DeAndre James
Lexington,KY
Summary
Experienced insurance professional with strong abilities in assessing properties, determining liabilities, and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Demonstrated efficiency in handling high case volumes with accuracy and care. Highly organized individual who excells at managing multiple task while maintaining a positive attitude. Willing to take on additional responsibilities to meet goals and achieve team success.
Overview
11
11
years of professional experience
Work History
Insurance Field Adjuster
CNC Catastrophe & National Claims
11.2020 - Current
- Reviewed bills, estimates and proofs of loss prior to making settlement and payment of claim.
- Improved claim processing efficiency by conducting thorough field investigations and assessments.
- Reduced turnaround time for claim resolutions through prompt scheduling of appointments with policyholders following receipt of new assignments.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Demonstrated strong negotiation skills in settling claims disputes, achieving mutually agreeable outcomes for both the company and policyholders.
- Enhanced customer satisfaction by providing timely and accurate updates on the status of their claims.
Customer Support Agent
T-Mobile
03.2018 - 11.2019
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving conflicts.
- Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
- Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
Provider & Data Analysis-Provider Operations Audit
Evolent Health
03.2014 - 05.2016
- Partner with departmental leadership team to ensure consistency in data entry requirements across department
- Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedure
- Recorded actions taken, issues resolved and updated information to effectively manage customer accounts.
- Audit accuracy of new group set-ups, existing contract changes, group terminations and/or provider updates
Education
Physical Health & Education
Kentucky State University
05.2016
High School Diploma -
Northwestern High School
Detroit, MI05.2009
Skills
- Estimating Software (Xactimate level 2)
- Task Prioritization
- Professionalism
- Excellent Communication
- Customer Service
- Insurance policy coverage knowledge
- Report and Records Review
- Property Damage Assessment
Wind & Hail, Freeze, BUSD, Large Loss, commercial, Farm & Ranch, Fire
Timeline
Insurance Field Adjuster
CNC Catastrophe & National Claims
11.2020 - Current
Customer Support Agent
T-Mobile
03.2018 - 11.2019
Provider & Data Analysis-Provider Operations Audit
Evolent Health
03.2014 - 05.2016
Physical Health & Education
Kentucky State University
High School Diploma -
Northwestern High School
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