Results-driven Claims Adjuster with over 10 years of insurance claims experience. Skilled in developing profitable processes and implementing quality-focused solutions to ensure client satisfaction and company success.
Overview
13
13
years of professional experience
Work History
Field Claim Representative
Pioneer State Mutual Insurance Company
09.2020 - Current
Inspected damaged property to complete appropriate estimates and documentation
Properly document and organize claim file
Worked toward claim resolution by maintaining regulatory compliance and fair claims practices within authority
Summarized claims in excess of authority and submitted report for approval and review
Identified insurance coverage limitations with thorough examinations of claims documentation and related records
Examined claims forms and other records to determine insurance coverage
Identified suspicious losses and contacted manager and SIU for investigative assistance
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors
Field Claim Representative
Auto Owners Insurance Company
05.2018 - 08.2020
Investigate cause and origin of property and liability claims by contacting appropriate parties to determine coverage
Analyze and determine coverage based on base policy and applicable endorsements for each claim and explain to insured
Complete onsite inspections of damaged property to determine scope of loss and write accurate estimates
Complete onsite estimates to issue payment directly to insured at initial inspection
Accurate documentation of findings, coverage, payments, documents, photos and conversation into claim file
Assign or handle subrogation and salvage opportunities in claims where applicable
Assist SIU in investigation of claim where necessary, including recorded statements, EUO's and in person inspections
Identify need for engineers/experts and utilize them when necessary to assist in the claim handling process
Handle claim load of 200-400 efficiently and accurately, including retained branch claim legal files
Generate reports and responses/letters in a timely manner to comply with state regulations and corporate guidelines
Establish rapport with agents and involve/advise of claim process when necessary
Branch Claim Representative
Auto Owners Insurance Company
10.2014 - 05.2018
Investigate, evaluate and determine the appropriate coverage position of all types of claims including lawsuits for personal injury/liability/slip and fall, physical damage and lost/stolen/misplaced items
Create positive experience with the insured and any contractors/vendors/body shops by keeping them informed during the claim handling process
Mitigate further risk to AOI by managing claims in an efficient and professional manner
Document information into file, including outlining conversation, coverage positions, and any other findings
Maintain customer confidentiality with personal information and medical records
Work with inside and outside counsel to provide the best defense for our insured
Attend and actively participate in facilitations and settlement conferences for personal injury/liability claims
Assistant Broadcast Negotiator
Team Detroit
10.2012 - 09.2014
Assisted 3 broadcast negotiators and managers with support duties for high volume of television, cable and radio buys based on budgets and planning guidelines of customer while maintaining strict programming/time slot management
Networked and developed quality relationships between the agency and local reps/TV/radio stations
Finance Intern
Team Detroit
06.2012 - 10.2012
Supported a team of five full-time employees responsible for daily financial tasks
Created international low cost country exchange rate and inflation spreadsheets used for negotiating pricing and contracts
Established processes regarding inflation rates in S. American countries to assess risk using dollars for exchange
Created financial formatting guide consistent with that of a major automotive corporation
Led a five-person team that completed and presented intern project to senior leadership
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Senior Customer Service Representative at State Farm Mutual Automobile Insurance CompanySenior Customer Service Representative at State Farm Mutual Automobile Insurance Company