Provided guidance and support to less experienced Claims Adjusters when necessary.
Complied with applicable state regulations governing insurance industry practices.
Analyzed complex documents including contracts, medical records, legal documents, and other pertinent materials to determine benefit eligibility.
Investigated and evaluated insurance claims to determine valid coverage, liability, and damages.
LICENSED CLAIMS ADJUSTER
STATE FARM
01.2017 - 02.2023
Investigates and settles claims including verification of coverage and liability determination which may require contact by telephone, email, correspondence, or other electronic media
Applies knowledge of policies, procedures, laws, statutes, and insurance regulations when determining property damage
Utilizes various electronic resources for auto claim handling
Review property damage supports to determine if payment amount is owed prior to issuing claim payments
Team and section Quality/Q3 Single Point of Contact assisting team members with complex claims
Hosts huddles and Team Performance Dialogues
Express Support team, Flex and HAART handler for licensed and unlicensed states
New hire peer assistance during bridge/ADAPT in office and virtually.
LICENSED AUTO CLAIM SPECIALIST
GEICO
11.2011 - 09.2016
Investigate and process auto claims filed by policyholders, claimants, attorney, and other third parties
Verify and confirm coverage applies prior to handling all individually assigned claims
Complete recorded statements to assist with liability investigations
Evaluate facts of the loss, review damage photos, estimates, loss location, statements, and other evidence to determine liability.