Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claims Benefit Specialist
Aetna
04.2019 - Current
Provided exceptional customer service by addressing client inquiries promptly and professionally.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Assisted in the development of department goals and objectives, actively working towards achieving them through individual performance metrics tracking efforts.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Identified trends in claims data to proactively address potential issues affecting benefit payouts or customer satisfaction levels.
Team Lead
CRU Catastrophe Adjusters
09.2017 - 06.2018
Trained inexperienced first time adjusters on how to scope and use Xactimate
Reviewed submitted estimates for errors and assisted adjusters with revisions based on policy
Responsible for releasing adjusters as part of CAT draw down
Responsible for 14% of claims given to CRU Adjusters by Tower Hill
Reviewed and closed 880 claims
Excellent motivational, planning and communication skills, with proven results building a winning team that exceed objectives
Helped prioritize hot claims and delegated assignments
Consistently able to develop the team and maintain high morale and a sense of commitment
Independent Adjuster
EA Renfroe and Company
03.2011 - 07.2017
Investigated losses by interviewing claimants to determine liability, including the use of recorded statements for subrogation purposes
Worked in 40 different states and handled/determined automotive total loss based in accordance to each specific state guideline
Managed an active monthly case load of 200 total loss claims
Negotiated with claimants to settle their claims
Property Adjuster for hurricane Harvey
Education
Associate of Science - Natural Science
College of the Mainland
Texas City, TX
05.2017
Bachelor of Science - Process Technology
College of the Mainland
Texas City, TX
05.2019
Skills
Liability Analysis
Claims Investigation
Damage Assessment
Policy Interpretation
Property Inspection
Claims Processing
Caseload Management
Insurance policy coverage knowledge
Property valuation
Automobile claims specialist
Team Collaboration
Team Leadership
Certification
Property Certification, State Farm, 05/20/17
Property Certification, Tower Hill, 05/20/17
Timeline
Claims Benefit Specialist
Aetna
04.2019 - Current
Team Lead
CRU Catastrophe Adjusters
09.2017 - 06.2018
Independent Adjuster
EA Renfroe and Company
03.2011 - 07.2017
Associate of Science - Natural Science
College of the Mainland
Bachelor of Science - Process Technology
College of the Mainland
Property Certification, State Farm, 05/20/17
Property Certification, Tower Hill, 05/20/17
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