Andrea Ruffin
Insurance Adjuster -PP Claims
Round Rock,TX
Summary
A self-motivated individual seeking an opportunity to fully utilize my exceptional communications, extrovert skills and Collaboration talent in a multi-channel fast paced environment to contribute successful results within the organization.
Overview
12
12
years of professional experience
3
3
years of post-secondary education
Work History
Independent Insurance Adjuster
State Farm
The Colony, TX
08.2021 - Current
- Negotiated claim settlements and recommended litigation when claims could not be settled.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Developed effective techniques to mitigate losses.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Used XactContents to compile estimates for personal property and structure damage.
- Scoped and photographed properties for defects and damage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Front Office Team Leader
Physicians Premier Emergency Room
Round Rock, TX
06.2018 - 11.2020
- Accurately inputted patient and insurance information into company's computer system using Contents Collaboration.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Arranged transfers from outside facilities by communicating effectively with facility representatives, physicians and nursing staff.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Night Auditor
Marriott
Austin, TX
03.2009 - 06.2018
- Investigated auditing discrepancies by reconciling cash drop and credit card transactions.
- Performed nightly updates to room charges and rates.
- Balanced hotel accounts and resolved discrepancies.
- Input financial data and produced reports using Fosse.
- Looked over pending check-ins and payment processes to complete closing procedures.
- Stayed on top of applicable federal and state requirements to minimize legal and financial risks.
- Applied mathematical abilities to calculate and check figures in accounting systems.
- Kept accounts in balance and ran daily reports to verify totals.
Education
High School Diploma -
Francis T Nicholls High School
New Orleans, LA 08.1992 - 05.1995
Skills
Valuation knowledge
Personal, casualty and property loss
Coverage determination
Claims
Damage itemization
Administrative background
Microsoft Word
Data analysis
Highly motivated
Advanced computer skills
Timeline
Independent Insurance Adjuster
State Farm
08.2021 - Current
Front Office Team Leader
Physicians Premier Emergency Room
06.2018 - 11.2020
Night Auditor
Marriott
03.2009 - 06.2018
High School Diploma -
Francis T Nicholls High School
08.1992 - 05.1995