Results-driven claims management professional prepared for this role with strong background in assessing and processing claims, resolving disputes, and ensuring compliance with regulations. Skilled in risk analysis, negotiation, and policy interpretation, with proven track record of fostering team collaboration and adapting to changing needs. Known for reliability, effective communication, and focus on achieving optimal outcomes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Volunteer Coordinator
Suncoast Humane Society
07.2025 - Current
Recruited and trained new volunteers on volunteer program goals and objectives.
Coordinated large-scale events involving multiple teams of volunteers, resulting in successful fundraisers and community outreach initiatives.
Provided ongoing support to volunteers throughout their tenure, addressing any concerns or issues promptly to ensure satisfaction and commitment to the organization''s goals.
Established strong relationships with local organizations, fostering collaboration and expanding volunteer opportunities.
Organized recognition events to show appreciation for volunteer contributions, boosting morale and promoting a positive organizational culture.
Maintained regular communication with volunteers through newsletters, social media updates, and personal check-ins, keeping them engaged and informed about upcoming opportunities.
Managed and tracked volunteer hours and progress to support accurate documentation.
Developed comprehensive training materials to ensure volunteers were well-prepared for their roles.
Collaborated with other departments to maximize impact of volunteer efforts.
Managed a database of over 200 volunteers, ensuring accurate record-keeping and easy access to information when needed.
TPA Claims Manager
Insurance Claims Unlimited
09.2023 - 06.2025
Led a team of 10-15 claims adjusters
Streamlined communication between adjusters and clients, expediting claim resolution times.
Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
Managed a team of adjusters, providing coaching and performance feedback for improved productivity.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
Coordinated catastrophe response efforts, providing support to affected communities during natural disasters or large-scale events.
Mentored new hires on company policies/procedures enabling them to quickly become proficient in managing claims.
Claims Representative II
Florida League of Cities
09.2022 - 09.2023
Investigated insurance claims to determine extent of liability and scope of coverage.
Demonstrated sound judgment when making decisions related to settling or denying claim based on gathered evidence.
Documented claims in full, entering payments, reserves and new information.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Managed a caseload of complex liability claims, maintaining organization and meeting deadlines consistently.
Investigated liability claims thoroughly, analyzing evidence and interviewing involved parties to determine fault accurately.
Claims Supervisor
Southern Fidelity Insurance Company
03.2020 - 07.2022
Contributed to the development and implementation of departmental goals and objectives, aligning them with broader organizational strategies.
Developed strong relationships with external partners such as medical providers, attorneys, and investigators to facilitate effective information exchange during claim investigations.
Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
Represented company at mediation or arbitration hearings involving disputed claims.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Claims Team Lead
Southern Fidelity Insurance Company
06.2017 - 03.2020
Examined claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Oversaw sound long-term claims strategies, effectively controlling expenses, loss ratios and litigation processes.
Adjusted reserves or provided reserve recommendations.
Trained new team members by relaying information on company procedures and safety requirements.
Coached team members in techniques necessary to complete job tasks.
Increased customer satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
Claims Examiner
Southern Fidelity Insurance Company
06.2016 - 06.2017
Completed formal coverage investigations including policy review and recorded statements.
Established contact with claimant and other parties using established protocols.
Evaluated and negotiated settlements of specified perils and property damage losses.
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
Multi-Line Claims Adjuster
Florida Farm Bureau Insurance Company
11.2013 - 06.2016
Investigated insurance claims to determine extent of liability and scope of coverage.
Entered claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Built property damage estimates based on direct assessments and investigations.
Coordinated with external vendors such as appraisers, adjusters, and contractors to obtain accurate assessments of losses and repairs needed.
Settled claims efficiently by conducting thorough investigations, analyzing evidence, and determining accurate coverage.
Conducted field investigations for complex property damage cases, identifying fraudulent activities and uncovering hidden damages.
Streamlined internal processes for managing subrogation matters resulting in faster recoveries and increased efficiency.
Managed a caseload of diverse claims, prioritizing tasks and meeting deadlines to ensure timely resolutions.
Facilitator and Education Events Assistant at Seattle Humane: The Humane Society For Seattle/king CountyFacilitator and Education Events Assistant at Seattle Humane: The Humane Society For Seattle/king County