Chanell Mcmillon
Chicago,IL
Summary
Motivated detail oriented CAT Adjuster with exemplary skills in customer service, & time management. Over 10 years of experienced combined with superior mathematical abilities,specializing in applying creative approaches to complex problem's. Highly skilled in personal, property and casualty loss and damages.
Overview
12
12
years of professional experience
1
1
Certification
Work History
CAT Desk Adjuster
Travelers Insurance
03.2021 - 07.2023
- Investigated origin and cause of claims by contacting appropriate parties.
- Handled both first party and third party claims under multiple policy types and numerous endorsements.
- Used prescribed guidelines or policies in analyzing situations.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Responded to customer inquiries, made appropriate decisions and closed files.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Substantiated legitimate claims and denied unjustified claims.
- closed over 120 claims in a 30 day timeframe.
Independent Insurance Adjuster
Americas Insurance
04.2018 - 10.2020
- Answered customer questions regarding deductibles.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
- Trained other claims staff members on proper handling and evaluation of injury claims.
Insurance Claims Processor
Q&A Insurance
01.2012 - 05.2017
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Affirmed or denied coverage fairly based on thorough investigations.
- Investigated property/Auto damages, gathering information from diverse sources and delivering comprehensive reports.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
- Managed workload and priorities to meet claims processing meet deadlines.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Developed and implemented quality assurance processes to check accuracy of claims processing.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Tracked and reported on claims processing metrics to aid senior management in making informed decisions.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Education
Master of Science - Mathematics
University of Chicago
Chicago, IL06.2007
Skills
- Underwriting Knowledge
- Personal,casualty and property loss claims
- Market Value
- Insurance Policy Coverage Knowledge
- Claims Evaluations
- Claims Investigations
- Workers' Compensation Claims
- Claims Negotiation
- Claims Inspections
- Corporate Policies and Procedures
- Customer Satisfaction
Certification
Texas All Line Adjuster License #3054137
Additional Information
- SOFTWARE
- Symbility
- Xactimate
- ECS
- Guide wire
Timeline
CAT Desk Adjuster
Travelers Insurance
03.2021 - 07.2023
Independent Insurance Adjuster
Americas Insurance
04.2018 - 10.2020
Insurance Claims Processor
Q&A Insurance
01.2012 - 05.2017
Master of Science - Mathematics
University of Chicago
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