Ian Radcliffe

Commercial Property and Casualty Adjuster Ii @Sedgwick

Clearwater, FL, US

I evaluate insurance coverage based on claim reports, the insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage.I comply with all statutory and regulatory requirements in all applicable jurisdictions.I obtain and review medical records.Conduct interviews via, telephone, and/or correspond with claimant and witnesses; obtain and review police reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage; I report to the client as required by contractual account instructions. I vary my method of investigation according to type of coverage. I identify key issues and investigations as required.I meet detailed quality assurance standards of performance. I evaluate the extent of the client’s financial exposure with respect to claims; set case reserves for use by clients and regulatory authoritiesI revise case reserves based on developments in the course of adjusting the claimI settle claims within assigned levels of authority as set forth in complex, detailed client account instructionsI also handle complex litigated claims with limited input from the Unit Manager and/or AVPI effectuate prompt payment (with client’s funds) to claimants and service providersI select and manage defense and coverage counsel, and case expertsI work with and provide claim-specific guidance to Field AdjustersI am required to be alert to insurance fraud and implement special procedures if fraud is suspected. I involve the client in decision-making as appropriate and/or follow client-specific requirements for escalation when client decision-making and/or notification is required.

Hillsborough College

Associate of Arts and Sciences (A.A.S.), Psychology