Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jazz'e Robinson

DeSoto,TX

Summary

Claims Adjuster with deep experience in confidential litigation claims, human resources, and outpatient services. Very well positioned to innovate, take on and delegate daily tasks, and settling organizational claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with different brokers to gain details for processing claims. Proactive in meeting company issues head-on with creative and innovative approach. Knowledgeable about changing industry and employment market demands. Expertise includes benefits administration, compensation structuring and recruitment.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Claim Specialist

Aston Carter
2023.05 - 2023.11
  • Responsible for handling Commercial Auto and General Liability Claims
  • Duties include negotiating claims settlements, validating claims to prevent fraud, developing claim review plans, and completing liability investigations
  • Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews
  • Evaluated coverage, liability and damages and investigated suspicious claims.
  • Enhanced employee satisfaction by implementing streamlined HR policies and procedures.

Auto Claims Specialist

Liberty Mutual / Safeco
2022.03 - 2023.02
  • Responsible for processing insurance claims, reviewing insurance coverage, and analyzing claims cases
  • Duties include negotiating claims settlements, validating claims to prevent fraud, developing claim review plans, and completing liability investigations
  • Extensive knowledge of insurance processes to handle various cases, following legal policies and regulatory procedures
  • Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
  • Identified new business requirements through analyzing market data, customer requirements, competitive offerings and overall industry direction.
  • Reported potential conflicts or issues to maximize sales and reduce shrink.

Bodily Injury Claims Adjuster

State Farm
2020.05 - 2022.03
  • Responsible for consistently providing great customer service while handling insurance claims
  • Working alongside Claim Specialists to handle both injury and property damage claims
  • Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews
  • Evaluated coverage, liability and damages and investigated suspicious claims
  • Prepared and presented complex cases to management, in-house legal team and Claims Committee
  • Monitored expenses of pending claims to comply with company expenditure guidelines and budgets
  • Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel.
  • Mastered standard operating procedures through hands-on application to daily testing and analysis.

Express Claims Adjuster

State Farm
2018.09 - 2020.05
  • Responsible for consistently providing great customer service while handling insurance claims
  • Worked alongside Property Complex Claims Specialists to handle property damage claims
  • Managed over 50 customer calls per day
  • Led projects and analyzed data to identify opportunities for improvement
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims
  • Reconciled data in direct collection system with accounting system to address discrepancies
  • Prepared summaries of damage, payments and policy coverage.
  • Provided regular updates to hiring managers and HR staff on recruitment activities and progress.
  • Responded to employee inquiries regarding benefits and other HR topics.
  • Spearheaded shared governance and collaboration on employee relations, HR administration, collective bargaining agreements and related HR topics.

Education

Bachelor of Science - Health: Community Health

Prairie View A & M University
Prairie View, TX
08.2016

Skills

  • Internal Communications
  • Negotiation
  • Coverage Determination
  • Appeals Support
  • Documentation Review
  • Microsoft Office
  • Organizational Culture
  • Strategic Planning
  • Employment Law Compliance
  • Compensation Structuring
  • Personnel Management
  • Talent Management

Certification

  • Connecticut
  • Delaware
  • Florida
  • Kentucky
  • Louisiana
  • North Carolina
  • New Hampshire
  • New Mexico
  • Oklahoma
  • Rhode Island
  • South Carolina
  • Texas
  • Vermont
  • Wyoming

Timeline

Claim Specialist

Aston Carter
2023.05 - 2023.11

Auto Claims Specialist

Liberty Mutual / Safeco
2022.03 - 2023.02

Bodily Injury Claims Adjuster

State Farm
2020.05 - 2022.03

Express Claims Adjuster

State Farm
2018.09 - 2020.05

Bachelor of Science - Health: Community Health

Prairie View A & M University
  • Connecticut
  • Delaware
  • Florida
  • Kentucky
  • Louisiana
  • North Carolina
  • New Hampshire
  • New Mexico
  • Oklahoma
  • Rhode Island
  • South Carolina
  • Texas
  • Vermont
  • Wyoming
Jazz'e Robinson