Results-driven professional with over 10 years of experience in the insurance sector. Expertise in claims management and collaboration with adjusters to resolve complex cases efficiently. Successfully completed over 15 years Exceptional Customer Service Skills. Committed to enhancing customer experience through effective problem-solving and attention to detail.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Insurance Claims Specialist
Progressive Casulty Insurance
Daytona Beach, FL
01.2016 - Current
Reviewed and assessed insurance claims for accuracy and compliance with company policies.
Collaborated with adjusters to resolve complex claims efficiently and effectively.
Developed training materials for new hires, enhancing onboarding processes and knowledge retention.
Streamlined claim processing workflows, resulting in reduced turnaround times and improved customer satisfaction.
Inspections: Conducted visual inspections, taking photos and also writing repair estimates for damaged vehicles.
Negotiations: Negotiate directly with body shops regarding repair processes and costs.
Total losses: Settle total loss claims with customers, handling vehicle titles and documentation
Investigations: Investigate liability by speaking with drivers, witnesses, and police.
Policy Analysis: Interpret insurance policy coverage for complex scenarios.
Claims Administration: Process legal documents, order police reports, and scan files.
Customer Support: Greet customers, handle front-office duties, and support Adjusters with administrative tasks.
Gym Supervisor
City Of DeLand
DeLand, FL
01.2023 - Current
Supervised daily operations, ensuring safety and cleanliness standards in gym facilities.
Trained staff on equipment use and facility protocols to enhance user experience.
Supervised programs at the center, conducts public relations for events, and maintains facility safety.
Monitored member activities, addressing concerns promptly to maintain a positive environment.
Coordinated schedules for staff and maintenance activities to optimize facility usage.
Conducted regular inspections of gym equipment, insuring timely repairs and maintenance procedures were followed.
Led team meetings to communicate goals, updates, and best practices for operational efficiency.
Enhanced customer satisfaction by addressing concerns and resolving issues promptly and professionally.
Supervised gym staff to ensure proper adherence to safety protocols and efficient operations.
Assistant Manager
Enterprise Rent-A-Car
Orlando, FL
01.2011 - 02.2015
Managed daily operations and ensured compliance with company policies and procedures.
Mentored staff, fostering professional development and enhancing team performance.
Implemented process improvements that streamlined workflows and reduced operational bottlenecks.
Analyzed customer feedback to enhance service quality and improve rental experience.
Customer Service and Sales: Delivering high-quality customer service, handling rental transactions, and marketing to local partners.
Operations: Managing vehicle inventory, facilitating vehicle inspections, and managing maintenance.
Business Development: Setting and exceeding sales goals, building community relationships, and participating in marketing strategies.
Leadership Developement: Participating in mentorship, learning to train staff, and managing daily branch operations to prepare for future management roles.
Education
Bachelor of Science - Business Administration
Edward Waters Univeristy
Jacksonville, FL
12-2011
High School Diploma -
Deltona High School
Deltona, FL
12-2006
Skills
Claims investigation
Claims analysis
Policy interpretation
Teamwork and collaboration
Attention to detail
Customer service
Active listening
Claims processing
Data entry
Organizing and prioritizing work
Insurance coverage verification
Documentation skills
Claim amount calculations
Claims adjustment
Policy analysis
Recordkeeping organization
Decision-making
Policy review
Coverage determination
Eligibility determination
Denied claims identification
Client interviews
Insurance claim forms review
Medical terminology
Microsoft office
Patient contact
Great mathematical skills
Records management
Proficient in Microsoft
Critical thinking
Information verification
Payment and investigation escalations
Database management
Data entry software
Financial transactions
Account management software
Small claims payouts
Reporting skills
Appointment scheduling
Documentation processing
Patient rapport
Paperwork processing
Business correspondence
Account management
Large-sum computations
Document control
Problem-solving
Teamwork
Time management
Problem-solving abilities
Multitasking
Multitasking Abilities
Reliability
Excellent communication
Organizational skills
Team collaboration
Adaptability and flexibility
Verbal and written communication
Relationship building
Computer proficiency
Self motivation
Interpersonal skills
Analytical thinking
Conflict resolution
Risk assessment
Goal setting
Document review
Fraud detection
Case management
Dispute resolution
Professional demeanor
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Supervised team of 7staff members.
Documented and resolved Customer Escalations which led to Satisfactory Customer Surveys.
Certification
Used Microsoft Excel to develop inventory tracking spreadsheets.
Supervised team of 7staff members.
Documented and resolved Customer Escalations which led to Satisfactory Customer Surveys.