David Harber
Reading,PA
Summary
Dynamic claims specialist with extensive experience at Erie Insurance, adept at optimizing claims processing and enhancing customer satisfaction. Proven track record in claims investigation and negotiation leadership, consistently surpassing performance targets. Strong analytical skills combined with exceptional interpersonal communication foster effective collaboration and resolution of complex claims issues.
Overview
30
30
years of professional experience
Work History
UM/UIM Claims Specialist
Erie Insurance
Erie, PA
06.2003 - 12.2024
- Evaluated and verified insurance claims for accuracy and adherence to company policies.
- Facilitated effective communication with clients to gather essential documentation for claims processing.
- Facilitated collaboration with internal departments to streamline resolution of complex claims issues.
- Streamlined claims handling procedures through targeted process improvements.
- Facilitated training sessions for new team members on claims management software and industry best practices.
- Oversaw claim status updates, ensuring timely communication with stakeholders throughout the process.
- Analyzed claim trends and generated comprehensive reports to inform management's strategic decisions.
- Addressed customer inquiries regarding claim status, enhancing client satisfaction levels.
- Oversaw high-volume claims processing by prioritizing tasks and enhancing organizational efficiency.
- Enhanced customer satisfaction by delivering timely communication, demonstrating empathy, and providing clear explanations of claim outcomes.
- Cultivated robust partnerships with external stakeholders, including adjusters, legal counsel, and medical professionals, to enhance claim resolution efficiency.
- Resolved complex claims through strategic negotiation and in-depth understanding of insurance policies.
- Managed high-pressure situations with professionalism and composure, ensuring positive outcomes for clients and the organization.
- Engaged with customers to resolve outstanding issues and enhance satisfaction.
- Facilitated collaboration among cross-functional teams to enhance claims handling procedures.
- Delivered exceptional customer service by efficiently resolving issues with empathy and support during stressful situations.
- Minimized claim processing errors through comprehensive investigations and precise interpretation of policy details.
- Facilitated comprehensive training sessions for new hires on claims handling procedures, policy interpretation, negotiation techniques, and essential competencies for claims specialists.
- Exhibited adaptability by effectively managing a diverse portfolio of claim types, including property damage, bodily injury, and liability disputes.
- Led investigations to identify fraudulent claims, collaborating with law enforcement agencies as needed.
- Optimized claim processing efficiency by streamlining workflows and implementing innovative strategies.
- Consistently surpassed performance targets by leveraging meticulous attention to detail, effective time management, and decisive decision-making.
- Audited insurance and claims documents to ensure accuracy and completeness of required information.
- Oversaw meticulous record maintenance by updating claim files and ensuring timely submission of all required documentation.
- Optimized claims handling procedures by implementing industry best practices to establish a benchmark for operational excellence.
- Evaluated claim documents to ensure accuracy and compliance, minimizing potential financial risks.
- Implemented stringent verification processes to reduce fraudulent claims and protect company assets.
- Optimized claims processing procedures to enhance efficiency and client satisfaction.
- Facilitated expert guidance on intricate claim matters, driving resolution of high-stakes disputes.
- Facilitated negotiations with claimants and attorneys to secure favorable settlements for all parties involved.
- Optimized claim assessment accuracy through implementation of advanced analytical tools.
- Strengthened data integrity and security protocols in claim management systems.
- Executed comprehensive investigations into suspicious claims, ensuring identification and resolution of fraudulent activities.
- Fostered strategic partnerships with external stakeholders, including repair shops and medical providers, to enhance claims resolution efficiency.
Sr Claims Adjuster
Mutual Benefit Insurancee
Huntingdon, PA
06.1995 - 06.2003
- Evaluated and processed complex insurance claims, ensuring compliance with policy guidelines.
- Collaborated with internal teams to streamline claims handling processes for improved efficiency.
- Mentored junior adjusters on best practices in claims assessment and dispute resolution.
- Conducted thorough investigations of claims to determine validity and prevent fraudulent activities.
- Consulted police and hospital records when needed.
- Interviewed claimants and witnesses to gather factual information.
- Examined photographs and statements.
- Reduced claim processing time by implementing streamlined procedures and efficient documentation practices.
- Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
- Served as a subject matter expert within the company for complex claims issues, providing guidance and support to colleagues when needed.
Education
Bachelor of Arts - Political Science
Pennsylvania State University
University Park, PA05-1977
High School Diploma - Academic
Altoona Area High
Altoona, PA05-1974
Skills
Claims
Claims processing
Claims investigation
Verbal communication
Microsoft office
Coverage assessments
Settlement determinations
Compliance management
Policy interpretation
Claims analysis
Documentation review
Accident investigations
Estimate preparation
Complex claims consulting
Negotiation leadership
Liability denials
Settlement management
Time management
Decision-making
Critical thinking
Customer service
Organizing and prioritizing work
Attention to detail
Teamwork and collaboration
Interpersonal communication
Problem-solving
Volunteering
Previously instructed Spanish speaking individuals in English.
Spend time at Spruce Manor Nursing Home
With residents studying scripture.
Timeline
UM/UIM Claims Specialist
Erie Insurance
06.2003 - 12.2024
Sr Claims Adjuster
Mutual Benefit Insurancee
06.1995 - 06.2003
Bachelor of Arts - Political Science
Pennsylvania State University
High School Diploma - Academic
Altoona Area High