Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 3+ years of insurance experience.
Overview
14
14
years of professional experience
Work History
Claims Representative II
National General Ins. Co./Allstate Ins Co
Ontario, CA
06.2019 - 02.2023
Develop a working knowledge of systems and policies used within the company to review claims data, investigate the loss, determine coverage and liability and finalize within authority.
Determine subrogation and fraud potentials.
Authorize payment and settlement options.
Manage 50+ claims weekly using appropriate customer service.
Identifies suspicious losses and recommends referral to SIU where appropriate and may assist SIU in their investigation and settling of claim.
Keeps the insured and others informed about the claim's status with clear, timely and accurate written/oral communications.
Affirms or denies coverage of the claim based on the facts and the policy terms and conditions.
Meet time requirements of the policy and fair claims handling practices.
Experienced in California Oregon and Washington claims and policies.
Experience with non standard policies.
Certified Income Tax Preparer
Optima Tax Relief LLC
06.2017 - 01.2019
Identify the root of the prospect's tax problem.
Qualify tax clients for one of Optima Tax Relief services.
Contacting tax clients and field new calls from individuals in trouble with the IRS.
Calculate tax information.
Compute taxes owed or overpaid.
Verify accuracy of records.
Develop financial plan for clients.
Explain Federal and State tax laws for individuals and businesses.
Explain regulations, policies and procedures.
Skilled at working independently and collaboratively in a team environment.
Worked flexible hours across night, weekend and holiday shifts.
Certified Income Tax Preparer
DP Tax Service
01.2009 - 04.2017
Facilitated integration of modern tax software with client accounting software.
Analyzed financial records to verify accuracy of tax returns.
Communicated with clients regarding tax situations, providing guidance on financial decisions.
Contacted IRS or other relevant government organizations on behalf of client to address issues related to tax self-preparation.
Collaborated with clients to answer questions and provide advice on tax matters.
Reviewed available data and compared against tax code to determine exemptions, deductions, and potential liabilities.
Utilized tax software to prepare returns and meet deadlines.
Assessed client tax situations to determine best filing options.
Maintained complete records of client tax returns and supporting documentation in secured areas.
Facilitated communication between clients and tax authorities.
Researched tax implications for various deductions and credits.
Maintained compliance by adhering to current tax laws and regulations.
Prepared tax returns for clients in various industries according to government regulations and requirements.
Consulted with clients to assess and mitigate future tax liabilities and determine eligibility for tax abatement.
Calculated estimated tax payments for clients.
Prepared written responses or tax return amendments to resolve state and federal notices.
Researched complex tax issues utilizing online resources and professional tax software.
Education
Bachelor of Arts - Criminal Justice
California State University - Fullerton
Fullerton, CA
01.1990
Skills
Microsoft Office: Word, Excel and Powerpoint
Accident Investigations
Coverage Determination
Insurance Industry Experience
Critical Thinking
Negotiation
Time Management
Liability Determinations
Insurance Terminology
Work Organizing and Prioritizing
Policy Knowledge
Timeline
Claims Representative II
National General Ins. Co./Allstate Ins Co
06.2019 - 02.2023
Certified Income Tax Preparer
Optima Tax Relief LLC
06.2017 - 01.2019
Certified Income Tax Preparer
DP Tax Service
01.2009 - 04.2017
Bachelor of Arts - Criminal Justice
California State University - Fullerton
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