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 * About
 * Experience
 * Volunteer Experience
 * Education
 * Skills
 * Hobbies
 * Contact


 * Home
 * About
 * Experience
 * Volunteer Experience
 * Education
 * Skills
 * Hobbies
 * Contact




Resume Homeadmin2023-10-29T13:02:53-07:00


ABOUT.




INSPIRED TO MAKE A DIFFERENCE.



Experience



WORK SKILLS.




SENIOR CLAIMS ADJUSTER.



Gallagher Bassett, Full Remote

August 2022 ~ Present

 * Investigates, evaluates, disposes and settles the most complex claims and
   highest exposures with minimal supervision;
 * Evaluate and determine coverage, liability and damages;
 * Properly set and adjust reserves along with settle claims up to $100,000
   authority;
 * Exercises property judgment and decision making to analyze claims exposure,
   determine proper course of action towards settlement;
 * Interacts extensively with various parties, including defense counsel, third
   parties, and vendors involved in the claim process;
 * Exhibit the ability to communicate concise action plans for claim conclusion;
 * Demonstrate complete knowledge of the claim file process through presentation
   of actions and responses to the client;
 * Process claims in accordance to clients’ and corporation policies, procedures
   and “best practices” and also in accordance with any statutory, regulatory
   and ethical requirements;
 * Demonstrate ability to comply with carrier reporting and threshold
   requirements;
 * Recognize and pursue excess insurance and/or risk transfer opportunities;
 * Possess the ability to handle a full case load, with proven ability to handle
   cases of increased severity;



SENIOR CLAIMS REPRESENTATIVE.



Plymouth Rock Assurance Co, Boston, MA

November 2021 ~ August 2022

 * Analyze, review and interpret homeowners’ policies to assess coverage;
   provide advice on excess and primary coverage issues;
 * Investigate liability, negotiate, analyze, and settle homeowners’ liability
   (bodily injury and property damage) claims;
 * Lead and direct external parties, defense attorneys, independent adjusters,
   appraisers, investigators, other 3rd party vendors when necessary to move
   claim to resolution;
 * Communicate with internal/external parties (insurance companies, plaintiff
   attorney, witnesses, law enforcement, etc.) to successfully resolve claims;
 * Investigate and evaluate the validity of moderate to complex bodily injury
   claims presented by individual claimants and/or their attorneys; be aware or
   certain ‘red flags’ to identify potential fraudulent claims; refer to SIU for
   investigation timely;
 * Evaluate and process payments within prescribed fiscal authority;
 * Manage and direct litigated claims; collaborate regularly with defense
   counsel to strategize and formulate plans for litigation defense;
 * Exercise proper judgement and decision making to analyze exposure, determine
   the proper course of action and make recommendations for final resolution;
 * Attend litigation proceedings to either represent the company or participate
   in arbitration/depositions/settlement conferences/mediations/trials;
 * Claims venue, Ma, NJ, PA, NY;



MULTILINE CLAIMS EXAMINER III.



Swift Transportation, Phoenix, AZ

October 2019 ~ Present

 * Investigate to evaluate liability, negotiate, analyze and settle commercial
   auto-trucking claims;
 * Lead and direct external parties: defense attorneys, independent adjusters,
   appraisers, other 3rd party vendors when necessary to move claim to
   resolution;
 * Communicate with internal/external parties (insurance companies, plaintiff
   attorney, witnesses, law enforcement, etc.) to successfully resolve claims;
 * Evaluate and authorize payments within prescribed fiscal authority;
 * Collaborate regularly with defense counsel to strategize and formulate plans
   for defense;
 * Claims venue, all 50 states;



CLAIM REPRESENTATIVE.



Sedgwick Claims Management Services, Phoenix, AZ

July 18 ~ September 2019

 * Analyzes and processes complex general liability claims by investigating and
   gathering information to determine the exposure on the claim; manage claims
   through well-developed action plans to an appropriate and timely resolution;
 * Investigate, assess liability and evaluate damages on simple to complex
   bodily injury claims;
 * Negotiates settlement of bodily injury claims unrepresented and attorney
   represented claims;
 * Calculates and assigns timely and appropriate reserve adequacy throughout the
   life of the claim;
 * Coordinates vendor referrals for additional investigation;
 * Communicates claim activity and processing with the client and maintains
   professional client relationships;
 * Refers cases as appropriate to supervisor/management;
 * Claims venue, primarily CA; AZ, CO, HI, NV, OR;


Read More

Volunteer Experience



VOLUNTEER EXPERIENCE.




BOARD MEMBER.



