Claims Examiner, FM Boiler Re (2018–2025) focused on remote desk adjusting and review/audit of claim documentation for coverage and settlement decisions.
Performed file and engineer-report reviews to classify coverage and settlement recommendations for mechanical and electrical equipment breakdown claims. Interpreted policy terms and applied claim-handling criteria to determine whether losses were covered and how they should be evaluated for payment. Used structured estimate review workflows to validate contractor figures and adjust outcomes based on documented evidence. • Reviewed engineer reports and contractor estimates for consistency with policy coverage • Evaluated mechanical/electrical loss documentation to support coverage decisions • Audited remote claim inventory for compliance with service and cycle-time metrics • Coordinated findings with engineers, adjusters, and insureds for resolution