Dynamic professional with extensive experience in insurance and management. Expertise in investigating claims, assessing liability, and negotiating settlements. Proven ability to resolve complex claims through data analysis and adherence to industry best practices. Strong track record in leading projects and teams to enhance operational efficiency and customer satisfaction.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Material Damage Claims Adjuster 2
National General Insurance Company
Bartow, FL
03.2024 - Current
Educated policyholders and claimants on coverage and liability throughout claims process.
Analyzed claims to determine company coverage and liability, executing approval or denial per policy provisions.
Investigated claims by conducting interviews with recorded statements and gathering evidence.
Provided excellent customer service by addressing inquiries and concerns promptly.
Trained teammates on best practices in claims adjustment and procedures.
Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
Coverage Claims Specialist
GEICO
Lakeland, FL
04.2015 - 03.2024
Served as the point of contact for policyholders and claimants providing education on coverage and liability throughout the claims process, building relationships with clients.
Analyzed claims to determine extent of company's liability and made approval or denial decisions in accordance with policy provisions.
Reviewed incoming documentation for completeness prior to processing a claim. Maintained accurate records of all claim activities in the database system.
Explained partial and full denials for items not covered under policies. Utilized problem-solving skills to investigate complex insurance claims with multiple factors.
Analyzed claims data to determine appropriate resolution of cases according to company policies and procedures.
Drafted letters of denial or notification of payment in response to claimant inquiries.
Utilized appropriate job aids, knowledge and tools to process initial reception of claims.
Conducted timely reviews of claims to ensure accuracy and completeness of documentation.
Secured statements from parties involved in auto accidents to determine liability.
Negotiated settlements between insurers and claimants while ensuring compliance with applicable laws and regulations.
Set up appointments for insured and claimant vehicle inspections at body shops. Obtained and reviewed vehicle photos and accident scene photos to aid in determining liability.
Coverage Claims Trainer
Geico
Lakeland, FL
07.2019 - 03.2023
Conducted ongoing assessments of employee performance to ensure understanding of claims processes.
Created comprehensive training materials for new and existing employees in the Claims Department.
Utilized a variety of instructional techniques such as role-playing, simulations, video conferencing, computer-based instruction and lectures to teach the principles of claims handling.
Collaborated with other departments to develop cross-functional training sessions that promote positive working relationships across teams.
Developed effective methods for evaluating employee performance after completing training programs.
Maintained accurate records of all training activities, including attendance, course material, completion times.
Adapted teaching strategies based on individual needs while ensuring compliance with regulations governing the industry's standards of practice.
Provided feedback to management on areas where additional training was needed.
Monitored progress of individual trainees and provided guidance as necessary.
Contributed to employee development plans in support of job-specific skills development
Assistant Manager
T-Mobile
Lakeland, FL
07.2013 - 04.2015
Trained new employees in product knowledge, customer service protocols, cash handling procedures, and safety regulations.
Resolved customer complaints quickly and effectively while maintaining a high level of professionalism.
Helped oversee the daily operations of the store, managing staff and inventory.
Coached and mentored new employees on company policies and procedures.
Barista
Starbucks
Sequim , WA
11.2012 - 07.2013
Operated cash registers and handled cash and card transactions.
Assisted with opening and closing tasks such as cleaning cafe areas or setting up displays.
Showed aptitude in multitasking multiple orders at once while maintaining accuracy in product quality.
Personal Banker
Wells Fargo
Sequim, WA
06.2012 - 11.2012
Developed relationships with customers through timely follow-up, sound advice, and quality service.
Identified customer needs by actively listening and asking questions to determine appropriate product offerings.
Maintained knowledge of bank products, services, policies, procedures, and regulations.
Store Manager
Go Wireless Verizon
Sequim, WA
04.2009 - 06.2012
Provided leadership and motivation to team members to increase productivity and efficiency within the store.
Trained staff on proper sales procedures
Interviewed and hired prospective employees according to team needs.
Oversaw day-to-day store operations to foster efficient and profitable operations.
Managed inventory levels by ordering stock as needed, tracking sales trends, and adjusting orders accordingly.
Created weekly work schedules to meet staffing needs while controlling labor costs.
Conducted ongoing assessments of employee performance to ensure understanding of sales processes.
Conducted employee development plans in support of job-specific skills development.
Store Manager-Photographer
CPI
Port Angeles , WA
03.2003 - 04.2009
Provided leadership and motivation to team members to increase productivity and efficiency within the store.
Trained staff on proper cash handling procedures including daily deposits, credit card payments, and end-of-day reconciliation of register funds.
Interviewed and hired prospective employees according to team needs.
Oversaw day-to-day store operations to foster efficient and profitable operations.
Mentored new employees on store policies and procedures while providing guidance and support in their roles.
Created weekly work schedules to meet staffing needs while controlling labor costs.
Conducted ongoing assessments of employee performance to ensure understanding of sales processes.
Conducted employee development plans in support of job-specific skills development.
Office Manager
ABS
Port Angeles , WA
06.2001 - 03.2003
Provided leadership and motivation to team members to increase productivity and efficiency within the store.
Trained staff on proper cash handling procedures including daily deposits, credit card payments, and end-of-day reconciliation of register funds.
Interviewed and hired prospective employees according to team needs.
Oversaw day-to-day store operations to foster efficient and profitable operations.
Mentored new employees on store policies and procedures while providing guidance and support in their roles.
Created weekly work schedules to meet staffing needs while controlling labor costs.
Conducted ongoing assessments of employee performance to ensure understanding of sales processes.
Conducted employee development plans in support of job-specific skills development.
Education
High School Diploma -
Port Angeles High School
Port Angeles, WA
06-2001
Skills
Auto Claims Experience
Complex Coverage Evaluation
Hiring and Training New Employees
Performance Feedback
Leadership Experience
Complex Problem Solving
Organization and Prioritizing Tasks
Performance Evaluations and Management
Team Leadership and Development
Teamwork and Collaboration
Resource Creation
Certification
620 Adjuster All Lines, Florida Department of Financial Services, Current
Material Damage Claims Adjuster at American Farmers & Ranchers Mutual Insurance CompanyMaterial Damage Claims Adjuster at American Farmers & Ranchers Mutual Insurance Company