Junior League of Phoenix Foundation, Phoenix, AZ

June 2019 ~ May 2021

 * The Junior League of Phoenix Foundation fosters and sustains the mission and
   community impact of the Junior League of Phoenix through stewardship of
   financial resources. The Junior League of Phoenix is an organization of women
   committed to promoting voluntarism, developing the potential of women, and
   improving the community through the effective action and leadership of
   trained volunteers.



BOARD MEMBER.



Gift of Adoption Fund, Phoenix Chapter

January 2016 ~ January 2017

 * Gift of Adoption’s mission is to fill the void that separates child from
   family by providing grants to complete the adoption of vulnerable children –
   giving them permanent families and the chance to thrive. As a board member,
   it is my responsibility to spread the good word, educate my friends, family,
   and contacts, and raise money for this great cause.• Participate in regularly
   scheduled Chapter Board conference calls and meetings
   • Individually identify and recruit one additional Chapter Board member per
   3-year term
   • Make an individual gift annually for contribution to organization
   • Collectively establish and monitor annual plan and budget
   • Collectively maintain a “cost/$raised” ratio of $.35 cents or better
   • Participate in Leadership Council and Grant Selection calls/meetings
   • Complete final AZ Chapter prospective board member recruiting interview
   • Provide final prospective board member recommendation to both chapter and
   national office



NATIONAL DIRECTOR OF CHAPTER RELATIONS AND AFFAIRS, BOARD MEMBER.



Mocha Moms Inc.

November 2013 ~ January 2017

 * Manage conflict resolution within or between local chapters in issues where
   Regional Directors and/or State Coordinators request or require assistance
 * Develop and implement a growth, retention and sustainability strategy that
   will ensure Mocha Moms Inc. remains a relevant and viable organization far
   into the future
 * Organize and provide training sessions in leadership and operating procedures
   to regional directors, state coordinators and chapter presidents
 * Schedule and implement events that include negotiation with meeting
   facilities, designing an agenda, facilitating a topic and organizing meals
 * Participate in phone conferences for training, discussion of areas of
   concerns, updates and the development and implementation of policies and
   procedures
 * Organize or support national fundraising activities and events-restaurant
   meal participation discounts, area garage sales, mothers’ day tea and fashion
   show-within the chapter, state, and/or region
 * Develop relationships with community organizations such as, Wells Fargo,
   Susan G Komen and Scholastics Books, and collaborated on events and
   sponsorships for the organization as set by the national board
 * Utilize and manage social media sites with Twitter and Facebook to advertise
   and promote events, provide organization updates and participate social media
   parties while encouraging participation by other uses
 * Member since 2003; Held positions President elect Phoenix East Valley
   Chapter, AZ State Coordinator, Southwest and Northwest Regional Director



DIRECTOR OF ADMINISTRATION, BOARD MEMBER.



National Sales Network, Phoenix Chapter

October 2014 ~ December 2016

 * Keep record of the names and addresses of members of the Board, send out
   notices of meetings and manage correspondence as directed by the chapter
   president
 * Record attendance, proceedings and transactions of all meetings of the Board
   and the members
 * Provide copies of all meeting minutes to participants within five (5)
   business days of each meeting and shall maintain historical records with
   respect to all meetings of the Board and its members
 * Receive all communications and correspondence on behalf of the Corporation
   and deliver as appropriate to the various officers of the Corporation
 * Act as correspondent between the Corporation and Third Party Organizations
   and individuals
 * Manage all corporation databases, websites, social media platforms and
   records
 * Member since 2011; held positions: Membership Chair, Director of Social Media
   Communication, VP of Events
 * As VP of Events 2015:
   * Developed individual budget for each event and executed contract
   * Managed event on site logistics for each event


READ MORE

Education



EDUCATION.




GRAND CANYON UNIVERSITY



Phoenix, AZ

Fall 2018 ~ Present

Graduation, Spring 2022 – Part Time



ARIZONA STATE UNIVERSITY



Tempe, AZ

August 2011 ~ December 2013

Full Time


Skills



SKILLS.




RESULTS DRIVEN PERFORMANCE.



My goal is to challenge myself daily while using my education, skills and past
experience in a way that is mutually beneficial to my employer and the community
while taking every opportunity to continue learning and growing.


Customer Service 100%

Microsoft Office 85%

Oral/Written Communication Skills 100%

Organization & Multitasking 100%

Problem Solving & Negotiation 98%

Medicare Claims Reporting & Settlements 75%

Corporate Social Responsibility 75%

Group Workshop Facilitation 100%

Board Development 100%

Project Management 85%

Nonprofit Organization Development/Growth Advisory 100%


Hobbies



HOBBIES.




INFLUENCER.



BLOGGER.



MARY KAY BEAUTY CONSULTANT.


GET IN TOUCH


CONTACT.




BETTINA@BETTINAVANCE.COM



Copyright 2021 Bettina Vance Johnson
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