David Olfers
Austin,TX
Summary
Responsible Senior Claims Adjuster with experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing case facts. To continue career with an organization that will utilize knowledge and skills as a seasoned Claims adjuster to benefit mutual growth and success.
Overview
27
27
years of professional experience
Work History
Senior Claims Examiner II
Pharmacist Mutual Insurance Company
03.2021 - Current
- Interview claimants and witnesses to gather factual information.
- Research claims and incident information to deliver solutions and resolve problems.
- Handle complaints and grievances using negotiating and problem-solving skills.
- Deliver exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Conduct day-to-day administrative tasks to maintain information files and process paperwork.
- Identify insurance coverage limitations with thorough examinations of claims documentation and related records.
- Review police reports, medical treatment records, and physical property damage to determine extent of liability.
- Direct claims negotiations within allowable limit and support successful litigations for advanced issues.
- Negotiated bodily injury and property damage settlement agreements to resolve disputes.
- Review and negotiate attorney demands for claim resolution.
- Identify suspicious losses and contact manager for investigative assistance.
Senior Claims Adjuster
Progressive Insurance
06.2018 - 12.2019
- Investigated and processed single car and 2 car collision insurance claims for policyholders.
- Consulted police and hospital records when needed.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Substantiated legitimate claims and denied unjustified claims.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Acted as mentor or "go to" seasoned employee to assist newly hired associates if needed.
- Consistently delivered excellent customer service experience to all customers.
Senior Service Advocate
Farmers Insurance
12.2016 - 05.2018
- Processed payments, updated accounts and submitted paperwork on behalf of customers.
- Applied advanced computer and customer service skills to develop successful solutions to concerns.
- Policy Trainer for new employees for licensing purposes.
- Licensed in 40 states to handle complex billing issues and quoting.
- Considered subject matter expert and resource in Texas policy interpretation. Increased license test pass success by 90% for new hires.
- Expert user in Data Correction and SAP systems for billing.
- Conducted in-depth research on complex problems to bring about satisfactory resolutions.
- Cultivated professional relationships with customers to earn trust and to have open line of communication.
Senior Claims Adjuster
State Farm Insurance
03.1997 - 11.2016
- Worked as claims adjuster handling property/bodily injury claims.
- Responsibilities were to investigate, evaluate, negotiate and settle claims according to policy guidelines and Department of Insurance standards.
- Handled owned file inventory.
- Communicated with attorneys in settling claims
- Subject matter expert in body work and mechanical issues.
- Acted as mentor to newly hired employees as well as resource for other employees.
- Shadowed SIU (special investigative unit) team for 6 months to widen skill base.
- Cross trained in CA&P (claims automation & procedures) division for opportunity to gain knowledge.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Education
Bachelor of Science - Mathematics
University of Texas At Austin
Austin, TX05.2024
Associate of Arts - English/Japanese
Austin Community College
Austin, TX08.1995
Skills
- Automobile Claims Specialist
- Claims Understanding
- Liability Determinations
- Claim Validity Determination
- Service Quality
- Complex Problem-Solving
- Injury Evaluation
- Policy Interpretation
- Coverage Analysis
- Insurance Fraud Expertise
- Microsoft Office Suite
Timeline
Senior Claims Examiner II
Pharmacist Mutual Insurance Company
03.2021 - Current
Senior Claims Adjuster
Progressive Insurance
06.2018 - 12.2019
Senior Service Advocate
Farmers Insurance
12.2016 - 05.2018
Senior Claims Adjuster
State Farm Insurance
03.1997 - 11.2016
Bachelor of Science - Mathematics
University of Texas At Austin
Associate of Arts - English/Japanese
Austin Community College