Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments. Effective at collecting and analyzing data used to devise fair and cost-effective settlements.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Representative/Examiner (Remote)
Independent Insurance Brokers LLC
Dallas, TX
01.2017 - Current
Conduct thorough investigations of insurance claims, assess policy coverage, and determine liability
Analyze claim documentation, including reports, medical records, and witness statements to verify authenticity and accuracy
Collaborate with policyholders, claimants, and other stakeholders to gather necessary information and documentation to process claims efficiently
Evaluate damages and losses, negotiating settlements within policy guidelines and ensuring fair and prompt resolution
Maintain accurate records of claims processing activities, ensuring compliance with company policies and regulatory requirements
Provide exceptional customer service, addressing inquiries and concerns promptly to enhance customer satisfaction and loyalty
Participate in training programs and workshops to stay updated on industry trends, policy changes, and best practices in claims processing
Prepare monthly reports for management, providing insights into project progress and performance
Provide leadership by implementing improvements to work processes and assisting in the training of others.
Education
Certification of Business Management -
Central Texas College
Killeen, TX
05.1992
Skills
Excellent communication skills
Negotiation and problem-solving
Strong analytical abilities
Ability to work under pressure
Claims Investigation
Damage Assessment
Property Inspection
Technical knowledge
Interviewing techniques
Claims file management processes
Regulatory Compliance
Coverage assessments
Policy investigations
Conflict Resolution
Certification
Adjuster License All Lines in Texas, Oklahoma & Louisiana
State Farm Policy Certification
State Farm Auto Certification
State Farm Estimatics Certification
State Farm Property Certification
Symbility Certification
NFIP Claims Adjuster Certification
FAST Training Certificate
Xactimate
Timeline
Claims Representative/Examiner (Remote)
Independent Insurance Brokers LLC
01.2017 - Current
Certification of Business Management -
Central Texas College
Adjuster License All Lines in Texas, Oklahoma & Louisiana
State Farm Policy Certification
State Farm Auto Certification
State Farm Estimatics Certification
State Farm Property Certification
Symbility Certification
NFIP Claims Adjuster Certification
FAST Training Certificate
Xactimate
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