Anita Dye
St. Petersburg,FL
Summary
Claims Examiner with deep knowledge of Insurance claims industry. Solid abilities in developing objectives and strategies to settle property and auto claims. Excellent skills compiling, coding, categorizing and auditing information to process claims. Motivated Claims Examiner specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable. Astute insurance professional offering 20+ years in property assessment, liabilities determination and settlement negotiation. Meticulous, systematic and highly experienced with strong case management and relationship-building abilities. Carefully manage over 100 cases per month.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Senior Claims Examiner
Heritage Property Insurance
Tampa, FL
12.2013 - Current
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Researched claims and incident information to deliver solutions and resolve problems.
- Negotiated Release for settlement agreements to resolve disputes.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Identified suspicious losses and contacted SIU for investigative assistance.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Directed and coordinated various investigations conducted by field investigation team.
Claims Examiner
State Farm Insurance (Alamo Claims)
Winter Haven, FL
05.2010 - 12.2013
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments and policy coverage.
- Investigated and processed total loss vehicle insurance claims for policyholders.
- Ordered vehicle pick ups and rental and final payment information to complete claim files.
Senior Claims Examiner
Insurance Servicing And Adjusting (ISAC)
Tampa, FL
01.2006 - 04.2010
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Researched claims and incident information to deliver solutions and resolve problems.
- Negotiated release settlement agreements to resolve disputes.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Documented information gathered in field and uploaded data to company database for efficient processing using company software.
- Analyzed information gathered by investigation and report findings and recommendations.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Claims Manager, Field Adjuster
GAB Robins North America
Tampa, FL
03.1994 - 01.2006
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Determined proper course of action for claims processing.
- Made recommendations to manager on damages exceeding adjuster's authority.
- Reviewed bills, estimates and proofs of loss prior to making settlement and payment of claim.
- Updated claim database system with proper and adequate coding and documentation.
- Manage up to multiple hurricane calls and up to 5 to 6 scheduled appointments daily to gather information to initiate claims process.
- Documented and communicated timely claims information while supporting accurate outcomes.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Negotiated home owner settlement agreements to resolve disputes.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
Education
Associate of Arts - Accounting And Business Management
Jefferson Technical College
Steubenville, OhioAssociate of Arts - Accounting And Computer
Tampa College
St. Petersburg, FLGAB Robins School
Denver, COCE Courses Upon Request
Multiple LocationsSkills
- Claims Evaluations
- Settlement Negotiation
- Vehicle Damage Assessment
- Cost Control
- Legal Documentation
- Identifying Errors
- Field Inspection
- Damage Investigation
- Claim Validity Determination
Certification
Adjuster License in the below states:
Florida number A074325
Georgia number 877238
Alabama number 3000451768
South Carolina and North Carolina number 3576154
Timeline
Senior Claims Examiner
Heritage Property Insurance
12.2013 - Current
Claims Examiner
State Farm Insurance (Alamo Claims)
05.2010 - 12.2013
Senior Claims Examiner
Insurance Servicing And Adjusting (ISAC)
01.2006 - 04.2010
Claims Manager, Field Adjuster
GAB Robins North America
03.1994 - 01.2006
Associate of Arts - Accounting And Business Management
Jefferson Technical College
Associate of Arts - Accounting And Computer
Tampa College
GAB Robins School
CE Courses Upon Request
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