Experienced Professional. Skilled in providing accurate estimates and appraisals for auto repairs. Highly knowledgeable in evaluating and assessing auto damage, as well as providing cost-effective solutions to repair vehicles.
Experienced with evaluating and processing auto claims efficiently and accurately. Utilizes advanced negotiation skills and keen eye for detail to resolve claims favorably, ensuring policy compliance. Track record of maintaining high client satisfaction through excellent customer service and effective communication.
Overview
19
19
years of professional experience
Work History
Auto Claims Adjuster
Amica Mutual Insurance Company, Linc
02.2019 - 09.2024
Examine claims forms and other records to determine insurance coverage
Analyze information gathered by investigation and report findings and recommendations
Pay and process claims within designated authority level
Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability
Investigate and assess damage to property and create or review property damage estimates
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation
Resolve complex, severe exposure claims, using high service-oriented file handling
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies
Confer with legal counsel on claims requiring litigation
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis
Refer questionable claims to investigator or claims adjuster for investigation or settlement
Collect evidence to support contested claims in court
Contact or interview claimants, doctors, medical specialists, or employers to get additional information
Present cases and participate in their discussion at claim committee meetings
Report overpayments, underpayments, and other irregularities
Attend mediations or trials
Supervise claims adjusters to ensure that adjusters have followed proper methods
Communicate with reinsurance brokers to obtain information necessary for processing claims
Prepare reports to be submitted to company's data processing department
Examine titles to property to determine validity and act as company agent in transactions with property owners
Obtain credit information from banks and other credit services
Communicate with former associates to verify employment record or to obtain background information regarding persons or businesses applying for credit
Negotiate claim settlements or recommend litigation when settlement cannot be negotiated
Assistant to Body Shop Manager
Clifton Park Toyota and New Country Lexus
01.2015 - 09.2018
Interacted with customers, and performed estimates for body shop repair on various vehicles, including Toyota, Lexus, and Porsche
Assisted manager in everyday operations of body shop
PSE Clerk
United States Postal Service
11.2014 - 01.2015
Organizes and prepares incoming and outgoing mail for multiple branches
Demonstrates responsibility and efficiency in regards to sales and finances of front counter
Educates and communicates with customers regarding various options for shipping
Technical Support Specialist-Tier III
Time Warner Cable
07.2007 - 07.2014
Demonstrated mastery in the ability to resolve Internet, cable television, and VOIP phone for clients
Resolved issues for residential customer accounts through demonstrating professionalism
Communicated effectively via telephone to serve client needs
Utilized interpersonal skills to complete an array of duties, tasks, and responsibilities as needed by the company
Customer Support Representative (CSSR)
Time Warner Cable
06.2005 - 07.2007
Valued the individual customer through answering calls, proposing solutions to issues with service, and working both sales and retention to enhance customer satisfaction
Mentored new hires to enhance their integration to the company and position
Promoted to Tier III technical support after two years of employment
Education
electronic technology
Schenectady County Community College
Schenectady, NY
Skills
Hardware and software installation and support/troubleshooting