Kemeeta Chisholm
Winter haven
Summary
Experienced claims adjuster with 9 plus years of expertise in managing and resolving complex insurance claims. Proven track record in conducting thorough investigations, evaluating damages, and negotiating settlements. Providing exceptional customer service and maintaining strong client relationships to ensure satisfaction throughout the claims process.
Overview
9
9
years of professional experience
Work History
Central Claims Rep
Progressive
04.2024 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Claims Adjuster/Trainer
Crawford and Company
11.2022 - 12.2023
- Conducted investigations of liability claims, analyzing policy coverage and determining liability
- High volume claims
- Review files for accuracy and compliance
- Guidewire experience
- Gathered evidence, interviewed involved parties, and consulted with experts as necessary
- Negotiated settlement agreements with claimants and other parties involved
- Worked closely with internal teams, including legal counsel and underwriters, to ensure compliance with company policies and procedures
- Maintained detailed and organized claim files, documenting all relevant information, correspondence, and progress updates
- Provided exceptional customer service, addressing client inquiries and concerns promptly and professionally
- Stayed updated with industry trends, regulations, and best practices through continuous professional development
PIP Adjuster
State Farm
05.2022 - 11.2022
- Identified wage loss expenses and wage exposures on medical claims
- Manage coverage investigations
- Interacted daily with customers taking statements and researching medical records to understand the nature and extent of the injury and medical conditions
- Evaluated medical claims for potential fraud issues, loss control and recovery by insurance policy contracts, medical bill coding rules and state regulations
Claims Adjuster
GEICO
10.2015 - 03.2022
- Advised customers on their insurance policy coverages along the auto repair process
- Determined liability of claim is often advising the customer of shared liability
- Successfully handled 70 to 100 files at one time
- Ranked top 8% of claims adjuster based on overall results
- Handled thousands of claims with overall 97% approval rating by clients’ vs average rating of 83%
- Ranked 5% of agents to successfully get the customer to use GEICO recommended locations
- Negotiated with attorneys to settle claims
Education
Diploma -
High School for service and learning at Erasmus Hall
Brooklyn, New York06.2009
Skills
- Customer Service
- Interpersonal Communication
- Negotiation
- Microsoft Office (Word, Excel, PowerPoint)
- Diary Management
- Adaptable
Timeline
Central Claims Rep
Progressive
04.2024 - Current
Claims Adjuster/Trainer
Crawford and Company
11.2022 - 12.2023
PIP Adjuster
State Farm
05.2022 - 11.2022
Claims Adjuster
GEICO
10.2015 - 03.2022
Diploma -
High School for service and learning at Erasmus Hall
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