A Licensed Insurance Adjuster, highly motivated, passionate business professional with specialized experience in Claims. Experience working in a fast-paced environment that demand strong interpersonal and organizational skills. Accustomed to handling sensitive, confidential records. Competent with demonstrated ability to easily achieve task at hand using excellent multi-tasking skills. Confident and poised in interactions with individuals at all levels. Thrive in deadline-driven environments while maintaining excellent customer service standards.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Bodily Injury Claims Representative
Travelers Insurance
Richmond, VA
11.2022 - 07.2024
Provided exceptional customer service, addressing inquiries and concerns promptly and professionally.
Negotiated fair settlements with claimants, maintaining company''s reputation and financial stability.
Participated in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.
Improved claim resolution times by efficiently managing a caseload of 80-100 bodily injury claims.
Identified fraudulent claims through thorough analysis, protecting company resources from unnecessary payouts.
Resolved disputes between insurance carriers through effective negotiation strategies that minimized legal involvement.
Collaborated with multiple departments for seamless claim processing, leading to improved customer experience.
Consistently met performance metrics while maintaining high-quality work in a fast-paced environment.
Coordinated with repair shops and rental agencies for prompt vehicle assistance to clients during the claim process.
Issued payouts to claimants.
Liability Claims Specilist
CorVel
Glen Allen, VA
11.2024 - 03.2025
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Demonstrated adaptability by successfully managing a diverse range of claim types, including property damage, bodily injury, liability disputes, and more.
Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
Property and Liability Claims Adjuster
Virginia Risk Sharing Association
Richmond, VA
08.2020 - 11.2022
Maintained detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes.
Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
Trained new adjusters on company policies and procedures, contributing to a well-prepared team of professionals.
Experienced Adjuster for Local Government/Municipality
Facilitated cooperation between city departments to improve overall performance and effectiveness in serving the public''s needs.
Managed sensitive information, maintaining confidentiality and adhering to strict legal requirements.
Send subrogation demand packages to Adverse Carriers, Update system notes when recovery payment received, reimbursement member deductible when applicable.
Seek Restitution against uninsured claimants.
Assigned Subrogation Attorney as needed.
Manage pending inventory of 80-100 claims, answering incoming calls, respond to emails in timely manner.
Claims Specialist
Nationwide Insurance Company
Richmond, VA
12.2016 - 08.2020
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Followed up with customers on unresolved issues.
Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
Education
Bachelor of Science - Occupational And Technical Studies
Old Dominion University
Norfolk, VA
05.2010
Skills
Claims Investigation
Assertiveness
Skilled Negotiater
Policy Interpretation
Insurance regulations knowledge
Medical Terminology
Analytical Thinking
Policy Review
Medicaid knowledge
Skilled in Microsoft Office
Insurance Coverage Verification
Certification
Licensed Florida Adjuster: Number W945590
Timeline
Liability Claims Specilist
CorVel
11.2024 - 03.2025
Bodily Injury Claims Representative
Travelers Insurance
11.2022 - 07.2024
Property and Liability Claims Adjuster
Virginia Risk Sharing Association
08.2020 - 11.2022
Claims Specialist
Nationwide Insurance Company
12.2016 - 08.2020
Bachelor of Science - Occupational And Technical Studies