Wayne Gammon

Background

About Wayne Gammon

EXPERIENCE 2024 - PRESENT - ACUITY INSURANCE SENIOR FIELD CLAIMS REPRESENTATIVE As a Senior Field Claims Representative at Acuity Insurance, I investigate and resolve Commercial and Personal Lines claims with empathy, passion, and a sense of urgency. My responsibilities included handling full-cycle multiline claims, from the initial investigation of a loss to determining coverage and liability, and even disposition, including litigation when necessary. Some of the key functions I perform include, but are not limited to:* I complete comprehensive investigations to determine coverage, assess liability, and evaluate damages.* I conduct in-person investigations and provided follow-up to customers.* I evaluate, revise, or recommend reserve changes.* I inspect and determine property damage.* I understand basic anatomy, medical terminology, and am able decipher medical records and bills.* I identify and pursue subrogation opportunities and promptly refer potentially fraudulent claims to the Special Investigations Unit (SIU).* I maintain a sense of urgency while implementing claim handling plans and procedures.* I effectively utilize sound judgment, discretion, and settlement authority to resolve claims through negotiation, settlement, or denial.* I handle claims assigned to other territories as needed.* I always represent the company in a professional manner.* I maintain company property and effectively use laptops and associated software.* I work closely with the field sales force and underwriting department to provide information on claims and assess risk desirability for insureds.* I supervise and direct defense attorneys in preparing cases for trial, including attending mediations and depositions. Qualifications: Knowledgeable in property and casualty claims practices, policies, and procedures. Strong written and verbal communication skills. Organizational and time management abilities. Basic understanding of state statutes and case laws. Customer service orientation. Proficient use of laptops and associated software (including email and word processing). Licensed in multiple states. 2023 – 2024 - CENTRAL ADJUSTMENT COMPANY - CASUALTY CLAIMS ADJUSTER 2001 – 2023 - THE CINCINNATI INSURANCE COMPANIES - FIELD CLAIMS SUPERINTENDENT