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
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
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