Claims examiner with over 5 years of experience in the auto insurance industry. Dedicated to resolving claims efficiently, fairly, and with good faith. Work experience includes the following:
Analyzed complex cases and applied correct procedures in order to process claims in a timely manner
Developed and maintained detailed records of claims processing activities
Processed appeals and third party requests for information
Performed customer service duties, including responding to inquiries regarding claims and payment status
Researched and investigated medical, legal, and other pertinent information to determine appropriate action
Overview
10
10
years of professional experience
Work History
Senior Bodily Injury Adjuster
National General Insurance Company
05.2024 - 02.2025
Examined claims forms and other records to determine insurance coverage.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Verified insurance claims and determined fair amount for settlement.
Prepared summaries of damage, payments, and policy coverage.
Negotiated bodily injury settlement with attorney's representing claimants.
Claims Examiner
GEICO
02.2019 - 04.2024
3 months as a telephone claims supervisor.
1 year as a litigation examiner.
1 year of handling attorney represented bodily injury claims.
1 year as an adjuster handling coverage investigations.
1.5 years as a telephone claims representative working in a call center environment.
Recreation Leader
City of Oceanside
02.2015 - 01.2019
Planned and evaluated recreation and athletic programs with recreation director to support community.
Transitioned participants between activities, rest periods and field trips.
Maintained inventory of supplies and equipment with established sign-out procedures.
Scheduled events in recreation facilities and monitored facility conditions.
Education
High School Diploma -
Rancho Buena Vista High School
Vista, California
05-2012
Skills
Proficient in claims adjudication, content review, and claim audit
Ability to efficiently and fairly evaluate bodily injury demands
Ability to negotiate bodily injury settlements
Knowledge of personal injury lawsuit and small claims processes
Ability to efficienty review and resolve coverage concerns
Knowledge of the California Vehicle Code
In depth knowledge of medical terminology, procedures, and coding
Timeline
Senior Bodily Injury Adjuster
National General Insurance Company
05.2024 - 02.2025
Claims Examiner
GEICO
02.2019 - 04.2024
Recreation Leader
City of Oceanside
02.2015 - 01.2019
High School Diploma -
Rancho Buena Vista High School
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