EVA WILLIAMS
Houston,TX
Summary
Customer-focused claims professional with over 3 years of experience in auto claims adjustment, ensuring compliance with regulatory requirements for fair settlements. Expertise in policy contract interpretation, determining claim coverage, and effective decision-making. Proven ability to de-escalate concerns and deliver exceptional customer satisfaction in fast-paced environments. Eager to leverage claims adjustment skills as an Auto Telephone Claims Adjuster at Allstate.
Overview
6
6
years of professional experience
Work History
Customer Service Representative
Cigna
Houston, Texas
11.2025 - Current
- Manage high-volume inbound and outbound calls, ensuring accuracy and empathy while adhering to compliance standards
- Communicate effectively with patients, caregivers, and internal teams to resolve issues and prevent interruptions in care
- Maintain detailed electronic records and ensure documentation accuracy in compliance with regulations
Member Service Representative
Premera Blue Cross
07.2023 - 01.2025
- Delivered high-quality customer support, achieving first-call resolution and minimizing repeat contacts by 20%
- Managed customer interactions with empathy and precision, maintaining client trust and mitigating escalated situations
- Conducted detailed claim research and resolved routine inquiries, driving case resolution metrics
Claims Generalist Associate
Progressive
Houston, TX
11.2020 - 07.2022
- Delivered exceptional customer service to insureds and claimants by anticipating their needs throughout the claims lifecycle
- Investigated auto insurance claims for accuracy and compliance while maintaining a customer-first mindset
- Resolved 125 claims monthly by applying strong problem-solving and negotiation skills
- Effectively communicated with various stakeholders, including claimants, insureds, attorneys, and third parties
- Collaborated with a team of 10 to manage claims efficiently and within regulatory guidelines
- Utilized various technology tools including claims management software to track claims progress and organize documentation
- Identified subrogation opportunities and fraud referrals to recover losses and enhance company profitability
- Prioritized daily tasks to manage time effectively and achieve departmental goals
Fast Track Adjuster
ACCC Insurance
Houston, TX
11.2019 - 06.2020
- Conducted thorough auto insurance claims investigations, demonstrating attention to detail, critical thinking, and adherence to company guidelines and regulations, resolving approximately 250 claims monthly
- Demonstrated adaptability to change and strong interpersonal skills in negotiating settlements with claimants
- Collaborated with team members to resolve claims and provide exceptional customer service
- Contributed to process improvement initiatives, offering innovative solutions and collaborating with management
Education
Bachelor of Science - Psychology
University of Houston-Downtown
Houston, TX08-2025
Skills
Timeline
Customer Service Representative
Cigna
11.2025 - Current
Member Service Representative
Premera Blue Cross
07.2023 - 01.2025
Claims Generalist Associate
Progressive
11.2020 - 07.2022
Fast Track Adjuster
ACCC Insurance
11.2019 - 06.2020
Bachelor of Science - Psychology
University of Houston-Downtown