Jhe’Cureya Olive
Lavon
Summary
Dynamic Auto Claims Adjuster with extensive experience at State Farm, excelling in claims handling and risk assessment. Proven track record of enhancing workflow efficiency and customer satisfaction through effective communication and process improvements. Expert in damage assessment and documentation management, delivering timely resolutions while fostering strong client relationships.
Overview
1
1
Certification
9
9
years of professional experience
Work History
Auto Claims Adjuster
State Farm
01.2025 - 07.2026
- Evaluated auto claims for accuracy and compliance with company policies.
- Collaborated with policyholders to gather necessary documentation for claims processing.
- Analyzed damage assessments to determine appropriate claim settlements.
- Communicated with repair shops regarding estimates and claim status updates.
- Maintained detailed records of interactions, assessments, and outcomes in claims system.
- Provided training and mentorship to junior adjusters on best practices in claims handling.
- Implemented process improvements that enhanced efficiency in claims review workflow.
- Led initiatives to streamline communication between departments, improving overall customer satisfaction.
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
- Documented all findings in concise reports.
- Established an effective system for tracking and monitoring claims from initial report to final resolution, ensuring timely updates were provided to all relevant parties.
- Enhanced customer satisfaction by efficiently managing auto claims and providing prompt resolutions.
- Provided exceptional customer service at all stages of the claims lifecycle while adhering to strict confidentiality guidelines regarding sensitive client information.
- Utilized strong negotiation skills to settle disputed liability cases in a fair and reasonable manner, ultimately minimizing company exposure to financial risk.
- Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
Claims Processor
United Healthcare
Remote
10.2022 - 01.2025
- Processed and reviewed insurance claims for accuracy and compliance with company policies.
- Utilized claims processing software to input and track claims efficiently.
- Communicated with clients to gather necessary documentation and resolve inquiries.
- Collaborated with cross-functional teams to enhance workflow processes and improve turnaround time.
- Conducted quality assurance audits on processed claims to ensure adherence to regulations.
- Assisted in training new team members on claims processing procedures and tools.
- Identified discrepancies in claims and coordinated resolutions with relevant stakeholders.
- Maintained detailed records of claim status updates and customer interactions for reporting purposes.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Workers' Compensation Claims Handler
Eberls Claim Service
Remote
02.2019 - 10.2022
- Evaluated insurance claims for accuracy and compliance with company policies.
- Coordinated communication between clients, adjusters, and medical providers to facilitate claim processing.
- Analyzed documentation to determine coverage eligibility and identify discrepancies in claims submissions.
- Managed claim files efficiently, ensuring timely updates and adherence to regulatory timelines.
- Implemented process improvements that enhanced workflow efficiency within the claims handling department.
- Trained new hires on claims procedures, fostering a collaborative team environment focused on accuracy.
- Monitored industry trends and regulatory changes to ensure ongoing compliance in claims management practices.
- Examined claims forms and other records to determine insurance coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Independent Insurance Adjuster
State Farm
01.2017 - 07.2019
- Evaluated claims by conducting thorough investigations and gathering evidence to support findings.
- Collaborated with policyholders to explain coverage details and address inquiries regarding claims process.
- Documented claim details accurately in industry-standard software, ensuring compliance with regulatory guidelines.
- Assessed damage to property and vehicles, providing detailed reports for claim resolution and processing efficiency.
- Coordinated communication between stakeholders, including insurance agents, contractors, and clients, to streamline workflows.
- Developed training materials for new adjusters, enhancing onboarding experience and improving team performance consistency.
Education
High School Diploma -
Lifeschool Waxahachie
Waxahachie, TX05.2016
Skills
- Claims handling
- Policy interpretation
- Claims investigation
- Insurance regulations knowledge
- Risk assessment
- Damage assessment
- Multi-line phone system
- Billing
- Bookkeeping
- Fraud detection
- Claims investigations
- Damage mitigation
- Insurance regulations
- Customer service expertise
- Claims process explanation
- Documentation management
- Repair cost estimation
- Auto damage appraisal
- Natural disaster experience
- Knowledgeable in software
Certification
Insurance adjusters license NPN: 18386362 License No: 2182300
Issue Date: 04/20/2017
Expiration Date: 07/31/2027
Timeline
Auto Claims Adjuster
State Farm
01.2025 - 07.2026
Claims Processor
United Healthcare
10.2022 - 01.2025
Workers' Compensation Claims Handler
Eberls Claim Service
02.2019 - 10.2022
Independent Insurance Adjuster
State Farm
01.2017 - 07.2019
High School Diploma -
Lifeschool Waxahachie