Enthusiastic Professional seeking to secure a career, where the combination of my professional experience and education will positively impact all aspects of lives. Willing to relocate: Anywhere
Overview
12
12
years of professional experience
1
1
Certification
Work History
Physical Damage and Cargo Commercial Supervisor
Superior Risk Management
Westlake, TX
08.2022 - Current
Managed team members effectively to meet high production standards with accurate results.
Trained new team members on policies and procedures for claims handling.
Approved reserves and payments up to $100,000 authority level.
Motivated team members to maintain targeted turnaround time to obtain processing goals.
Oversaw onboarding processes for new team members, delivering training on claims handling.
Provided guidance, assistance and training to new staff on the proper procedures for handling customer inquiries and complaints.
Researched complex claim issues in order to resolve disputes between parties involved in a claim.
Reviewed and approved payments made on insurance claims within established guidelines.
Monitored and tracked performance metrics such as turnaround times, resolution rates, denial rates. for the Claims Department.
Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
Managed and coordinated the daily operations of a team of claims adjusters.
Developed and implemented strategies to improve claim processing efficiency.
Resolved customer complaints in a timely manner while striving for complete satisfaction.
Bodily Injury Commercial Claims Adjuster
Superior Risk Management
Westlake, TX
03.2022 - 07.2022
Evaluated and processed bodily injury claims according to company guidelines.
Assessed medical records and other relevant documents to determine the extent of injuries sustained.
Investigated liability issues related to bodily injury claims.
Analyzed data obtained from accident reports, witness statements, medical bills., in order to make appropriate decisions on claim resolution.
Interacted with claimants, witnesses, attorneys and other parties involved in the claim process.
Negotiated settlements with claimants or their representatives in accordance with state laws and insurance policies.
Reviewed medical bills for accuracy and appropriateness of services rendered.
Drafted reports outlining findings from investigations into bodily injury claims.
Performed quality control reviews on files handled by other adjusters in the office.
Investigated and assessed property damage.
Claims Supervisor/Total Loss Supervisor
Gainsco, MGA
Dallas, TX
03.2020 - 03.2022
Managed a team of 10 Claims Representatives to ensure accuracy and timely completion of all claims processing activities.
Provided guidance, assistance and training to new staff on the proper procedures for handling customer inquiries and complaints.
Developed departmental policies and procedures for processing claims according to applicable laws and regulations.
Performed quality assurance reviews on claims submitted by staff to ensure compliance with company standards.
Reviewed and approved payments made on insurance claims within established guidelines.
Monitored and tracked performance metrics such as turnaround times, resolution rates, denial rates. for the Claims Department.
Created reports on overall department performance and communicated findings at monthly meetings with management team.
Collaborated with other departments such as Underwriting, Customer Service, Risk Management. to identify areas of improvement in the claims process.
Evaluated and motivated employees to continuously develop and grow in both performance and knowledge.
Recommended and communicated goals to help team excel against targets.
Approved reserves and payments up to $100,000 authority level.
Trained new team members on policies and procedures for claims handling.
Oversaw onboarding processes for new team members, delivering training on claims handling.
Claims Supervisor
Windhaven Insurance
Dallas, TX
08.2018 - 02.2020
Supervises activities in the claims department.
Oversees the investigation of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Interact with claimants and oversees the review of claim forms and other records to determine insurance coverage.
Supervises negotiations to settle claims out-of-court up to a predetermined limit.
Refers claims exceeding authorized limits to next level of supervision.
Manage a team of licensed adjusters.
Responsible for ensuring growth and development of adjusters for promotability and file handling purposes.
Managed team members effectively to meet high production standards with accurate results.
Policy Services Supervisor
Windhaven Insurance
Dallas, TX
02.2018 - 08.2018
Manages and leads a team of employees targeted towards assisting customers with making changes to their auto insurance policy.
Aided onboarding team members with one-on-one training sessions.
Delivered exceptional customer service and handled inquiries and complaints.
Trained new employees on procedures and policies to maximize team performance.
Communicates company goals, safety practices, and deadlines to team.
Provides help to management, including hiring and training, and keeps management updated on team performance.
Communicates concerns and policies among management and team members.
Claims Adjuster
Liberty Mutual
Irving, TX
09.2014 - 02.2018
Obtain information and maintain records of accidents or personal losses for policyholders and claimants through telephone and written reports.
Arrange appraisals, review appraisal reports and communicate with policyholders, claimants, physicians, medical providers, attorneys, and repair shops.
Secure essential facts about accidents, assess liability and compensability, negotiate settlements and explain denials to customers
Assisting in training and mentoring of new hires
Register and review pending claims
Assist in CAT situations
Providing Excellent Customer Service
Supervisor/Escalations Specialist/Customer Service Representative
ACS Xerox
Houston, TX
09.2011 - 10.2014
Monitoring, organizing, and coaching a team on a day to day basis.
Developing and transitioning representatives into future team leads.
Handling escalated calls, complaints, questions, and queries as necessary.
Ensuring that employees follow their designed schedule to ensure adherence.
Encouraging, motivating, and supporting actively ones' peer team.
One on one sales training
Preparing daily reports based on performance and presenting to management
Meeting and maintaining performance quotas on a daily, weekly, monthly, and quarterly basis.