Ericka Riles
Atlanta,GA
Summary
Detail-oriented and customer focused Claims Adjuster with 9 years of experience in evaluating, investigation and resolving claims efficiently. Known for strong teamwork, adaptability, and reliability.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Liability Claims Adjuster
United Automobile Insurance Company
Miami, FL
07.2024 - Current
- Conducted thorough investigations of property, auto and liability claims, gathering evidence and assessing damages to determine policy coverage and claim validity.
- Negotiated settlements with claimants, attorneys and other involved parties.
- Trained new adjusters on company policies and procedures, contributing to a well-prepared team of professionals.
- Collaborated with appraisers and medical professions to verify damages and estimate repair cost.
- Maintained a high-volume caseload while meeting deadlines for timely claims processing.
Claim Adjuster
Root Insurance
Columbus, OH
02.2024 - 06.2024
- Delivered exceptional customer service by communicating clearly with policy holders, claimants throughout the resolution process.
- Identified potential fraudulent claims and escalated cases for further investigation.
- Verified insurance claims and determined fair amount for settlement.
- Prepared comprehensive claim documentation, including detailed reports and recommendations for upper management.
- Determined coverage eligibility by reviewing policy contracts, endorsements, and exclusions ensuring proper interpretation of policy terms.
Claims Adjuster
Liberty Mutual
Columbus, OH
07.2022 - 02.2024
- Review medical records, police reports, and other documents related to the claim.
- Investigating, evaluating, and settling auto/property claims.
- Identified and flagged fraudulent claims for further investigation, reducing unnecessary payouts and mitigating company risk.
- Utilized claims management software to document claim progress update files, and ensure accurate and timely claim processing.
- Collaborated with management to improve employee onboarding and lead job shadowing sessions.
GAP Total Loss Adjuster
Safeguard Products International
Atlanta, GA
06.2021 - 07.2022
- Calculated claim proceeds in accordance with GAP contract coverage.
- Examines and adjusts GAP claims to include coordinating all claims related activities and processing payments to lenders.
- Requested additional documents to assist in determination of a claim.
- Investing, evaluating and settling of claims.
Customer Service Representative
Safeguard Products International
Atlanta, GA
06.2021 - 07.2022
- FNOL calls from policy holders, lien holders and dealerships..
- Explained GAP coverage in detail to customers.
- Handled between 40-50 inbound calls related to claims processing.
- Reviewed and accepted documents for customer GAP claim.
Claims Adjuster
State Farm Insurance
Atlanta, GA
03.2016 - 06.2017
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
- Documented all findings in concise reports.
- Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
Education
Associate of Science - Pharmacy
Ultimate Medical Academy
Clearwater, FL05-2019
Skills
- Proficiency in Claims Management Software, Guidewires, Xactimate
- Claims investigation and evaluation
- Time management and multitasking
- Employee training and development
- Policy coverage analysis
- Customer service and conflict resolution
Certification
Licensed Claim Adjuster in TX, GL, GA, SC, NC, VT, DE, OK, WY
Timeline
Liability Claims Adjuster
United Automobile Insurance Company
07.2024 - Current
Claim Adjuster
Root Insurance
02.2024 - 06.2024
Claims Adjuster
Liberty Mutual
07.2022 - 02.2024
GAP Total Loss Adjuster
Safeguard Products International
06.2021 - 07.2022
Customer Service Representative
Safeguard Products International
06.2021 - 07.2022
Claims Adjuster
State Farm Insurance
03.2016 - 06.2017
Associate of Science - Pharmacy
Ultimate Medical Academy
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