Resourceful professional with extensive experience in claims management and data analysis. Skilled in interpreting complex policy language and investigating claims to mitigate fraud. Committed to delivering quality service and ensuring compliance with industry standards.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Property Damage Adjuster/ Auto
Liberty Mutual Insurance Company
Remote, Texas
11.2022 - 07.2025
Communicated with clients to explain claim procedures and requirements.
Reviewed policy coverage to determine liability and claim eligibility.
Interpreted complex policy language as it relates to liability issues associated with property damage claims.
Documented all claim-related activities in accordance with company policies and procedures.
Interviewed claimants, witnesses, and experts to gather information about the incident.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
Renters Insurance Specialist
Assurant
Remote, TX
02.2020 - 11.2022
Managed client inquiries regarding policy details and coverage options.
Processed claims efficiently following established guidelines and timelines.
Reviewed and updated policy documents to ensure compliance with regulations.
Exploited CRM, Nucleus, Zendesk, Softphone systems to ensure accurate documentation of interactions and client records
Provided guidance to customers regarding available insurance plans and their benefits and limitations.
STD Claim Specialist
Lincoln Financial
Remote, TX
05.2016 - 02.2020
Assessed STD claims for adherence to policies and regulations, while analyzing claim details and client information.
Manage claims and document procedures while effectively communicating with medical professionals, claimants, employers.
Determining claim liability, evaluating all claim documentation and procedures, all while providing a clear understanding to the claimant.
Conduct thorough evaluations of files to ascertain financial liability by analyzing claimant income, salary, and additional data points.
Communicated with other departments to establish action plans and manage open claims to closure.
Provided training and support to junior staff on claims processing procedures.
Data Entry Lead
Fiverr
Remote, Texas
04.2014 - 04.2016
Managed large volumes of data entry for various client projects on the platform.
Ensured accuracy in data processing by conducting regular quality checks.
Collaborated with clients to clarify requirements and resolve data discrepancies.
Utilized spreadsheet software to organize and maintain client information efficiently.
Maintained confidentiality of sensitive information during data handling tasks.
Utilized various software applications to enter, update, verify, and retrieve data efficiently.
Trained new staff on data entry procedures and software systems.