Dedicated, Licensed and Experienced Bodily Injury Claims Representative who performs Extensive and Thorough Investigations into each individual case in order to come to a cair and complete resolution to every case.
● Monitored team performance, enforcing compliance with corporate claims processes and procedures.
● Built talented teams of 8 claim adjusters dedicated to timely and compliant resolutions.
● Established internal audit procedures to validate and improve accuracy of successful claims handling.
As a Bodily Injury Insurance adjuster for Arizona Nevada and Idaho, Handled Bodily Injury and Uninsured Motorist Claims from Beginning to end, to include but not limited to; Assessed and Evaluated Liability decisions for First and Third Party Injuries, Interviewed claimants to determine pertinent claim information, Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control, Identified and collected evidence and determined its value to a specific claim. Contacted injured parties and legal representatives to negotiate final settlements for claims, Recommended settlement offers, Analyzed first reports of loss and underlying file material to determine if a claim was suspect, and any other action necessary to the resolution of a Case.
● Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
● Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
● Answered customer questions regarding deductibles.
● Prepared summaries of damage, payments, and policy coverage. Examined claims forms and other records to determine insurance coverage.
● Researched and analyzed policy contracts to verify proper payment of claims.
● Ability to Multi-Task
● Claims Resolution
● Negotiation Expertise
● Extremely Driven
● Bilingual
● Claims file management processes
●Claims License obtained in Florida and Texas
●Strong interpersonal and communication skills
● Analytical
● Team player
● Decisive
● Interviewing techniques
● Claims Understanding
● Claims Analysis
● Consistently Top Quartile