Friendly insurance professional experienced in investigating and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Speclialist
GEICO, Government Employees Insurance
02.2022 - 08.2023
Determines covered insurance losses by studying provisions of a policy or certificate.
Establishes proof of loss by studying documentation and assembling additional information from outside sources.
Documents specific claims by completing and recording forms, reports, logs, and records.
Analyzes insurance claims to prevent fraud.
Prepares reports by collecting, analyzing, and summarizing information.
Resolves claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
Ensures legal compliance by following company policies, procedures, guidelines, and state and federal insurance regulations.
Maintains quality customer service by following customer service practices and responding to customer inquiries.
Provides legal support by assembling documentation for settlement action.
Protects operations by keeping claims information confidential.
Maintains a good relationship with insurance departments.
Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
Associate
Walmart
03.2014 - 02.2022
Serves customers by helping them select products
Drives sales through engagement of customers, suggestive selling, and sharing product knowledge.
Greets and receives customers in a welcoming manner.
Responds to customers’ questions.
Directs customers by escorting them to racks and counters.
Provides outstanding customer service.
Documents sales by creating or updating customer profile records.
Manages financial transactions.
Processes payments by totaling purchases, processing checks, cash, and store or other credit and debit cards.
Alerts management of potential security issues.
Assists with inventory, including receiving and stocking merchandise.
Keeps clientele informed by notifying them of preferred customer sales and future merchandise of potential interest.
Enhanced team productivity by streamlining communication and implementing efficient project management tools.
Education
High School Diploma -
Armwood High School
Seffner, FL
05.2006
Skills
Compliance Management
Accident Investigations
Coverage Assessments
Settlement Determinations
Claims Processing
Verbal Communication
Management Support
Cash Handling
Workplace Safety
Program Support
Cross-Functional Teamwork
Sales Expertise
Certification
Florida Property And Casualty Claims Adjuster License (0440)
Florida Claim Adjuster License (0620) License Number - W837873