Candace Walker
Albany,OR
Summary
I took time off to be my mother's gaurdian before she passed, thus the break in professional career.
Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with knowledge of CCC,Mitchell's,I-CAR,and CAS.
Insurance in my niche. I am detailed oriented, I have implemented process and change for new programs, in house bonuses for production and attitude. I love Adjusting and Insurance, as it feeds my need to look at facts, pick up details, and be a firm but empathetic ear to my clients.
Overview
10
10
years of professional experience
Work History
Auto Claims Adjuster
CSAA Insurance Group
Remote, Oregon
02.2024 - Current
- Researched and verified insurance policy coverage.
- Coordinate benefits while applying applicable deductibles, co-insurance and out of pocket costs.
- Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
- Provided policyholders with advice regarding vehicle repairs and body shop procedures to maximize customer satisfaction.
Auto Claims Damage Adjuster
GEICO, Government Employees Insurance
Salem/Virtual, OR
07.2023 - 10.2023
- Assessed damages to vehicles and property resulting from a variety of incidents.
- Prepared detailed reports summarizing all aspects of the claims process.
- Reviewed previous claims for possible fraud or misrepresentation of facts.
- Evaluated repair estimates for reasonableness and accuracy prior to authorizing repairs.
- Evaluated extent of damage and documented findings.
- Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
- Conducted inspections on damaged vehicles and generated accurate estimated costs for repair work.
PIP Medical Rep Insurance
Progressive
Remote/Tigard, Oregon
08.2018 - 01.2021
- Analyzed policy provisions, legal documents and medical records.
- Decreased loss ratios through fair and timely claim processing.
- Reviewed data to verify validity of claims and determine case management actions.
- Developed relationships with clients, underwriters, adjusters, brokers and other internal and external stakeholders.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Evaluated subrogation opportunities to identify recoverable funds.
- Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Monitored litigation status through court filings or contact with attorneys.
- Participated in training sessions related to new policies or procedures.
- Mitigated client worries through communication with medical, legal, insurance and repair companies.
- Drafted correspondence related to claim investigations and settlements.
Social Worker Benefits/Child Support
Idaho Department of Health and Welfare
Boise, ID
06.2014 - 08.2018
Education
Associate of Applied Science - Business Management
Linn Benton Community College
Albany, OR06-2005
Skills
- Health Codes Compliance
- Basic Accounting
- Suggestive Selling
- Multi-Line Phone System
- Risk Assessment
- Policy Interpretation
- Claims Handling
- Fraud Detection Knowledge
- Damage Mitigation
- Claims Investigations
- Damage Assessment
- Vehicle Inspection
- Customer Service Expertise
- Documentation Management
- Appointment Scheduling
- Repair Cost Estimation
- Body Shop Knowledge
- Medical Terminology Specialist
- Database Management
- Advanced Computer Skills
- Data Analysis
- Claims File Management Processes
- Medical Coding
Timeline
Auto Claims Adjuster
CSAA Insurance Group
02.2024 - Current
Auto Claims Damage Adjuster
GEICO, Government Employees Insurance
07.2023 - 10.2023
PIP Medical Rep Insurance
Progressive
08.2018 - 01.2021
Social Worker Benefits/Child Support
Idaho Department of Health and Welfare
06.2014 - 08.2018
Associate of Applied Science - Business Management
Linn Benton Community College
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