Organized Insurance Claims professional offering expertise in investigation, litigation and settlements. Proficient in executing claims transactions and applying settlement protocols to foster timely, fair and accurate claims processing.
Overview
13
13
years of professional experience
2
2
years of post-secondary education
Work History
Claims Examiner
GEICO
Tucson, Arizona
02.2016 - Current
Maintained detailed records of claims activities in company database systems.
Managed workloads efficiently by prioritizing tasks based on urgency or importance.
Paid and processed claims within designated authority level.
Conducted daily reviews on claim files and provided updates to policyholders.
Tracked progress of pending cases through verbal and written follow-up.
Obtained necessary information to complete proper evaluation of injury claims.
Developed a detailed understanding of the company's policies and procedures related to claim processing.
Reviewed and assessed complex claims for accuracy and compliance.
Collaborated with legal teams to address claims-related disputes.
Adjusted reserves to maintain consistency with established operational and risk guidelines.
Attended court proceedings as a representative of the company when necessary.
Established relationships with external providers including both plaintiff and defense attorneys.
Negotiated settlements with claimants or their representatives in order to reach an equitable resolution.
Telephone Claims Representative
GEICO
Tucson, AZ
06.2013 - 02.2016
Explained complex claim processes to customers in easy-to-understand language.
Communicated with clients to gather information and clarify claim details.
Evaluated liability claims by analyzing incident reports and insurance policies.
Conducted interviews with witnesses to obtain crucial information for claims analysis.
Education
Bachelor of Science - Hotel, Resort And Restaurant Management
Northern Arizona University
Flagstaff, AZ
08.2006 - 03.2008
Skills
Claims evaluation
Dispute resolution
Records management
Effective communication
Problem solving
Attention to detail
Time management
Team collaboration
Verbal communication
Investigative skills
Settlement negotiations
Decision-making
Timeline
Claims Examiner
GEICO
02.2016 - Current
Telephone Claims Representative
GEICO
06.2013 - 02.2016
Bachelor of Science - Hotel, Resort And Restaurant Management