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Anthony J. Bucceri
224 Jefferson Ave Windber, PA 15963 (814)525-9171 AJ.Bucceri.Adjusting@gmail.com
Profile Professional Insurance Adjuster
Dedicated insurance professional with experience in investigating and adjusting insurance
claims. Excels in analyzing potential liabilities and interpreting policies. Effectively manages
multiple, high-priority projects while taking pride in providing exemplary customer service.
Key Skills 6+ Years Claims Handling and
Investigations
5+ Years Property Damage Assessment
Data Analysis
7+ Years Leadership/Management
Experience
3 Years Medical Insurance Experience
Claim Reports and Documentation
Policy Coverage Interpretation
Confidential Records Management
Professionally Trained Claims
Adjuster
Experienced Peer Coach
Experience A.J. Bucceri Adjusting – Johnstown, PA
Independent Adjuster, 1/14 to Present
Full service insurance adjuster handling property, casualty, farm, commercial, and liability
claims on an independent contractor basis. Works with a multitude of insurance companies and
claims handling services to investigate and handle various types of losses. Performs property
inspections including scoping a loss, photographs, generates estimates for damages, performs
coverage analysis, and presents reports to insurance carriers with a coverage or denial
recommendation. Actively investigates potential insurance fraud situations while working
closely with inside adjusters, building professionals, attorneys, and law enforcement.
Outcomes:
• Receives assignments from claims handling firms; D.L. Dravis & Associates, Inc.,
Custard Insurance Adjusters, and White Claims Services.
• Works directly with multiple insurance companies such as; Everett Cash Mutual,
Friends Cove Insurance, 1
st
Choice Auto Insurance, Clearfield County Grange Mutual,
and Goodville Mutual Insurance.
• Experienced in handling property losses up to $200,000, including full fire losses.
• Developed strong working relationships with construction experts and mitigation
companies such as ServPro, Service Master, etc.
• Experienced on-call adjuster for large loss and commercial liability claims.
Highmark Health Insurance Inc. – Johnstown, PA
Provider Services Representative – 10/12 to 06/15
Primary point of contact for provider inquiries and claim disputes. Regularly responds to
telephone and electronically submitted inquiries regarding member benefits and claims
questions. Investigates claims in order to identify and resolve claim rejection errors.
Collaborates with adjustment department to rectify improperly denied medical claims.
Coordinates with medical providers and the accounting department in the research and
resolution of payment offsets. Benefits expert experienced in the interpretation of medical policy
guidelines.
Liberty Mutual Insurance Group – Liberty Lake, WA
Senior Inside Claims Adjuster – ALNI, 8/11 to 8/12
Primary case handler for auto liability claims in the California Region. Conducts investigations
including; recorded statements, accident scene analysis, and policy interpretation. Analyze
claims to determine extent of company’s liability, make approval or denial decisions in
accordance with policy provisions. Collaborate with other insurance adjusters to correct
errors, rectify omissions and investigate questionable issues.
Outcomes:
Maintained Pending Case Load in Excess of 140 claims at 100% on Diary
Continually Receives High Scores on Customer Satisfaction Surveys
Maintains High ECORE Scores Reflecting Superior Claims Handling Ability
Received Excellence Award for Percentage of Calls Answered Live
Received Excellence Award for Handling a High Pending Caseload (December 2011)
Express Claims Adjuster, 8/10 to 8/11
Capture and service incoming personal lines and worker’s compensations claims. Analyze
claims to determine extent of company’s liability, make approval or denial decisions with
claimants in accordance with policy provisions. Collaborate with senior insurance adjusters
and interview claimants to correct errors, rectify omissions and investigate questionable
issues.
Outcomes:
Reviews RCS calls from peers to provide coaching packages with helpful tips on lowering
average handle time while maintaining company standards for customer service.
Team schedule adherence project leader.
Continually assisted supervisor with company-wide schedule shift bid processes, which
included developing a program to rank CSRs based on performance.
Maintained a superior quality rating in file handling and claims resolution, consistently
exceeding the departmental goal.
Received Award for Best Concentrated Metrics (July 2011)
Received Excellence Award (2010).
