Antonia Cooper
Dallas,TX
Summary
Extensive experience working independently, while supervising clients Dependable, enthusiastic, and reliable team player Excellent inter personal communication, case management, and customer service skills Licensed Insurance Adjuster.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Claims Associate
The Best IRS / State Farm
03.2022 - Current
- Negotiates settlements within prescribed authority and explains denials to policyholders and claimants
- Makes effective use of loss management techniques
- Affirmed or denied coverage fairly based on thorough investigations.
- Investigated auto damages, gathering information from diverse sources and delivering comprehensive reports.
- Evaluated and settled complex insurance claims in strict timeframes.
- Interviewed policyholders to verify information and obtain additional details.
Inside auto adjuster
Alacrity Solutions
Carrollton, TX
10.2021 - 04.2022
- Received daily auto claims and total loss claims
- Establishes proof of loss by studying documentation submitted; assembling additional information as required from outside sources such as claimant, witnesses, physician, employer, hospital, and other insurance companies; initiates investigation of liability disputes, as well as questionable claims
- Resolves claim by approving or denying documentation; calculating benefits due; initiating payment or composing denial letter
- Ensure legal compliance by following guidelines, company policies, and state and federal insurance regulations
Inside auto adjuster
Pilot Catastrophe Services
Fort Worth, TX
07.2021 - 10.2021
- Responds to various written and telephone inquiries including status reports
- Negotiates settlements within prescribed authority and explains denials to policyholders and claimants
- Makes effective use of loss management techniques
- Negotiates settlements with claimants, attorneys
- Arranges for expert inspections involving third party or potential fraud actions as needed
- Updates files and provides comprehensive reports as required
- Identifies and recommends referral of potentially fraudulent claims to the SIU.
Inside auto adjuster
Pilot Catastrophe Services
Richardson, TX
02.2021 - 04.2021
- Handle CAT Claims such as total loss vehicle
- Created CCC report
- Contacted insurers to provide settlement amount
- Get vehicle moved with Copart
- Send out necessary paperwork to insured based on state
Senior Fraud Specialist
Genpact
Richardson, TX
05.2019 - 02.2021
- Conduct analysis and process dispute claims in accordance with network operating regulations and internal service level time-frames
- Document all case interactions in the appropriate databases by recording highly detailed and relevant notes for each account
- Interact with our Merchants and Independent Sales Representatives by phone and email
- Monitor disputed transactions for possible fraudulent activity
- Analyze disputed transactions to determine the appropriate response and documentation requirements
- Educate merchants on processing guidelines and security measures
Lead CSR
PLS Check Cashing Place
Mesquite, TX
04.2018 - 02.2019
- Established new customer accounts including checking, savings, lines of credit and loans
- Processed cash withdrawals
- Opened new customer accounts, including checking, savings and lines of credit
- Processed and issued money orders for customers
- Guaranteed positive customer experiences and resolved all customer complaints
- Excelled in exceeding daily credit card application goals.
Sales Representative
Woodbridge Home Exteriors
Dallas, TX
05.2017 - 12.2017
- Interacted with prospects by asking appropriate open-ended questions to better understand needs and requirements
- Consistently met and exceeded department expectations for productivity and accuracy levels
- Coordinated appointments with prospective buyers to showcase windows and plots.
Education
Certifications and Licenses Adjuster - All lines -
State Farm auto certification - undefined
State Farm Estimatics Certification - undefined
State Farm Policy Certification - undefined
Patents Texas- All - undefined
Washington- casualty &property - undefined
High School Diploma - undefined
Nimitz High School
2017
Skills
- Results-oriented
- Computer proficient
- Quick learner
- Training and development
- Microsoft Office
- Proficiency in math
- Communication skills
- Excel
- Pega
- Lexis nexis
- Customer Care
- Digital Filing
- Data Entry Software
- Customer Relationship Management
Additional Information
- Willing to relocate: Anywhere
Certification
- Licensed Insurance Adjuster - [04/2021-04/2023]
- Auto, State Farm
- Estimatics Certification, State Farm
- Policy Certification, State Farm
Timeline
Claims Associate
The Best IRS / State Farm
03.2022 - Current
Inside auto adjuster
Alacrity Solutions
10.2021 - 04.2022
Inside auto adjuster
Pilot Catastrophe Services
07.2021 - 10.2021
Inside auto adjuster
Pilot Catastrophe Services
02.2021 - 04.2021
Senior Fraud Specialist
Genpact
05.2019 - 02.2021
Lead CSR
PLS Check Cashing Place
04.2018 - 02.2019
Sales Representative
Woodbridge Home Exteriors
05.2017 - 12.2017
Certifications and Licenses Adjuster - All lines -
State Farm auto certification - undefined
State Farm Estimatics Certification - undefined
State Farm Policy Certification - undefined
Patents Texas- All - undefined
Washington- casualty &property - undefined
High School Diploma - undefined
Nimitz High School
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