James Skipper
Proctor Loan Protector
Auburn Hills
8
years of professional experience
Experienced insurance and claims professional with over 8 years in managing auto and property claims across multiple jurisdictions. Skilled in coverage analysis, claim investigations, settlement negotiations, and regulatory compliance, holding licenses in over 25 states. Mentored new adjusters, improved claim accuracy, and delivered outstanding customer service while demonstrating strong leadership and analytical problem-solving abilities.
Work History
Claims Examiner
2 Years- Reviewed documents, estimates, policy forms to determine coverage applicability for submitted claims; wrote coverage letters detailing coverage positions to clarify decisions.
- Authorized payment within scope of authority, resolving claims efficiently and ensuring timely issuance of disbursements.
- Interacted with insurance carriers, internal and external customers, and departmental staff to ensure clear communication and resolution of claims.
- Mentored new examiners, promoting continuous learning and enhancing team knowledge and capabilities.
Auto PD Adjuster- MI
11 Months- Handled all aspects of each claim, including informal hearings, arbitrations, and small claims litigation while maintaining high productivity, confidentiality, and customer service.
- Investigated claims thoroughly to assess liability and coverage, facilitating informed decision-making.
- Implemented and coordinated management techniques to effectively mitigate loss and control expense payments.
- Operated within defined limits and authority on moderately complex assignments, ensuring compliance and accuracy.
Associate APD Claims Representative
2 Years 7 Months- Managed backlog of claims and diary system, ensuring timely communication and effective claim monitoring.
- Monitored claim-related communications, addressing stakeholder needs and accurately entering data into claim system.
- Conducted thorough investigations and research to establish and evaluate coverage for assigned claims, including subrogation and total loss.
- Provided exceptional customer support during claims resolution process, fostering positive relationships with policyholders.
Claims Specialist – WCCS HRU
2 Years 1 Month- Resolved high volume of claims through thorough investigation, evaluation, negotiation, and verification of coverage and damage extent, ensuring fair settlements.
- Examined claims from insureds and third parties to identify need for additional investigation, streamlining claim resolution process.
- Reviewed documentation for accuracy to facilitate prompt claim resolutions, enhancing overall claims handling efficiency.
- Used Xactimate to prepare and/or review estimates and content estimates in loss settlements.
Education
Bachelor of Performing Arts - Public Relations
Skills
Claims processing
Claims assessment
Claims investigation
Claims regulatory knowledge
Data verification
Multi-state adjuster license
Customer service
Verbal communication
Written communication
Conflict resolution
Liability and coverage
Timeline
Claims Examiner
Proctor Loan Protector
07.2024 - CurrentRead More
Auto PD Adjuster- MI
The Hanover Insurance Group
08.2023 - 07.2024Read More
Associate APD Claims Representative
Amica Insurance
11.2020 - 06.2023Read More
Claims Specialist – WCCS HRU
State Farm
07.2018 - 08.2020Read More
Wayne State University
Bachelor of Performing Arts from Public Relations
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