Education Bachelor of Arts, Cum Laude, Major in Philosophy, May 2010 University of Pittsburgh –
Johnstown, PA
Computers
Xactimate
Symbility
SimSol
Microsoft Office
Corel Suite
Adobe Suite

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Adjuster Resume

  • 1. Anthony J. Bucceri 224 Jefferson Ave Windber, PA 15963 (814)525-9171 AJ.Bucceri.Adjusting@gmail.com Profile Professional Insurance Adjuster Dedicated insurance professional with experience in investigating and adjusting insurance claims. Excels in analyzing potential liabilities and interpreting policies. Effectively manages multiple, high-priority projects while taking pride in providing exemplary customer service. Key Skills 6+ Years Claims Handling and Investigations 5+ Years Property Damage Assessment Data Analysis 7+ Years Leadership/Management Experience 3 Years Medical Insurance Experience Claim Reports and Documentation Policy Coverage Interpretation Confidential Records Management Professionally Trained Claims Adjuster Experienced Peer Coach Experience A.J. Bucceri Adjusting – Johnstown, PA Independent Adjuster, 1/14 to Present Full service insurance adjuster handling property, casualty, farm, commercial, and liability claims on an independent contractor basis. Works with a multitude of insurance companies and claims handling services to investigate and handle various types of losses. Performs property inspections including scoping a loss, photographs, generates estimates for damages, performs coverage analysis, and presents reports to insurance carriers with a coverage or denial recommendation. Actively investigates potential insurance fraud situations while working closely with inside adjusters, building professionals, attorneys, and law enforcement. Outcomes: • Receives assignments from claims handling firms; D.L. Dravis & Associates, Inc., Custard Insurance Adjusters, and White Claims Services. • Works directly with multiple insurance companies such as; Everett Cash Mutual, Friends Cove Insurance, 1 st Choice Auto Insurance, Clearfield County Grange Mutual, and Goodville Mutual Insurance. • Experienced in handling property losses up to $200,000, including full fire losses. • Developed strong working relationships with construction experts and mitigation companies such as ServPro, Service Master, etc. • Experienced on-call adjuster for large loss and commercial liability claims. Highmark Health Insurance Inc. – Johnstown, PA Provider Services Representative – 10/12 to 06/15 Primary point of contact for provider inquiries and claim disputes. Regularly responds to telephone and electronically submitted inquiries regarding member benefits and claims questions. Investigates claims in order to identify and resolve claim rejection errors. Collaborates with adjustment department to rectify improperly denied medical claims. Coordinates with medical providers and the accounting department in the research and resolution of payment offsets. Benefits expert experienced in the interpretation of medical policy guidelines.
  • 2. Liberty Mutual Insurance Group – Liberty Lake, WA Senior Inside Claims Adjuster – ALNI, 8/11 to 8/12 Primary case handler for auto liability claims in the California Region. Conducts investigations including; recorded statements, accident scene analysis, and policy interpretation. Analyze claims to determine extent of company’s liability, make approval or denial decisions in accordance with policy provisions. Collaborate with other insurance adjusters to correct errors, rectify omissions and investigate questionable issues. Outcomes: Maintained Pending Case Load in Excess of 140 claims at 100% on Diary Continually Receives High Scores on Customer Satisfaction Surveys Maintains High ECORE Scores Reflecting Superior Claims Handling Ability Received Excellence Award for Percentage of Calls Answered Live Received Excellence Award for Handling a High Pending Caseload (December 2011) Express Claims Adjuster, 8/10 to 8/11 Capture and service incoming personal lines and worker’s compensations claims. Analyze claims to determine extent of company’s liability, make approval or denial decisions with claimants in accordance with policy provisions. Collaborate with senior insurance adjusters and interview claimants to correct errors, rectify omissions and investigate questionable issues. Outcomes: Reviews RCS calls from peers to provide coaching packages with helpful tips on lowering average handle time while maintaining company standards for customer service. Team schedule adherence project leader. Continually assisted supervisor with company-wide schedule shift bid processes, which included developing a program to rank CSRs based on performance. Maintained a superior quality rating in file handling and claims resolution, consistently exceeding the departmental goal. Received Award for Best Concentrated Metrics (July 2011) Received Excellence Award (2010). Education Bachelor of Arts, Cum Laude, Major in Philosophy, May 2010 University of Pittsburgh – Johnstown, PA Computers Xactimate Symbility SimSol Microsoft Office Corel Suite Adobe Suite