Resourceful Claims Adjuster known for high productivity and efficiency in task completion. Specialize in claims investigation, damage assessment, and negotiation with an adept ability to manage multiple cases simultaneously. Excel at communication, problem-solving, and decision-making, ensuring fairness and satisfaction in claim resolutions.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Asurion Insurance Services
Nashville, TN
10.2006 - 05.2022
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Interpreted policy language to determine coverage for insureds under various lines of business.
Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
Maintained accurate documentation of all claim activity within designated system.
Provided training sessions for new adjusters on best practices for adjusting claims.
Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
Attended continuing education classes in order to stay abreast of changes in industry standards.
Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Negotiated and settled claims according to information presented through reports, research, and data verification.
Supervisor of Operations
Movilnet
Merida, Merida, Venezuela
06.1996 - 02.2002
Coordinated with other departments to ensure smooth flow of work processes and communication.
Provided training and guidance to team members on operational procedures and best practices.
Monitored employee productivity levels to identify areas for improvement or additional resources needed.
Resolved customer complaints in a timely manner while maintaining high customer satisfaction ratings.
Conducted regular reviews with team members to assess their performance and provide feedback as needed.
Analyzed data to identify trends in customer needs, product demand or operational efficiency opportunities.
Managed budgets associated with projects or initiatives within the department.
Addressed customer concerns with suitable solutions.
Managed scheduling, training and inventory control.
Responded to information requests from superiors, providing specific documentation.
Guided employees on understanding and meeting changing customer needs and expectations.
Education
Associate of Science - Business Administration And Management
Hocking College
Nelsonville, OH
03-2004
Skills
Risk Assessment
Property claims
Property adjusting
Casualty and property loss
Claims Processing
Familiar with fraud statutes
Policy investigations
Insurance policy coverage knowledge
Claims investigations
Technical knowledge
Data Analysis
Claims negotiation
Coverage assessments
Languages
English
Proficient (C2)
C2
Spanish
Proficient (C2)
C2
Certification
NPN 10366819
Adjuster
Property/Casualty Agent
Portable Electronics Adjuster
Timeline
Claims Adjuster
Asurion Insurance Services
10.2006 - 05.2022
Supervisor of Operations
Movilnet
06.1996 - 02.2002
NPN 10366819
Adjuster
Property/Casualty Agent
Portable Electronics Adjuster
Associate of Science - Business Administration And Management
Hocking College
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