Developed skills in fast-paced insurance environment, including detailed analysis and sound decision-making. Expertise in interpreting policy terms and employing investigative techniques to assess claims accuracy. Aiming to transition into new field, leveraging transferable skills to deliver value and drive results.
Overview
14
14
years of professional experience
Work History
Claims Adjuster
GEICO, Government Employees Insurance
06.2016 - 07.2024
Examined claims forms and other records to determine insurance coverage.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
Documented information gathered in field and uploaded data to company database for efficient processing using Atlas and Sales Force.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Paraprofessional
Griffin-Spalding County School System
05.2014 - 05.2016
Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
Improved classroom management by assisting teachers with behavioral interventions and monitoring student progress.
Supervised students during non-instructional periods such as lunch, recess, or field trips, ensuring safety at all times.
Fostered a positive learning environment by establishing strong rapport with students, parents, and faculty members.
Group Home Manager
Uparc
03.2010 - 02.2014
Ensured proper medication administration for all residents through close coordination with healthcare providers and careful record-keeping practices.
Developed trusting relationships with each resident through empathy-based interactions focusing on trust-building techniques.
Maintained adequate coverage for residents' needs without exceeding budget targets by coordinating schedules and team workflows.
Kept accounts, resident files and regulatory paperwork current and accurate with diligent attention to administrative requirements.
Assisted staff with maintaining residents' health by scheduling medical appointments and arranging transportation.
Mentored and coached staff to improve performance and interactions with residents.
Assisted residents with basic hygiene and healthcare needs.
Education
Associate of Arts - Education
Griffin
Barnesville, GA
Skills
Critical thinking
Claims investigation
Active listening
Highly motivated
Customer service
Empathy and patience
Verbal and written communication
Time management
MS office
Coaching and mentoring
Computer skills
File auditing
Timeline
Claims Adjuster
GEICO, Government Employees Insurance
06.2016 - 07.2024
Paraprofessional
Griffin-Spalding County School System
05.2014 - 05.2016
Group Home Manager
Uparc
03.2010 - 02.2014
Associate of Arts - Education
Griffin
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