ANDREA POLK
Summary
Highly competent, resourceful and compassionate Licensed Claims Adjuster offering extensive experience with providing care to customers. Recognized throughout my career for excelling as a mentor and leader by providing education in areas of working collaboratively and creating solutions for complex problems. Vastly adept at building strong relationships and implementing strategies to Improve processes. My overall goal is to expand my career within the claims departments, where my vision, mission, expertise and experience can be utilized to bring value, equitable resources to achieve business objectives.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Theft & Fire Examiner
Geico
08.2023 - Current
- Enhanced applicant evaluations by implementing thorough research and analysis techniques.
- Streamlined examination processes for increased efficiency and consistency in decisionmaking.
- Reduced fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies when necessary.
- Expedited claim settlements by maintaining open lines of communication with all parties involved, fostering trust, and ensuring a smooth process.
- Improved departmental workflow by implementing best practices in claims handling procedures, leading to more accurate assessments and quicker resolutions.
- Ensured regulatory compliance in all aspects of the auto claims process by staying up-to-date on industry laws and regulations.
- Mitigated potential litigation risks through careful attention to detail in documenting evidence gathered during investigations and claim evaluations.
- Provided exceptional customer service at all stages of the claims lifecycle while adhering to strict confidentiality guidelines regarding sensitive client information.
- Managed a high volume caseload without sacrificing quality or timeliness in delivering resolutions to clients'' auto accident-related issues.
- Examined photographs and surveillance and any other documents relating to claims.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
Auto Claims Adjuster
GEICO
01.2023 - 08.2023
- Evaluated claims for possible fraud, contacting appropriate department for assistance and further investigation.
- Investigate, negotiating and settle claims
- Researched and verified insurance policy coverage using by applying insurance regulations applicable when determining liability & damages
- Conduct thorough investigation to arrive at fair settlement, including interviews with insured, claimants and witnesses, inspecting damages, review hospital records
- Decreased loss ratios through fair and timely claim processing.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with independence within increased level of authority.
Failed Claims
Humana
07.2016 - 02.2022
- Coordinated benefits while applying applicable deductibles, co-insurance and out-of-pocket costs.
- Communicate with customers effectively In a fast pace environment
- Gathered information from various third parties to determine claim acceptability.
- Cut failed Claims rate by 30% in first 6 months on the job.
- Reviewed an average of 200 claims per day
- Awarded "Employee of the Month" 3 times for exemplary performance
Education
BBA - Business Administration And Management
Dallas Baptist University
Dallas, TX12.2024
Associate of Arts -
Tarrant County College District
Fort Worth, TX06.2021
Associate of Applied Business -
Tarrant County College District
Fort Worth, TX06.2021
Skills
- Analytical and Critical Thinking
- Emotional Intelligence
- Strong Decision-Making Abilities
- Complex Problem Solving
- Strong Interpersonal and Communication Skills
- Claims Investigations
- Good Work Ethic
- Active Listening
- Claims Handling
- Auto Insurance Regulations Knowledge
Certification
- State Adjusters License - Texas, Wyoming
- State Adjusters License - Florida, New Mexico
- State Adjusters License- Minnesota, Oklahoma
- State Farm-Auto, Property & Estimatics
- NFIP Certification
- PTCB
Timeline
Theft & Fire Examiner
Geico
08.2023 - Current
Auto Claims Adjuster
GEICO
01.2023 - 08.2023
Failed Claims
Humana
07.2016 - 02.2022
BBA - Business Administration And Management
Dallas Baptist University
Associate of Arts -
Tarrant County College District
Associate of Applied Business -
Tarrant County College District
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