Alexis Jones
Springfield,MO
Summary
Highly skilled Claims Adjuster with comprehensive background in claims. Strong understanding of insurance policies, coverage, and regulations coupled with ability to manage high-volume caseloads efficiently. Proven skills in negotiation, problem-solving, and decision-making to minimize losses while maintaining customer satisfaction. Significant contributions made towards improving claim resolution processes in previous roles.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Insurance Adjuster
Xceedance - Tesla Contract
Remote
08.2025 - Current
- Conducted thorough investigations to assess damages and verify claims.
- Assessed insurance claims for coverage determination and settlement calculation.
- Partnered with clients and vendors to collect essential documentation for claims processing.
- Reviewed policy language to ensure compliance with regulations and guidelines.
- Organized and maintained comprehensive records of claim activity and associated documents.
Commercial Claims Specialist
American National
Springfield, MO
10.2024 - 08.2025
- Handling a high volume of large loss claims involving commercial vehicles
- Investigated claims by gathering facts from claimants and witnesses, evaluating damages, determining compensability, negotiating settlements, and verifying coverage.
- Achieving favorable outcomes in settlement negotiations
- Working jointly with other teams to reach appropriate resolutions
- Reviewed incoming documentation for completeness to ensure accurate claim processing
- Provided customer service to policyholders and claimants by answering their questions, resolving disputes, and explaining coverage details
- Mentored new Claims Specialists on best practices and departmental procedures to enhance team performance
- Drafted letters of denial or notification of payment in response to claimant inquiries
- Utilized appropriate job aids, knowledge and tools to process initial reception of claims
- Adhered to state-specific regulations while processing claims accurately and efficiently.
- Navigated multiple systems to handle and process claims.
Personal Auto Claims Adjuster
American National
Springfield, USA
01.2024 - 10.2024
- Reviewed previous claims to identify potential fraud or misrepresentation, enhancing claims integrity.
- Evaluated auto claims to ensure accuracy and compliance with company policies, reducing potential discrepancies.
- Collaborated with clients to gather documentation for claims processing, facilitating timely resolutions.
- Provide customer support to members, providers, billing departments and other insurance agencies regarding claims, appeals and eligibility.
- Processed payments according to terms outlined in policy contracts.
First Notice of Loss
American National
Springfield, USA
10.2023 - 01.2024
- Managed customer inquiries via phone, email, and live chat, ensuring timely and effective communication.
- Investigated and resolved customer complaints, delivering tailored solutions to improve client experience.
- Educated customers on insurance policies and coverage options, enhancing their understanding and satisfaction.
- Collaborated with underwriting teams to clarify policy details for clients.
- Processed policy changes and renewals accurately in the database.
Commercial Cleaning
While you're away
Springfield, USA
01.2022 - 11.2023
- Ensured cleanliness and sanitation in designated areas, contributing to a safe and healthy environment.
- Utilized cleaning equipment such as vacuums and floor scrubbers to uphold facility standards.
- Adhered to safety protocols in handling cleaning chemicals, promoting workplace safety.
Supervisor
JPMorgan Chase & Co
Springfield, USA
01.2020 - 01.2022
- Supervised and coordinated activities of staff to ensure compliance with established policies, procedures, and standards
- Delegated tasks to team members according to individual strengths
- Trained new employees on company policies, procedures and work ethics
- Managed multiple tasks effectively while adapting to changing priorities.
- Responded promptly to customer needs, successfully resolving issues to enhance satisfaction.
- Resolved customer problems quickly and accurately, delivering exceptional service.
- Strong customer service reliance, negotiating with customers to come to a resolution together
- Utilized strong communication skills to ensure customers were satisfied with their experience.
- Set up rental reservations and quickly managed methods of inspection for insured's and claimants.
- Communicated employee, customer and workplace needs to managers
- Displayed proficiency in the use of commercial cleaning equipment such as buffers, extractors and carpet cleaners
- Assessed customer needs, processed payments, and answered questions regarding billing issues.
- Processed credits or refunds according to established guidelines.
Credit Card Customer Service Representative
JPMorgan Chase & Co
Springfield, USA
01.2019 - 01.2020
- Resolved billing discrepancies and transaction issues to ensure customer satisfaction.
- Assisted customers with credit card inquiries to enhance account management.
- Educated clients on credit card features and benefits effectively.
- Processed payments and account changes with accuracy to maintain account integrity.
Education
High School Diploma -
Republic high school
01-2013
Skills
- Claims processing
- Claims
- Claims analysis
- Liability denials
- Settlement negotiation
- Policy analysis
- Document review
- Data entry accuracy
- Time management
- Adaptable
- Effective communicator
- Verbal communication
- Negotiation skills
Certification
All claims license
Timeline
Insurance Adjuster
Xceedance - Tesla Contract
08.2025 - Current
Commercial Claims Specialist
American National
10.2024 - 08.2025
Personal Auto Claims Adjuster
American National
01.2024 - 10.2024
First Notice of Loss
American National
10.2023 - 01.2024
Commercial Cleaning
While you're away
01.2022 - 11.2023
Supervisor
JPMorgan Chase & Co
01.2020 - 01.2022
Credit Card Customer Service Representative
JPMorgan Chase & Co
01.2019 - 01.2020
High School Diploma -
Republic high school