cycle time by 15% through process optimization and strategic negotiation.

Experience

Senior Claims Adjuster, Maple Leaf Insurance Group -- Toronto, Canada

Mar 2019 – present

• Managed a complex caseload of 100+ property and casualty claims monthly, ranging from residential fires to commercial liability incidents, achieving an average settlement rate of 95%.

• Conducted thorough investigations, including site visits, evidence collection, and witness interviews, to accurately assess damages and determine policy applicability.

• Negotiated settlements with policyholders, attorneys, and third parties, resulting in a 10% reduction in average claim payout compared to initial reserves.

• Mentored junior adjusters on best practices for claim handling, documentation, and regulatory compliance, improving team efficiency by 12%.

Claims Investigator, Northern Shield Claims Services -- Mississauga, Canada

June 2016 – Feb 2019

• Investigated auto and general liability claims, conducting detailed accident reconstructions and analyzing police reports to establish fault and liability.

• Interviewed claimants, witnesses, and medical professionals to gather critical information and verify claim details.

• Prepared comprehensive investigation reports with photographic evidence and detailed findings, supporting adjusters in their settlement decisions.

• Identified and reported potential fraudulent claims, contributing to a 5% reduction in fraudulent payouts for the region.

Education

University of Toronto, Honours Bachelor of Arts in Criminology and Sociolegal Studies -- Toronto, Canada

Sept 2012 – May 2016

Skills

Claims Management: Property Claims, Casualty Claims, Liability Assessment, Coverage Analysis, Subrogation, Reserve Setting, Litigation Management, Policy Interpretation

Investigation & Analysis: Forensic Investigation, Accident Reconstruction, Witness Interviewing, Evidence Collection, Fraud Detection, Damage Assessment, Root Cause Analysis

Negotiation & Communication: Settlement Negotiation, Conflict Resolution, Stakeholder Communication, Report Writing, Presentation Skills, Client Relations

Technical & Software: Xactimate, Symbility, Microsoft Office Suite, Claims Management Systems (CMS), Data Analysis

Compliance & Regulations: Insurance Law, Regulatory Compliance, Ethical Practices, Privacy Regulations (PIPEDA)