Summary
Overview
Work History
Education
Skills
Positions Held with Current Company
Timeline
Generic

Wanda Wilson

Kokomo,IN

Summary

Multi-line Claims Supervisor dedicated to quality investigation, adjustment and supervision of diverse cases. Blends strategic planning and leadership strengths to establish top-performing claims departments. Trains and mentors staff, optimizing compliance with policies, procedures and applicable laws. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

21
21
years of professional experience

Work History

Bodily Injury Claims Supervisor

GEICO
11.2002 - Current
  • Monitored team performance, enforcing compliance with corporate claims processes and procedures.
  • Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
  • Optimized case management with establishment of best practices.
  • Built talented teams of 5 claims adjusters dedicated to timely and compliant resolutions.
  • Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
  • Determined proper course of action for claims processing.
  • Documented and communicated timely claims information while supporting accurate outcomes.
  • Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
  • Gathered sensitive information to update customer profiles and help with appeals process.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.
  • Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
  • Evaluated coverage, liability and damages and investigated suspicious claims.
  • Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
  • Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews.
  • Prepared and presented complex cases to management, in-house legal team and Claims Committee.
  • Examined forms to determine insurance coverage.
  • Referred extreme cases to Special Investigation Unit (SIU) for further review.
  • Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel.
  • Monitored expenses of pending claims to comply with company expenditure guidelines and budgets.
  • Interpreted policy details and recommended most favorable course of action.
  • Determined liability and estimated and approved benefit payments.
  • Interviewed relevant parties to determine claim denial or settlement.
  • Prepared reports of findings in investigations.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Established relationships with clients and insurance companies to foster timely claims resolution.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Researched and analyzed policy contracts to verify proper payment of claims.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Answered customer questions regarding deductibles.
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
  • Organized, planned and documented materials for bodily injury and property damage claims.
  • Documented all investigation activity and presented reports to management.

Education

High School Diploma -

American School

Skills

  • Customer Expectations Management
  • Litigation Management
  • Medicare and Medicaid Eligibility
  • Performance Monitoring
  • Team Meetings
  • Team Motivation
  • Customer Experience
  • Excellent Team Leadership
  • Litigation Support
  • Liability Management
  • Maintaining Quality Assurance Standards
  • Claims Investigation and Research

Positions Held with Current Company

  • Entry Level Claims Adjuster
  • Liability Claims Adjuster
  • Theft/Fire Claims Adjuster
  • Subrogation Adjuster
  • Bodily Injury Claims Adjuster
  • Litigation Adjuster
  • Entry Level Claims Supervisor
  • Entry Level Claims Trainer
  • Liability Claims Supervisor
  • Liability Claims Trainer
  • Performance Monitoring Team Supervisor

Timeline

Bodily Injury Claims Supervisor

GEICO
11.2002 - Current

High School Diploma -

American School

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Wanda Wilson