Anne Ezimora
Lakewood
Summary
Dynamic Claims Adjuster with a proven track record at Progressive Insurance Companies, excelling in claims investigation and settlement negotiation. Recognized for enhancing customer satisfaction through active listening and empathy, while effectively managing complex claims and reducing processing times. Adept at utilizing advanced computer skills to streamline operations and improve outcomes.
Diligent Claims Adjuster with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.
Professional with focus on claims evaluation and resolution. Adept at analyzing complex information, negotiating settlements, and ensuring compliance with regulations. Known for strong teamwork and adaptability, driving results in fast-paced environments. Skilled in customer communication, conflict resolution, and decision-making.
Experienced with assessing and processing various types of claims efficiently. Utilizes analytical and negotiation skills to reach fair settlements and maintain compliance with policies. Knowledge of regulatory standards and exceptional customer service, ensuring fair and timely resolutions.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Progressive Insurance Companies
408 Sheila Wy, Canton, Ga 30114
03.2021 - 02.2026
- Assisted in reviewing insurance claims for accuracy and completeness.
- Collaborated with team members to gather necessary documentation for claim processing.
- Learned to utilize claims management software for efficient case tracking.
- Supported senior adjusters by conducting preliminary investigations of claims.
- Conduct on-site inspections and assessments of property damages for both residential and commercial claims
- Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently
- May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions
- Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally
- Gather necessary evidence, document findings, and prepare detailed reports to support the claims handling process
- Developed understanding of policy coverage and exclusions through training sessions.
- Communicated with clients to clarify information needed for claim evaluation.
- Participated in team meetings to discuss ongoing cases and share insights.
- Adapted quickly to changes in procedures and regulatory requirements within the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Answered customer questions regarding deductibles.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Client Service Consultant
Home Health Services
333 Sandy Springs Cr NE, STE 125, GA 30328
09.2017 - 01.2021
- Facilitated client onboarding processes to enhance satisfaction and retention.
- Developed tailored care plans by collaborating with multidisciplinary teams.
- Streamlined communication channels between clients, families, and healthcare providers.
- Conducted regular assessments to ensure compliance with health regulations and standards.
- Mentored junior consultants on best practices in client service and care coordination.
- Implemented feedback mechanisms to improve service delivery and client engagement strategies.
- Analyzed client data to identify trends, optimizing service offerings accordingly.
- Delivered exceptional customer service by consistently exceeding expectations in responsiveness and problem-solving capabilities.
- Reduced churn rate through proactive outreach efforts aimed at nurturing existing relationships within the account portfolio.
- Coordinated onsite visits for clients as needed to strengthen partnerships and gather valuable feedback on their experiences working with our organization.
- Championed the ongoing professional development of junior team members by offering guidance, mentorship, and opportunities for growth within the organization.
- Facilitated successful product launches by coordinating closely with clients, marketing teams, and sales representatives.
- Provided customers with information about company offerings and answered questions about features, costs, and delivery.
- Served as a trusted advisor to both internal stakeholders and external clients alike on matters pertaining to overall account health.
- Trained client service employees on excellent customer service and company systems.
- Led client service initiatives that resulted in improved efficiency and effectiveness of overall operations, ultimately leading to increased profitability.
Customer Service Consultant
Cumberland Medical Institute
110 Evans Mill Drive, STE 704. Dalla GA
05.2013 - 07.2017
- Provided exceptional customer support, resolving inquiries and concerns efficiently.
- Managed patient scheduling and coordinated appointments to optimize workflow.
- Implemented training sessions for new staff to enhance service delivery standards.
- Developed comprehensive knowledge of medical procedures and services offered.
- Streamlined communication between departments to ensure seamless patient experiences.
- Assisted in creating patient feedback processes to improve service quality.
- Analyzed customer interactions and identified trends, informing strategic process improvements.
- Led initiatives to improve response times, enhancing overall customer satisfaction ratings.
- Managed customer escalations to senior staff or management when necessary, ensuring the appropriate level of attention was provided for a resolution.
- Engaged customers in conversation to uncover needs with probing questions and overcome objections using persuasive techniques.
- Developed strong relationships with clients by consistently exceeding expectations in handling requests or concerns.
- Increased client retention through exceptional service and timely solutions to issues.
- Provided feedback on potential areas for improvement within the department based on personal experiences and observations.
- Collected and verified application data such as employment histories and financial documentation to determine plan eligibility.
- Managed difficult situations with tact, diffusing tensions and achieving positive outcomes for all parties involved.
- Maintained comprehensive knowledge of product offerings and company policies through continuous learning initiatives such as workshops or webinars.
- Provided personalized assistance for customers, ensuring their needs were met efficiently and effectively.
- Exceeded performance targets consistently by maintaining strong call control and calm in stressful situations.
- Communicated with management about trends in customer calls to help team efficiency and success.
- Participated in cross-functional projects aimed at improving overall company performance and customer experience.
- Promptly responded to inquiries and requests from prospective customers.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Delivered prompt service to prioritize customer needs.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Responded proactively and positively to rapid change.
Education
Associate of Science - Nursing Education
Chattahoochee Technical College
Marietta, GA07-2023
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Team collaboration
- Claims processing
- Settlement negotiation
- Risk assessment
- Policy interpretation
- Casualty and property loss
- Sales background
- Report writing
- Damage assessment
- Policy investigations
- Property valuation
- Advanced computer skills
- Auto damage estimation
- CCC reports
- Customer service
- Problem-solving
- Attention to detail
- Empathy and patience
- Conflict resolution
- Data entry
- Interviewing techniques
- Estimation techniques
- Claims file documentation
- Claims trend analysis
- Property adjusting
- Evidence reviews
- Fact finding
Certification
Independent Adjuster
1. Phlebotomy Technician
2. Medical billing and coding
3. Medical assistant(CCMA)
4. Medicine Administration Technician
Timeline
Claims Adjuster
Progressive Insurance Companies
03.2021 - 02.2026
Client Service Consultant
Home Health Services
09.2017 - 01.2021
Customer Service Consultant
Cumberland Medical Institute
05.2013 - 07.2017
Associate of Science - Nursing Education
Chattahoochee Technical College