Results-driven Claims Adjustor with strong negotiation and claims evaluation skills. Proven ability to resolve disputes effectively and educate clients on policy benefits, ensuring fair and timely settlements.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claims Adjustor
Auto Owners
Draper
11.2021 - 02.2026
Investigated claim incidents through interviews and document review.
Negotiated with clients and service providers to resolve disputes and facilitate timely claim settlements.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Gathered information from third parties to assess claim acceptability and ensure compliance with policy guidelines.
Negotiated and settled claims according to information presented through reports, research, and data verification.
Conducted witness interviews to enhance claim information accuracy and support decision-making.
Group Health Account Manager
Paychex
Provo
09.2017 - 11.2021
Educated customers on policy coverage and benefits to enhance understanding and informed decision-making.
Processed applications and maintained accurate client records.
Supported clients throughout enrollment periods to ensure a smooth and compliant onboarding experience.
Educated customers on various health insurance products and services available.
Ensured that all documents were properly completed prior to submitting them for review.
Explained policy terms, conditions, and benefits to clients, facilitating clarity and confidence in their choices.
Claims Specialist
Purco Fleet Services
Spanish Fork
11.2016 - 09.2017
Maintained detailed records of claims and communications to support accurate processing.
Resolved claims by evaluating documentation and calculating benefits, ensuring compliance with policies.
Determined compensation settlements, facilitating fair resolutions for claimants.
Progam Account Manager
Citadel
American Fork
01.2012 - 10.2016
Sold specialized professional liability insurance to home inspectors, addressing their unique coverage needs
Created quotes and educated clients on industry risk factors, enhancing their understanding of coverage options
Generated leads through professional organizations by attending seminars and annual conferences, fostering industry connections
Education
Some College (No Degree) - General Studies
Utah Valley University
Orem, UT
LUTCF -
American College of Education
Bryn Mawr, PA
Skills
Claims negotiation
Claim evaluation
Regulatory compliance
Risk assessment
Documentation review
Data analysis
Customer relationship management
Certification
Property & Casualty, Life, Health, Public Adjustor
Total Loss Claims Adjuster / Auto Weather Catastrophe Associate / Claims Associate at State Farm Insurance CompanyTotal Loss Claims Adjuster / Auto Weather Catastrophe Associate / Claims Associate at State Farm Insurance Company