CC1
Janelle Lembke
Claims Inside Auto Anlst II MD /Independent Auto Appraiser
Lockport,NY
Overview
29
29
years of professional experience
23
23
years of post-secondary education
2
2
Certifications
Work History
Claims-Inside Auto MD II
National General Insurance Company
Winston Salem, NC
04.2022 - Current
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Researched claims and incident information to deliver solutions and resolve problems.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Negotiated Type settlement agreements to resolve disputes.
- Collected Type information from customers to complete claims and legal files.
- Maintained claims data in Type systems.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Incorporated Type objectives to achieve action plans and strategies.
- Prepared Type documents for managers or legal personnel.
- Ordered Type information to complete Type files.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Verified accuracy of Type records to maintain accuracy of records database.
- Identified suspicious losses and contacted manager for investigative assistance.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Analyzed information gathered by investigation and report findings and recommendations.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Examined claims forms and other records to determine insurance coverage.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Followed up with insured individuals regarding premium and deductibles payments.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Maintained suspicious claims database and prepared reports for supervisors.
- Estimated quantifiable characteristics of Type products.
- Negotiated with claimants to settle claims.
- Examined photographs and surveillance and any other documents relating to claims.
- Documented all findings in concise reports.
- Issued payouts to claimants.
- Evaluated and investigated over Number auto claims in Year and decided whether insurer should pay claim.
- Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Successfully negotiated settlements with claimants and insurers.
- Kept current on insurance regulations, laws, policies and procedures.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
- Assessed complex claims and accurately determined value of damages.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Analyzed complex data and prepared accurate and comprehensive reports for clients.
- Cultivated interpersonal skills by building positive relationships with others.
- Delivered services to customer locations within specific timeframes.
- Gained extensive knowledge in data entry, analysis and reporting.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Developed strong communication and organizational skills through working on group projects.
Independent Auto Damage Claims Appraiser
Gabe's Collision Centers
Tonawanda, NY
01.2017 - 12.2020
- Duties included writing estimates for customer walk ins and with auto techs
- Complete the estimates for vehicle repair from tear down to completion
- Uploading and working with several insurance companies that were direct or non direct
- Keeping customers informed about the repair process
- Complete understanding that customers are number one and need to be called to give up to date statuses on their vehicle process
- Insuring all accounts receivable is up to date.
- Completed appraisals on automobiles, light trucks, custom cars, vans and many other vehicle types.
- Provided quotes on repairs with great accuracy, taking insurance, type of car and extent of damage into consideration.
- Accurately estimated parts and labor for over repairs.
- Collaborated with repair workers to determine feasibility of repairs under constraints of coverage limits, time frame and customer finances.
- Documented damage with photographs and detailed written descriptions.
- Prepared insurance forms on behalf of customers, detailing damage details, car conditions and shop quotes.
- Advised clients on plans for repairs, possible value of salvage parts and appropriate mechanics for repairs needed.
- Liaised between car owners and insurance agencies about auto damage and insurance claims.
- Worked with repair shops to review potential costs and overall necessity of Type repairs.
- Negotiated completed damage estimates and repair costs.
- Helped customers obtain alternate transportation via rental car services.
- Used Software to calculate damages and claim values.
- Examined client financial records to inform on possible plans for total-loss vehicles or large repairs.
- Inspected vehicles to evaluate necessary repairs and determine extent of damage.
- Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Created detailed assessments of damages to property and vehicles.
- Kept current on insurance regulations, laws, policies and procedures.
- Assessed complex claims and accurately determined value of damages.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Independent Auto Damage Claims Appraiser
Bittermans Automotive Center Inc
East Amherst, NY
05.1994 - 06.2016
- Completed appraisals on automobiles, light trucks, custom cars, vans and many other vehicle types.
- Provided quotes on repairs with great accuracy, taking insurance, type of car and extent of damage into consideration.
- Accurately estimated parts and labor for over repairs.
- Collaborated with repair workers to determine feasibility of repairs under constraints of coverage limits, time frame and customer finances.
- Documented damage with photographs and detailed written descriptions.
- Advised clients on plans for repairs, possible value of salvage parts and appropriate mechanics for repairs needed.
- Liaised between car owners and insurance agencies about auto damage and insurance claims.
- Negotiated completed damage estimates and repair costs.
- Helped customers obtain alternate transportation via rental car services.
- Used Software to calculate damages and claim values.
- Examined client financial records to inform on possible plans for total-loss vehicles or large repairs.
- Inspected vehicles to evaluate necessary repairs and determine extent of damage.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Analyzed complex data and prepared accurate and comprehensive reports for clients.
- Created detailed assessments of damages to property and vehicles.
- Kept current on insurance regulations, laws, policies and procedures.
- Assessed complex claims and accurately determined value of damages.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Education
Silver Status - Auto Repair/Appraisal
I-Car Certified
Online 03.2003 - 12.2020
Associates - Criminal justice
NCCC
09.2002 - 06.2004
Highest /graduated -
Clarence Senior High School
9625 Main St. Clarence, NY 14031 09.1996 - 06.2000
Skills
CCC Pathways
Accident scene investigations
Hail and wind damage specialist
Automobile claims specialist
Interior water damage background
Policy investigations
Familiar with fraud statutes
Insurance policy coverage knowledge
Valuation knowledge
Personal, casualty and property loss
Microsoft Word
Administrative background
Highly motivated
Advanced computer skills
Advanced oral and written communication skills
Certification
IA license IA 1078563/ Active
Additional Information
- Authorized to work in the US for any employer
Software
Epic
Timeline
7-20 NON-RES ADJUSTER - ALL LINES/ACTIVE
09-2022
Claims-Inside Auto MD II
National General Insurance Company
04.2022 - Current
Independent Auto Damage Claims Appraiser
Gabe's Collision Centers
01.2017 - 12.2020
IA license IA 1078563/ Active
09-2004
Silver Status - Auto Repair/Appraisal
I-Car Certified
03.2003 - 12.2020
Associates - Criminal justice
NCCC
09.2002 - 06.2004
Highest /graduated -
Clarence Senior High School
09.1996 - 06.2000
Independent Auto Damage Claims Appraiser
Bittermans Automotive Center Inc
05.1994 - 06.2016