Jon Agersea

Background

About Jon Agersea

Results-oriented professional who excels at investigating liability, coverage, and disputes in claims and driving files to closure. Top performer with a consistent track record of ensuring regulatory compliance, demonstrating proficiency in data analysis, and resolving complex issues with a keen eye for details. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, coverage, and liability. Handles a high volume of claims in a virtual or centralized environment. Ensure integrity of investigations by developing accurate and relevant investigation material and data acquisition. • Scrutinized police reports, medical records and various documents to identify and compile evidence crucial to the investigation. • Maintained meticulous organization of files encompassing all investigative activities, ensuring accessibility and accuracy in record-keeping. • Skilled in conducting meticulous internal investigations, uncovering fraud, policy violations, and other critical issues that could impact the company's reputation and financial stability. • Review and interpret policy contract language to approve, disclaim or deny coverage. • Maintain claim files and meet or exceed goals of quality and efficiency in regard to the claim processes. • Arranges for expert inspections involving third party or potential fraud actions as needed as well as reviewing transcripts from Examinations Under Oath. • Responds to various written and telephone inquiries including status reports. • May ensure adequacy of reserves, confirm or deny coverage and liability and advises policyholders and claimants as to proper course of action. • Negotiates settlements for Property Damage Excess claims within prescribed authority and explains denials to policyholders and claimants.