AUNJOLI BAKER
Los Angeles,CA
Summary
Analytical professional in the insurance investigation field known for high productivity and efficient task completion. Skilled in claim evaluation, fraud detection, and regulatory compliance, ensuring thorough and accurate case handling. Excel in communication, problem-solving, and decision-making, leveraging these soft skills to navigate complex cases effectively and deliver optimal outcomes.
Overview
17
17
years of professional experience
Work History
Claims Generalist
Progressive Insurance
Torrance, CA
01.2022 - Current
- Identified potential risks associated with claims and proposed solutions to minimize risk.
- Assessed claim information and recommended appropriate actions in accordance with company policies.
- Processed large volumes of data accurately while meeting established deadlines.
- Reviewed and analyzed customer claims to determine liability, coverage and damages.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Maintained accurate records of all claims activities in accordance with company guidelines.
- Developed strategies for mitigating losses on complex cases.
- Spoke to witnesses and claimants and interviewed for pertinent information.
- Coordinated with external vendors such as adjusters and attorneys to resolve issues quickly.
- Maintained open communication channels within the organization to ensure timely resolution of claims.
- Researched legal documents, reports, medical records, police reports and other relevant materials related to assigned cases.
- Provided advice to customers regarding their rights under the policy language.
- Key Results: Acknowledged by the California Branch Director in 2024, 2023, and 2022 for significantly reducing inventory during busy seasons, resulting in overall productivity and successful performance.
Auto Liability Adjuster
Kemper Insurance
Cerritos, CA
10.2016 - 01.2021
- Responsible for the investigation, valuation, establishment of exposure, negotiation, and settlement of assigned property and casualty claims within a stipulated monetary authority.
- Ensured that all assigned claims are concluded promptly, equitably, and economically within the provisions of the policy contract and in accordance with the damages presented.
- Reviewed claims for coverage verification, and identified all potential exposures resulting from vehicle comprehensive and collision losses.
- Makes investigative reports promptly to the file, with clear and concise file documentation.
Data Analyst
Wireless Watchdogs
Culver City, CA
02.2013 - 01.2016
- Analyzed data reports using statistical techniques to determine necessary rate plan adjustments, ensuring monthly savings, and eliminating excess charges.
- Generated monthly reports for over 200 corporate wireless accounts, identifying cost-effective plans based on customer accounts, and employee usage patterns.
- Accurately and efficiently fulfilled customer orders directly through wireless carriers to ensure the rapid delivery of urgent requests.
- Monitored order tracking and shipments, documenting customer profiles with detailed records of pending orders.
- Provided leadership support to the team and collaborated with management to develop more efficient operational processes, resulting in a 30% increase in productivity.
- Demonstrated excellence in delivering prompt responses to customer order inquiries regarding data usage, while ensuring compliance with timelines and quality standards.
Legal Assistant
Eviction Rescue
Los Angeles, CA
07.2011 - 11.2012
- Conducted a thorough review of pending eviction cases to ensure all relevant information was accurately collected and considered.
- Assisted with gathering necessary documents and evidence to support claims of unlawful evictions.
- Managed and maintained comprehensive legal calendars for clients, overseeing important trial dates and hearings.
- Led and facilitated staff meetings and training sessions, as well as maintained the department calendar to ensure smooth operations.
- Coordinated correspondence between case managers and clients for active cases, and other matters.
Student Assistant
California State University Fullerton
Fullerton, CA
10.2008 - 08.2011
- Assisted with the management and execution of projects and daily operations within the payroll services department.
- Delivered front-line, face-to-face customer service to employees, addressing inquiries, and resolving issues promptly.
- Compiled, computed, and verified relevant data while ensuring proper filing and documentation.
- Collaborated with team members to complete special projects and meet project deadlines effectively.
- Organized and maintained filing and document management systems by coordinating, archiving, and purging files.
Education
Bachelor of Arts - Philosophy - Moral, Social, And Legal Ethics
California State University, Fullerton
Fullerton, CA06-2016
High School Diploma -
King/Drew Medical Magnet High School
Los Angeles, CA06-2007
Skills
- Strong interpersonal and communication skills
- Customer service and support
- Investigation management
- Fraud identification
- Customer relationship management
- Document management
- Time management
- Data analysis
- Policy interpretation
- Attention to detail
- Team collaboration
- Problem solving
- Organizational efficiency
- Task prioritization
- Negotiation skills
- Microsoft office
Timeline
Claims Generalist
Progressive Insurance
01.2022 - Current
Auto Liability Adjuster
Kemper Insurance
10.2016 - 01.2021
Data Analyst
Wireless Watchdogs
02.2013 - 01.2016
Legal Assistant
Eviction Rescue
07.2011 - 11.2012
Student Assistant
California State University Fullerton
10.2008 - 08.2011
Bachelor of Arts - Philosophy - Moral, Social, And Legal Ethics
California State University, Fullerton
High School Diploma -
King/Drew Medical Magnet High School
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