CHARLES VAUGHN
Mobile,AL
Summary
Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle Casualty and Auto claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with brokers to gain details for processing claims.
Overview
17
17
years of professional experience
Work History
Insolvency Claims Administrator
Mid America Catastrophe
07.2022 - 01.2024
- Reduced claim processing time by streamlining workflows and implementing efficient practices.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate claim information.
- Ensured timely claim payments by diligently monitoring deadlines and following up on outstanding documents.
- Improved internal communication, effectively liaising between various departments to resolve issues.
- Negotiated disputed bills or invoices totaling up to $750K, achieving successful resolution.
- Spearheaded training initiatives for new hires, promoting best practices in claims administration.
- Developed easy-to-understand reports for management, detailing key metrics and performance indicators of the claims department.
- Supported continuous improvement efforts by identifying opportunities for process enhancements in the claims handling process.
Claims Adjuster
CNC Catastrophe and National Claims
09.2021 - 05.2022
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
- Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Shipfitter First Class
Ingalls Shipbuilding
05.2014 - 08.2021
- Reads and interprets blueprints, Lays out and fabricates metal structural parts, Aligns parts in relation to each other, Tack welds clips and brackets in place prior to permanent welding
- Enhanced ship structural integrity by proficiently cutting, shaping, and assembling steel components.
- Streamlined workflow for welding processes by accurately aligning bulkheads and plates.
- Increased team efficiency by providing guidance on proper tool usage and equipment maintenance.
- Promoted a safe working environment through consistent compliance with OSHA regulations and company safety policies.
- Reduced rework rates by carefully reading blueprints and interpreting technical specifications for accurate production results.
Correction Officer
Mobile County Sheriff's Office
10.2006 - 05.2014
- Enhanced facility safety by conducting thorough security checks and monitoring inmate activities.
- Reduced inmate altercations by maintaining consistent enforcement of rules and regulations.
- Prevented contraband introduction through diligent cell searches and visitor screenings.
- Promoted a positive environment for rehabilitation with effective communication and conflict resolution skills.
- Ensured accurate record-keeping by diligently documenting incidents, medical issues, and daily activities.
- Assisted in the coordination of educational and vocational programs to support inmate reintegration into society.
- Contributed to a decline in repeat offender rates through active involvement in rehabilitative programming initiatives such as substance abuse counseling or anger management classes.
- Demonstrated strong leadership abilities while serving as shift supervisor, coordinating officer assignments, resolving conflicts among staff members, and providing feedback on performance evaluations.
- Streamlined inmate processing procedures for improved efficiency during intake, transfer, and release periods.
- Provided guidance for new staff members as part of an ongoing training program aimed at enhancing overall team performance.
Education
Associates of Arts in Organizational Management -
University of Mobile
Mobile, AL01.1990
High School Diploma -
Blount High School
Mobile, AL01.1988
Skills
- Settlement Negotiation
- Claims Auditing
- High-Value Traces
- Regulatory knowledge
- Loss Documentation
- Microsoft Office
- Claims Processing
- Policy Interpretation
- Legal Compliance
- Budget Management
- Data Entry
- Performance Management
- Policy and procedure modification
- Business Administration
- Administrative Management
Licenses
Licensed in the following states:
- Alabama
- Georgia
- Louisiana
- Texas
- Indiana
- Michigan
- Mississippi
- North Carolina
- New York
- West Virginia
Timeline
Insolvency Claims Administrator
Mid America Catastrophe
07.2022 - 01.2024
Claims Adjuster
CNC Catastrophe and National Claims
09.2021 - 05.2022
Shipfitter First Class
Ingalls Shipbuilding
05.2014 - 08.2021
Correction Officer
Mobile County Sheriff's Office
10.2006 - 05.2014
Associates of Arts in Organizational Management -
University of Mobile
High School Diploma -
Blount High School
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