Claudia WEINBERG
Richboro,PA
Summary
Dynamic Senior Claims Adjuster with a proven track record at AmTrust, excelling in Worker's Compensation claims analysis and effective communication with clients, including high profile accounts. Expertly negotiated settlements, enhancing customer satisfaction and minimizing financial risk. Recognized for strategic decision-making and professionalism, consistently delivering exceptional service while resolving claims efficiently. Most proficient handling NJ claims, but not limited to NJ.
Overview
25
25
years of professional experience
Work History
Senior Worker's Compensation Claims Adjuster
AmTrust
12.2004 - Current
- Collaborated with cross-functional teams to expedite claim handling processes, enhancing overall efficiency and client satisfaction scores.
- Expedited claims settlements with successful negotiation strategies and effective communication skills.
- Enhanced customer satisfaction by promptly addressing and resolving complex claim issues through thorough investigation and analysis.
- Interviewed claimants and witnesses to gather factual information.
- Developed strong relationships with external partners such as repair shops, medical providers, and legal professionals to facilitate seamless claim resolutions.
- Minimized company exposure to financial risk by diligently identifying fraudulent claims and coordinating with legal teams for resolution.
- Implemented cost-saving measures by effectively negotiating settlement amounts within authorized limits while ensuring fair compensation for policyholders'' losses.
- Maintained detailed records of all case-related activities, ensuring accurate documentation for auditing purposes and future reference.
- Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
- Examined photographs and statements.
- Examined claims forms and other records to determine insurance coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained contact with claimants and attorneys to determine treatment status.
Claims Adjuster
AmeriHealth
09.2000 - 12.2004
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Provided exceptional customer service, addressing concerns, and answering questions promptly.
- Analyzed information gathered by investigation . Reported findings and recommendations.
Education
No Degree - Marketing
Rutgers Universiry
Camden NJBachelor of Arts - Business Administration
Cherry Hill West
Cherry Hill, NJ06-1971
Skills
- Strategic Decision-making
- Time management mastery
- Effective communication
- Sales experience
- Professionalism and integrity
- Claims analysis expertise
- Claims investigation
- Workers' compensation claims
Timeline
Senior Worker's Compensation Claims Adjuster
AmTrust
12.2004 - Current
Claims Adjuster
AmeriHealth
09.2000 - 12.2004
No Degree - Marketing
Rutgers Universiry
Bachelor of Arts - Business Administration
Cherry Hill West