Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Personal Injury Protection Adjuster
GEICO
02.2025 - Current
Coordinated independent medical examinations to verify injury severity when required.
Evaluated coverage, liability and damages and investigated suspicious claims.
Evaluated policy coverage details to ensure accurate application of benefits and limits in accordance with company
Enhanced claim resolution efficiency by thoroughly investigating and evaluating personal injury protection claims.
Expedited claim processing by promptly obtaining necessary documentation such as medical records, police reports, and witness statements.
Increased customer satisfaction with timely and accurate claim settlements, adhering to company guidelines and state regulations.
Managed a diverse caseload of personal injury protection claims while maintaining organization and prioritization skills for optimal productivity.
Maintained compliance by staying updated on industry changes, attending training sessions, and applying knowledge to daily work activities.
Demonstrated strong attention to detail while reviewing policy coverage information, ensuring accurate application of benefits according to contractual provisions.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Maintained contact with claimants and attorneys to determine treatment status.
CUSTOMER SERVICE ASSOCIATE /Front Desk Receptionist
HHFK Auto Trading
01.2022 - 01.2024
Provided information about products and services available to customers.
Demonstrated active listening skills when responding to customer questions and complaints.
Assisted customers with returns, exchanges, refunds, and other transactions as needed.
Answered phone calls from customers promptly and courteously.
Provided accurate quotes for requested products or services.
Maintained knowledge of current sales promotions and new product releases.
Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
Maintained a high level of product knowledge, providing accurate information to customers.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.managed approximately 60-100 incoming calls, emails and faxes per day from customers.
TELEPHONE INTERVIEWER
DSS Research Call Center
02.2017 - 12.2021
Answered customer inquiries and provided accurate information regarding products and services.
Provided excellent customer service to resolve customer complaints in a timely manner.
Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Maintained accurate records of customers' interactions with the company in order to provide better future services.
Supervised and trained customer service staff to ensure excellent customer service delivery.
Provided guidance and support to junior customer service representatives, including coaching and mentoring.
Maintained a comprehensive understanding of company policies, procedures, and guidelines related to telephone interviewing processes.
Administered phone interviews to survey participants.
Documented records of call information.
Education
Bachelor of Arts - Communications
University of South Africa
Pretoria
08.2012
Skills
Policy Interpretation
Damage Mitigation
Claims Investigations
Account Updating
Coordination
Critical Thinking
Certification
Texas All-lines
New Mexico Property Adjuster License
CT,DE,KY,NC,NH,RI,SC,VT, WY Adjuster Licenses
Scrum Master License
Timeline
Personal Injury Protection Adjuster
GEICO
02.2025 - Current
CUSTOMER SERVICE ASSOCIATE /Front Desk Receptionist