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Kim Darcell Bradley, CPCU, AIC
1139 E. Sydney St, Philadelphia, PA 19150
(267) 333-0701
SUMMARY OF QUALIFICATIONS:
• Efficient, reliable, resourceful, creative, flexible and dedicated
• Exceptional interpersonal and communication skills
• Organized with a strong work ethic
• Skilled in research techniques
• Exceptionally strong computer skills in Microsoft Suite
• Excellent team leader and collaborator
LICENSES & CERTIFICATIONS:
PA Health , Accident and Life license
PA Property and Casualty license
Education:
Chartered Property and Casualty Underwriting The Institutes 2015
Associate in Claims 2013
2001 - 2005 University of Phoenix Philadelphia, Pennsylvania
Degree: Bachelor of Science in Business Management
WORK EXPERIENCE:
8/16 - 12/16 The Results Company Blue Bell, PA
Quality Assurance Specialist
Responsible for the monitoring and coaching of agents taking calls for information regarding the
Medicare Advantage plans insurance for accuracy and maintained a personal quality log as well
as a master log to keep track of calls taken and the scores obtained. Worked within a team
environment to provide accuracy of quality assurances needed to ensure compliance with
Medicare guidelines.
8/15-8/16 Lincoln Heritage Life Insurance Ft. Washington, Pennsylvania
FIELD UNDERWRITER
A consultant who helps families by speaking with them face to face with the ability to plan for
future events with sound financial products designed to remove the burden of final loss. The
products are in place to ensure that the expenses of those that have passed away will be taken
care of effectively leaving their families with remuneration to continue their lifestyles despite
such a grave loss.
10/14 – 2/16 Allstate of NJ Moorestown, NJ
Liability Determination Analyst
Determines and explains coverages. Takes recorded statements from claimants, insureds,
witnesses and medical providers, conducts investigations, determines liability, makes payments
to appropriate parties, and negotiates and settle claims. Make initial contact with eligible injured
party, gather missing information, gather Medicare data, gather injury information and go over
their coverages. Systems used: Accurint, LexisNexis and ISO to obtain claimant information.
10/12 -10/14 AON Affinity Hatboro, PA
Field Underwriter
Reviewed applications from healthcare professionals for professional liability quote for
insurance policies. Implemented coverage change requests and took initial claim requests.
Review, evaluate and approve insurance applications and related documents. Prepared files for
renewal solicitation. Ordered loss runs and sent non-renewals as needed to clients.
Communicated with policy operations on the execution of tasks needed to bind an account.
5/11 – 10/12 Keystone Mercy Health Plan Philadelphia, PA
Health Claims Examiner
Processed and maintained a high standard by completing at least 150 claims per day with a high
level of accuracy. Maintained fiduciary obligations by following company guidelines regarding
coordination of benefits. Authenticated and applied authorizations and referrals. Handled medical
and hospital claims exceptionally. Used computer software including Facets and MACESS EXP.
9/09 –7/10 City of Philadelphia Philadelphia, Pennsylvania
Claims Adjuster
Gathered evidence and researched legal jurisprudence in order to process claims. Worked in
tandem with in house lawyers and investigators using the PA Tort Liability Act to ensure that the
county of Philadelphia was represented in the utmost standing. Created legal forms for use in
litigation against the City of Philadelphia. Prepared property and casualty claims filed against the
City of Philadelphia
9/09-2/10 American Independent Insurance Company Conshohocken, PA
Medical Claims Adjuster
Responsible for the investigation of legal claims in order to determine a settlement.
Communicated with outside clients with regards to pending litigation claims. Formulated and
reviewed 50 to 75 automotive claims daily and reviewed the claims for personal injury, property
damage, and loss of life.
7/07-9/09 Liberty Mutual Bala Cynwyd, Pennsylvania
Senior Claims Adjuster
Identified and coordinated supplemental investigation and legal discovery to strengthen
settlement opportunities or trial positions. Investigated first and third party general liability and
bodily injury claims and determined liability. Established and entered claim reserve requirements
and made adjustments, as necessary, during the processing of the claims. Communicate with
policyholders, witnesses, and claimants in order to gather information regarding the status of the
claim. Responded to various written and telephone inquiries including status reports.

