Accomplished in claims management and policy investigations, I bring a proven track record from roles at Badcock, USAA and beyond. Expert in insurance policy coverage with a knack for regulatory compliance and advanced computer skills. Known for driving significant improvements in claims processing efficiency, I excel in customer service and operational leadership.
-Manages assigned claims caseload comprised of claims with moderate complexity damages that requires understanding of claims coverage.
-Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
-Determines and negotiates moderate complexity claims settlement.
-Multifaceted and solutions-focused leader focused on departmental operations, customer service, staff leadership and training.
- Claims – Managed claims process with interview of insureds, claimants, witnesses, police, doctors, and other parties to determine settlement or denial of claims.
-Adjusted Bodily Injury medical claims: Identifies, confirms, and makes coverage decisions on soft tissue claims.
-Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
- Empathetic & reliable in successful resolution of all escalated issues with prompt & friendly service and productive support.
-Claims Adjuster – Managed notifications for claims settlements or denials with details of coverage, liability, and reasons why a claim was approved or denied.
-Claims Processing – Led coordination of all estimations for repair or rental services to support claims processing and provide for needs of the policyholder.
-Payments – Facilitated timely distribution of payments for property damage or injuries related to claims.
-Manages assigned claims caseload comprised of claims with moderate complexity damages that requires understanding of claims coverage.
-Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
-Determines and negotiates moderate complexity claims settlement.
-Provides premier customer service, including greeting customers and answering their questions.
-Weighs and scans products.
-Accepts payment and provide change when appropriate.
-Handles cash and other forms of tender accurately.
-Bags products when necessary.
-Maintains a neat and clean register area.