Jennifer Wimberly
Junction City,Oregon
Summary
Eager to apply diverse experience in a role that fosters professional growth and enhances organizational success.
Overview
26
26
years of professional experience
Work History
Third Party Liability Representative
PacificSource
Springfield, OR
10.2022 - Current
- Review claims and information received for possible other party liability.
- Determine coverage based on contract, provider status, and claims processing guidelines.
- Accurately process according to benefit and policy provisions applicable to fully-insured group/individuals and self-funded clients
- Research, document, and follow up on all motor vehicle, on-the-job, on-the-premises, or other third-party liability cases.
- Accurately track monies owed to PacificSource to ensure prompt reimbursement, as well as report savings for third party cases
Business & Employment Specialist
State of Oregon
Wilsonville, OR
10.2021 - 01.2022
- Interview and collect detailed information from both claimants and employers
- Answer technical questions about unemployment claims, wage record discrepancies, claims procedures, types of claims.
- Comprehend, analyze, and apply program and business rules, regulations, policies, and procedures.
- Review computer records to Inform applicant of payment status, investigators decision and explain appeal rights and procedures.
- Explain eligibility rules and decide customer's eligibility for programs
- Identify
Bodily Injury & Property Damage Adjuster
Tidewater
San Diego, CA
07.2013 - 12.2015
- Successfully resolved disputes through arbitration, achieving satisfactory outcomes while minimizing costs associated with traditional courtroom litigation
- Investigate both coverage and liability to adjust 1st and 3rd party auto liability claims, including represented and unrepresented bodily injury claims.
Bodily Injury Adjuster & Arbitration Specialist
Anchor General Insurance
San Diego, CA
12.2011 - 07.2013
- Conduct interviews, collect information, review polices and all aspects of claims handling in adherence to California Department of Insurance regulations.
- File and process claims for company with Arbitrations Forum.
Subrogation Specialist
GEICO
San Diego, CA
12.2002 - 06.2004
- Prepare and respond Inter-Company Arbitrations
- Identified potential fraud instances through diligent review of claims data, contributing to loss prevention efforts.
- Established productive relationships with external partners such as attorneys, expert witnesses, and insurance adjusters.
- Reviewed policy documents to determine coverage applicability in various subrogation scenarios.
- Managed a high-volume caseload while maintaining strict adherence to deadlines and quality standards.
- Effectively prioritized tasks based on urgency or associated financial impact for optimal time management.
- Followed up with customers on unresolved issues.
Claims Adjuster
GEICO
San Diego, CA
09.2001 - 12.2002
- Processed initial claims to ensure timely resolution and customer satisfaction.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Customer Service Representative
GEICO
San Diego, CA
01.2000 - 09.2001
- Managed customer interactions to address concerns regarding policies and billing processes.
- Facilitated updates to policy records by managing name, address, and vehicle change requests.
- Managed payment transactions, including corrections, endorsements, cancellations, and reinstatements to ensure accurate policy maintenance.
Education
Associate of Applied Science - Healthcare Administration
Pioneer Pacific College
Springfield, OR09.2011
Associate of Science - Business Accounting
Pioneer Pacific College
Springfield, OR12.2010
Skills
- Arbitration
- Customer Service Skills
- Data Collection and Analysis Skills
- Multi-line phone systems & Computer Based Programs
- Excellent Investigation Skills
- CCC reports
- Caseload management
- Insurance regulations knowledge
- Fraud detection
- Proficient in multiple claims software
Timeline
Third Party Liability Representative
PacificSource
10.2022 - Current
Business & Employment Specialist
State of Oregon
10.2021 - 01.2022
Bodily Injury & Property Damage Adjuster
Tidewater
07.2013 - 12.2015
Bodily Injury Adjuster & Arbitration Specialist
Anchor General Insurance
12.2011 - 07.2013
Subrogation Specialist
GEICO
12.2002 - 06.2004
Claims Adjuster
GEICO
09.2001 - 12.2002
Customer Service Representative
GEICO
01.2000 - 09.2001
Associate of Applied Science - Healthcare Administration
Pioneer Pacific College
Associate of Science - Business Accounting
Pioneer Pacific College