Insurance professional with over 20 years of diverse experience, specializing in agent licensing and claims management. Proven track record of enhancing service delivery and driving business growth through strategic initiatives. Comprehensive understanding of industry complexities gained from varied roles within the sector, contributing to a well-rounded perspective. Dedicated to leveraging expertise to foster innovation and improve operational efficiencies.
Overview
7
7
years of professional experience
1
1
Certification
Work History
General Liability Claims Examiner
Applied Underwriters
Omaha, Nebraska
10.2024 - Current
After obtaining my Texas All Adjusters license, I managed and investigated general liability claims from inception to resolution, including claims related to bodily injury, property damage, and personal injury. injury
Assessed coverage, determined liability, and negotiated settlements within policy limits, ensuring compliance with company policies and legal regulations
Worked closely with legal teams, policyholders, third-party vendors, and witnesses to gather evidence, evaluate claims, and ensure accurate documentation
Utilized strong communication and negotiation skills to resolve disputes, mitigate risk, and maintain positive relationships with clients and vendors
Analyzed loss data and trends to identify emerging risks and recommend improvements to claims management processes
Maintained comprehensive knowledge of industry regulations, policies, and emerging legal trends related to general liability insurance
HVAC Dispatcher
Complete Comfort Heating & Cooling
Omaha, NE
07.2023 - 08.2024
Coordinated and scheduled service appointments for HVAC technicians, ensuring timely responses and efficient routing of field personnel to optimize service delivery
Managed incoming customer calls, addressed service inquiries, and dispatched technicians based on location, urgency, and skill requirements
Communicated effectively with customers to provide updates on service times, estimated arrival windows, and any changes to scheduled appointments
Maintained and updated service schedules in real-time using scheduling software, ensuring efficient daily operations and reducing delays
Monitored and tracked technician progress, providing support and troubleshooting assistance when needed to ensure high-quality service and customer satisfaction
Processed service orders, maintained accurate records, and ensured proper documentation for billing and invoicing purposes
Worked closely with management to analyze service performance, improve response times, and identify opportunities for operational improvements
Short Term Disability Claims Examiner
Lincoln Financial Group
Omaha, NE
08.2019 - 06.2023
Evaluated and processed short-term disability claims in a timely and accurate manner, ensuring compliance with company policies, state and federal regulations
Reviewed medical documentation, work history, and other relevant information to determine eligibility, claim validity, and benefits entitlement
Communicated with claimants, healthcare providers, and employers to gather necessary information, clarify details, and provide updates on claim status
Analyzed claim trends and identified potential fraud or discrepancies, escalating complex cases to senior management when needed
Calculated benefit payments and ensured claims were paid within established timeframes, maintaining accuracy in payment amounts
Collaborated with the customer service team to resolve claimant inquiries and ensure high levels of claimant satisfaction
Maintained detailed records of claims, correspondence, and decisions in compliance with internal protocols and legal requirements
Stayed updated on changes to disability regulations, policies, and best practices to ensure claims processing remained in compliance with industry standards
Drain Dispatcher
Eyman Plumbing
Omaha, NE
08.2018 - 06.2019
Coordinated and scheduled drain service appointments, ensuring timely and efficient dispatch of technicians based on customer needs, location, and priority levels
Managed a high volume of incoming customer calls, addressing service inquiries, troubleshooting issues, and providing accurate information about service offerings
Communicated with field technicians in real-time to update job statuses, provide additional information, and ensure service completion within established timeframes
Maintained and updated service schedules using dispatch software, optimizing technician routes and minimizing service delays
Provided exceptional customer service by following up with customers to ensure satisfaction, resolve issues, and address concerns regarding services performed
Documented service requests, technician notes, and billing information accurately to support invoicing and reporting processes
Monitored and adjusted schedules to accommodate emergency service calls, prioritizing urgent issues and minimizing customer downtime
Worked closely with management to identify service trends, optimize workflows, and enhance operational efficiency