Christina Wynn
Macon,GA
Summary
Detail-oriented Examiner with 15 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and injury settlement. Motivated claims examiner specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable. Business-minded [Job Title] with exemplary skills in customer service, time management and service coordination. Bringing over 15 years of related experience combined with superior mathematical abilities. Pursuing similar position with expanding insurance company.
Overview
25
25
years of professional experience
Work History
Senior Claims Examiner
GEICO
01.2009 - Current
- Researched claims and incident information to deliver solutions and resolve problems.
- Interviewed claimants and witnesses to gather factual information.
- Consulted police and hospital records when needed.
- Finalized Bodily Injury/Underinsured Motorist/Property Damage files for insurance claim payment release.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Examined photographs and statements.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Maintained contact with claimants and attorneys to determine treatment status.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Maintained claims data in Atlas systems.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Organized, planned and documented materials for litigation claims.
Certified Pharmacy Technician
CVS
01.1999 - 11.2008
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Education
Nursing
Macon State College
Macon GAHigh School Diploma -
Gilead Christian Academy
Macon GA05.1998
Skills
- Evidence Preservation
- Determine Coverage
- Investigate Property Damage
- Settlement Documents
- Insurance Claims Cases
- Claim Validity Determination
- Complex Problem-Solving
- Complex Negotiations
- Claims Adjustments Review
- Litigation Support
- Claims Understanding
- Outgoing Phone Calls
- Negotiation and Mediation Skills
- Injury Evaluation
- Status Updates
- Litigation Management
Timeline
Senior Claims Examiner
GEICO
01.2009 - Current
Certified Pharmacy Technician
CVS
01.1999 - 11.2008
Nursing
Macon State College
High School Diploma -
Gilead Christian Academy
Similar Profiles
Hope RodriguezHope Rodriguez
Claims Adjuster at GEICOClaims Adjuster at GEICO
Anthony JohnsonAnthony Johnson
Auto Claims Adjuster- LDP at GEICOAuto Claims Adjuster- LDP at GEICO
Joletha GoodmanJoletha Goodman
Business Developer at GEICOBusiness Developer at GEICO
Austin LongAustin Long
Customer Service Agent at GEICOCustomer Service Agent at GEICO
Donnovan DiazDonnovan Diaz
Customer Support Specialist at Eagleview TechnologiesCustomer Support Specialist at Eagleview Technologies