CHELSEA HAYES
Summary
A detail-oriented Inbound Customer Service Representative with experience in insurance plans, tax preparation, and claims management. Proficient in database management and experienced in providing professional sales expertise.
Professional insurance claims specialist with substantial experience in evaluating, processing, and resolving claims efficiently. Strong focus on team collaboration and delivering results, adaptable to changing needs. Skilled in claims investigation, policy interpretation, and customer communication, with dependable and flexible approach.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Inside Desk Adjuster
Pilot Catastrophe Services
10.2023 - 11.2024
- Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Conducted regular audits on closed claim files to verify adherence to company policies and regulatory requirements, minimizing risk exposure for the organization.
- Enhanced team productivity through effective communication, collaboration, and leadership within the office environment.
- Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
- Increased client retention rates through empathetic communication and swift resolution of concerns during the adjustment process.
- Responded to customer inquiries, made appropriate decisions and closed files.
- Developed strong relationships with policyholders by providing exceptional customer service throughout the claims process.
- Acted as a mentor to new team members by providing guidance and support, contributing to overall office morale and cohesion.
- Maintained compliance with industry regulations while ensuring accurate documentation of all claim files.
- Consistently met or exceeded performance metrics, demonstrating a strong commitment to excellence in desk adjusting work.
- Reduced errors in claims handling by conducting thorough investigations and consistently verifying information accuracy.
Inside Desk Adjuster
CNC Catastrophe & National Claims
11.2021 - 06.2023
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
- Conducted regular audits on closed claim files to verify adherence to company policies and regulatory requirements, minimizing risk exposure for the organization.
- Enhanced team productivity through effective communication, collaboration, and leadership within the office environment.
- Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
- Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels.
- Developed strong relationships with policyholders by providing exceptional customer service throughout the claims process.
- Maintained compliance with industry regulations while ensuring accurate documentation of all claim files.
- Consistently met or exceeded performance metrics, demonstrating a strong commitment to excellence in desk adjusting work.
Inbound/Outbound Sales Representative
The Results
05.2018 - 10.2019
- Served as a Sales Representative for Comcast TV
- Responsible for generating new sales accounts and product upgrades through Inbound/Outbound calls
- Provided information about available products, services, membership details, and purchase advantages
- Accurately tracked/ recorded contact information and responded to large numbers of incoming and outgoing phone calls
- Handled warm calls from interested individuals, quickly turning interest to sales
Education
High School Diploma - Basic Skills
Murphy High School
04.2016
COSMETOLOGY -
TL Faulkner
04.2016
Skills
- Database Management
- Problem Resolution
- Account Management
- Customer Relations
- Positive and Professional Sales Expertise
- Claims analysis
- Investigation techniques
- Prioritization
- Collaboration
- Subrogation
- Coverage assessments
- Policy investigations
- Casualty and property loss
- Property adjusting
- Claims file management processes
- Claims negotiation
- Claims investigations
- Claims file documentation
- Settlement management
- Customer Service
- Insurance policy knowledge
- Problem-solving abilities
- Multitasking
- Decision-making skills
- Workload prioritization
- Risk Assessment
Certification
- Adjuster License (Property & Casualty), Florida, G040835, 09/08/23, 06/30/25
- Adjuster License (Property & Casualty), Louisiana, 1079977, 08/21/23, 06/30/25
- Adjuster License (Property & Casualty), Alabama, 3002640191, 08/01/23, 06/30/25
Timeline
Inside Desk Adjuster
Pilot Catastrophe Services
10.2023 - 11.2024
Inside Desk Adjuster
CNC Catastrophe & National Claims
11.2021 - 06.2023
Inbound/Outbound Sales Representative
The Results
05.2018 - 10.2019
High School Diploma - Basic Skills
Murphy High School
COSMETOLOGY -
TL Faulkner