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Kim_Bradley_Resume1

  • 1. Kim Darcell Bradley, CPCU, AIC 1139 E. Sydney St, Philadelphia, PA 19150 (267) 333-0701 SUMMARY OF QUALIFICATIONS: • Efficient, reliable, resourceful, creative, flexible and dedicated • Exceptional interpersonal and communication skills • Organized with a strong work ethic • Skilled in research techniques • Exceptionally strong computer skills in Microsoft Suite • Excellent team leader and collaborator LICENSES & CERTIFICATIONS: PA Health , Accident and Life license PA Property and Casualty license Education: Chartered Property and Casualty Underwriting The Institutes 2015 Associate in Claims 2013 2001 - 2005 University of Phoenix Philadelphia, Pennsylvania Degree: Bachelor of Science in Business Management WORK EXPERIENCE: 8/16 - 12/16 The Results Company Blue Bell, PA Quality Assurance Specialist Responsible for the monitoring and coaching of agents taking calls for information regarding the Medicare Advantage plans insurance for accuracy and maintained a personal quality log as well as a master log to keep track of calls taken and the scores obtained. Worked within a team environment to provide accuracy of quality assurances needed to ensure compliance with Medicare guidelines. 8/15-8/16 Lincoln Heritage Life Insurance Ft. Washington, Pennsylvania FIELD UNDERWRITER A consultant who helps families by speaking with them face to face with the ability to plan for future events with sound financial products designed to remove the burden of final loss. The products are in place to ensure that the expenses of those that have passed away will be taken care of effectively leaving their families with remuneration to continue their lifestyles despite such a grave loss. 10/14 – 2/16 Allstate of NJ Moorestown, NJ Liability Determination Analyst
  • 2. Determines and explains coverages. Takes recorded statements from claimants, insureds, witnesses and medical providers, conducts investigations, determines liability, makes payments to appropriate parties, and negotiates and settle claims. Make initial contact with eligible injured party, gather missing information, gather Medicare data, gather injury information and go over their coverages. Systems used: Accurint, LexisNexis and ISO to obtain claimant information. 10/12 -10/14 AON Affinity Hatboro, PA Field Underwriter Reviewed applications from healthcare professionals for professional liability quote for insurance policies. Implemented coverage change requests and took initial claim requests. Review, evaluate and approve insurance applications and related documents. Prepared files for renewal solicitation. Ordered loss runs and sent non-renewals as needed to clients. Communicated with policy operations on the execution of tasks needed to bind an account. 5/11 – 10/12 Keystone Mercy Health Plan Philadelphia, PA Health Claims Examiner Processed and maintained a high standard by completing at least 150 claims per day with a high level of accuracy. Maintained fiduciary obligations by following company guidelines regarding coordination of benefits. Authenticated and applied authorizations and referrals. Handled medical and hospital claims exceptionally. Used computer software including Facets and MACESS EXP. 9/09 –7/10 City of Philadelphia Philadelphia, Pennsylvania Claims Adjuster Gathered evidence and researched legal jurisprudence in order to process claims. Worked in tandem with in house lawyers and investigators using the PA Tort Liability Act to ensure that the county of Philadelphia was represented in the utmost standing. Created legal forms for use in litigation against the City of Philadelphia. Prepared property and casualty claims filed against the City of Philadelphia 9/09-2/10 American Independent Insurance Company Conshohocken, PA Medical Claims Adjuster Responsible for the investigation of legal claims in order to determine a settlement. Communicated with outside clients with regards to pending litigation claims. Formulated and reviewed 50 to 75 automotive claims daily and reviewed the claims for personal injury, property damage, and loss of life. 7/07-9/09 Liberty Mutual Bala Cynwyd, Pennsylvania Senior Claims Adjuster Identified and coordinated supplemental investigation and legal discovery to strengthen settlement opportunities or trial positions. Investigated first and third party general liability and bodily injury claims and determined liability. Established and entered claim reserve requirements and made adjustments, as necessary, during the processing of the claims. Communicate with
  • 3. policyholders, witnesses, and claimants in order to gather information regarding the status of the claim. Responded to various written and telephone inquiries including status reports.