Deborah McCarty
Battle Creek,MI
Summary
Dedicated Claims Adjuster with a proven track record in customer service and problem-solving. Expertise in efficient claims management and communication, ensuring high customer satisfaction and timely resolutions.
Overview
25
25
years of professional experience
Work History
Claims Adjuster
Hastings Insurance Company
Hastings, MI
10.2018 - Current
- Assisted in gathering documentation for claims processing and validation.
- Supported communication with clients to clarify claim details and requirements.
- Learned to evaluate claims based on policy coverage and guidelines.
- Reviewed and organized claim files for efficient processing workflow.
- Utilized claims management software to track progress of submitted claims.
- Maintained accurate records of client interactions for future reference.
- Adapted quickly to new systems and procedures within the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Prepared summaries of damage, payments, and policy coverage.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Customer Service Representative
Allen-Harmon Insurance Co
Battle Creek MI
07.2001 - 08.2018
- Resolved customer inquiries, providing accurate information and enhancing client satisfaction.
- Managed multiple communication channels, ensuring timely responses to client needs.
- Assisted in policy changes and billing inquiries, streamlining customer service processes.
- Mentored new team members on effective communication techniques and product knowledge.
- Provided exceptional customer support by resolving inquiries and claims efficiently.
- Educated clients on policy details and coverage options to enhance understanding.
- Processed policy renewals and modifications, ensuring accurate documentation.
- Collaborated with underwriting teams to expedite claim approvals and resolutions.
- Trained new representatives on systems, processes, and customer service best practices.
- Analyzed customer feedback to identify service improvement opportunities.
- Developed training materials for onboarding new staff members effectively.
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
- Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
Education
Associate of Arts -
Kellogg Community College
Battle Creek MI06-1984
Skills
- Organization
- Complaint handling
- Client education
- Customer service
- Active listening
- Attention to detail
- Records management
- Documentation skills
- Data entry
- Teamwork and collaboration
- Paperwork processing
- Critical thinking
- Information verification
- Recordkeeping organization
- Organizing and prioritizing work
- Client interviews
- Problem-solving
- Time management
- Problem-solving abilities
- Multitasking
- Excellent communication
- Organizational skills
Timeline
Claims Adjuster
Hastings Insurance Company
10.2018 - Current
Customer Service Representative
Allen-Harmon Insurance Co
07.2001 - 08.2018
Associate of Arts -
Kellogg Community College