Dedicated claim adjuster with 7+ years in auto insurance, thoroughly evaluating insurance claims and conducting detailed investigations while maintaining state and policy guidelines. I am known for my strong communication skills and building positive relationships with customers.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Agent
GEICO
04.2024 - Current
Provide excellent customer interface
Maintain sales goals
Review and discuss policy guidelines
Contact customers regarding state mandated changes and updates to policies
Review billing
Make policy changes
Communicate via email and text when needed
Initial Claims Handler lll
The General
10.2023 - 04.2024
Company Overview: Remote
Works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits
Identify Subrogation opportunities
Submit outgoing Subrogation to adverse carriers via ESub Hub
Respond and resolve inbound Subrogation received from adverse carriers
This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory auto damaged claims
Assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads
Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners
Refers to claim to Special Investigations Unit as appropriate
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims
Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company
Remote
Sr. Claims Adjuster
Liberty Mutual Insurance
07.2022 - 07.2023
Company Overview: Remote
Works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits
Review claims for Subrogation opportunities
Submit outgoing Subrogation to adverse carriers via ESub Hub
Respond and resolve inbound Subrogation received from adverse carriers
Identify and assign Total Loss Status to vehicles when needed
This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory auto damaged claims
Assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads
Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims
Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company
Remote
Claims Adjuster
GEICO
09.2019 - 07.2022
Inspect property damage or personal injury claims
Determine how much the insurance company should pay for the loss
Adjusters interview the claimant and witnesses
Perform additional research, such as look at police reports
Takes appropriate actions to prevent and/or minimize losses
Explain repair process
Assign Auto Damage Adjuster as needed
Recognize and notify SIU of potential or proven fraud
Claims Examiner
Bank of America
03.2018 - 09.2019
Completes analyses on suspected reports or alerts of fraud and escalations on various suspicious events or Bank products
Takes appropriate actions to prevent and/or minimize losses
Review established detection system-generated alerts to identify fraudulent activity related to merchant, check ACH (Automated Clearing House), wire, digital banking and account openings or review all reports of fraudulent activity related to check, card, wire, At-Risk Adult and identity theft claims
Lyft and Uber Driver
Lyft/Uber
04.2017 - 03.2018
Transport clients
Have expert knowledge of City and rural areas
Follow traffic safety laws
Maintain great driving record
Customer Service Representative
GEICO
10.2016 - 04.2017
Service existing and new auto, boat, motorcycle, home owners, rental, and RV insurance customers
Maintain customer retention
Provide accurate information for customer inquires
Use state regulated guidelines for all customer concerns
Route customers to correct departments
Provide billing, quote and policy change information
Process billing, quote and policy changes
Computer skills including: navigation through internet and intranet, typing or keyboard, understanding of basic software applications (e.g., Outlook, Word, Excel, Lotus, Email)
Promoted twice before leaving training
Customer Service Representative
Progressive Casuality Insurance
05.2015 - 10.2016
Service existing and new auto, boat, motorcycle, home owners, rental, and RV insurance customers
Maintain customer retention
Provide accurate information for customer inquires
Use state regulated guidelines for all customer concerns
Route customers to correct departments
Provide billing, quote and policy change information
Process billing, quote and policy changes
Computer skills including: navigation through internet and intranet, typing or keyboard, understanding of basic software applications (e.g., Outlook, Word, Excel, Lotus, Email)