Christina Clarke
Rahway,NJ
Summary
Detail-oriented and results-driven insurance professional with extensive experience in coverage and complex claims management, underwriting, and policy fraud investigation. Proven ability to analyze risks, assess claims, and ensure compliance with industry regulations. Exceptional problem-solving skills and a strong commitment to customer service.
Overview
9
9
years of professional experience
Work History
Coverage and Complex Claim Specialist
Chubb
Jersey City, New Jersey
08.2023 - 02.2025
- Manage complex claims involving multiple parties, including liability and property damage claims, ensuring timely and accurate resolution.
- Interpret policy language to determine coverage applicability and assess claim validity.
- Collaborate with legal teams and external vendors to facilitate investigations and gather necessary documentation.
- Preparing detailed reports summarizing findings, decisions, and recommendations for claim resolution and presenting these to management for further action.
- Negotiate settlements with claimants and attorneys, achieving favorable outcomes while maintaining company interests.
- Develop and implement best practices for claims handling, resulting in a 40% increase in efficiency.
Policy Fraud Investigator
GEICO
Woodbury, NY
01.2018 - 07.2023
- Investigated suspected fraudulent claims by conducting interviews, gathering evidence, and analyzing documentation.
- Validated all policy information completely and accurately while maintaining compliance with the set standard to support the company goals and ensure overall productivity.
- Identified inaccurate customers information resulting in $2M+ profit gain.
Underwriter
GEICO
Woodbury, NY
01.2018 - 07.2023
- Review insurance applications to evaluate submissions information required to accept or reject new policies based on company's guidelines.
- Assess risk based on quality of record through a renewal process to ensure compliance within company guidelines and initiate appropriate loss prevention actions.
- Communicate daily with agents via telephone and email to assist in risk placement and rating, obtain information and answer customer/agent inquiries.
- Demonstrate the highest level of professionalism and customer service towards all customers.
Claims Specialist
GEICO
Woodbury, NY
12.2017 - 01.2018
- Fielded 60+ first notice loss calls daily.
- Managed claims submission, provide oversight and determined fault based on legal reports and customer/claimant details.
- Collaborated with other insurance carriers to issue payments and conduct repairs.
- Performed liaison services to both internal and external customers.
Customer Service Representative
GEICO
Woodbury, NY
12.2015 - 12.2017
- Provided new hire and cross training to 20+ new hires to enhance efficiency and strengthen the business units' objective.
- Oversaw 80+ calls daily consisting of policy probing, data collection and presentation of additional products for purchase.
- Developed and submitted new ideas to management based on customer feedback to ensure business best practices.
Education
Occupational Therapy -
Nassau Community College
Garden City, NYSkills
- Claims Management
- Policy Development/Renewal
- Risk Assessment/ Management
- Analytical and Problem-Solving Skills
- Active Listener
- Excel/ Word Proficiency
- Litigation Management
- Diary Management
- Coverage Analysis
- Insurance Underwriting
- Contract review
- Negotiation and Settlement
Timeline
Coverage and Complex Claim Specialist
Chubb
08.2023 - 02.2025
Policy Fraud Investigator
GEICO
01.2018 - 07.2023
Underwriter
GEICO
01.2018 - 07.2023
Claims Specialist
GEICO
12.2017 - 01.2018
Customer Service Representative
GEICO
12.2015 - 12.2017
Occupational Therapy -
Nassau Community College