Detail-oriented Examiner with 32 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills.
Overview
33
33
years of professional experience
Work History
No Fault Claims Examiner
GEICO
09.1990 - 04.2023
Examined photographs and statements.
Handled complaints and grievances using negotiating and problem-solving skills.
Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
Interviewed claimants and witnesses to gather factual information.
Consulted police and hospital records when needed.
Researched claims and incident information to deliver solutions and resolve problems.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Examined claims forms and other records to determine insurance coverage.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Maintained contact with claimants and attorneys to determine treatment status.
Resolved complex, severe exposure claims using high service oriented file handling.
Analyzed information gathered by investigation and report findings and recommendations.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Reviewed new files to determine current status of injury claim and to develop plan of action.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Followed up on potentially fraudulent claims initiated by claims representatives.