Jihea Yi
Levittown
Summary
Experienced licensed claims adjuster with a strong focus on auto and property claims, skilled in conducting thorough investigations, and negotiating settlements. Adept at maintaining compliance with policy terms, and delivering exceptional customer service. Licensed in complex, large-loss claims, with a proven ability to collaborate with legal teams and vendors to achieve favorable outcomes.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Complex Large Loss Claims Consultant
Allstate
04.2024 - Current
- Enhanced Claim Evaluation: Conducted in-depth evaluations of high-value property claims, ensuring alignment with policy terms. Investigation and resolution of complex property claims, including high-value losses, multi-structure damage, and large-scale events, ensuring accurate evaluation of damages, and alignment with insurance policies.
- Collaborated with legal teams, contractors, engineers, and third-party experts to assess structural damage, determine the cause of loss, and achieve favorable settlements while ensuring compliance with policy terms, and minimizing financial exposure for the insurance company.
- Analyzed and interpreted policy provisions to determine coverage and liability.
- Review all invoices and ensure all payments are made within the established time frames outlined in the policy agreement.
- Delivered exceptional customer service, maintaining positive relationships with policyholders, and ensuring timely and effective communication throughout the claims process.
- Investigated discrepancies in claims through thorough examination of evidence.
Korean English Interpreter
Language Line Solution
Levittown, NY
07.2023 - Current
- Provided professional, accurate, and culturally sensitive interpretation between Korean-speaking patients and English-speaking healthcare providers in a variety of medical settings, including clinics, hospitals, and emergency departments.
- Interpreted medical terminology, diagnoses, treatment plans, and patient concerns in real time, ensuring both parties understood and respected the nuances of medical information.
- Facilitated clear communication during patient consultations, medical exams, surgeries, and follow-up appointments, ensuring patient understanding of their health conditions, medications, and treatment options.
- Maintained strict confidentiality in compliance with HIPAA and other privacy regulations, ensuring all sensitive medical information was handled securely.
Auto Claims Liability Specialist
Geico
Melville, NY
11.2021 - 03.2024
- Managed and investigated liability claims for auto accidents, evaluating evidence such as police reports, witness statements, and photographs to determine fault and establish liability.
- Analyzed and interpreted auto insurance policies, including coverage limits, exclusions, and applicable state laws, to ensure claims were processed in compliance with company policies and legal requirements.
- Negotiated settlements with claimants, attorneys, and third-party vendors, ensuring fair and equitable resolution, while protecting the interests of the insurance company.
- Conducted thorough interviews with involved parties (drivers, witnesses, and policyholders) to gather necessary details, ensuring all aspects of the claim were accurately documented and addressed.
- Coordinated with repair shops, medical providers, and law enforcement to obtain relevant documents and assessments, ensuring timely and accurate claim processing.
- Prepared detailed reports and claims documentation, including liability determinations, damage estimates, and settlement recommendations, ensuring transparency and consistency throughout the process.
- Managed a caseload of high-volume claims, meeting deadlines, and maintaining high levels of customer service through regular follow-up communication with clients and other stakeholders.
- Collaborated with legal teams and external counsel in cases of contested liability, providing expert testimony or written analysis as needed for litigation or settlement discussions.
Accounts Receivable/Payable and Payroll
Hd Partsall
Flushing, NY
06.2016 - 08.2020
- Provided comprehensive office administration support, including managing schedules, coordinating meetings, and maintaining office supplies, to ensure efficient daily operations.
- Handled billing processes for clients, including invoicing, payment tracking, and ensuring the accuracy of financial records, while adhering to company policies and deadlines.
- Manage time cards and payroll for all employees.
Customer Service Representative
Verizon Telecom Corporation
Jamaica, NY
02.2004 - 08.2006
- Managed a high volume of inbound calls, providing exceptional customer service to clients, and addressing inquiries regarding products, services, billing, and account issues.
- Review and resolve all billing issues. Answer billing inquiries.
- Assisted customers with troubleshooting, technical support, and resolving product or service issues, providing clear instructions and solutions in a timely manner.
- Promoted company products, services, and promotions to customers, identifying opportunities to cross-sell and upsell based on customer needs and preferences.
- Achieved and exceeded performance metrics, including call handling time, customer satisfaction scores, and issue resolution rates, contributing to team success.
- Escalated complex issues to appropriate departments or management, ensuring that challenging situations were addressed promptly and effectively.
Education
Associate's degree - Business Management
Naju College
NajuSkills
- Claims management: investigation,analysis,settlement negotiation
- Customer service: excellence, interpersonal communication
- Compliance: documentation accuracy, policy interpretation
- Problem-solving: complex issues, risk assessment
Certification
- Property Casualty Adjuster License
Timeline
Complex Large Loss Claims Consultant
Allstate
04.2024 - Current
Korean English Interpreter
Language Line Solution
07.2023 - Current
Auto Claims Liability Specialist
Geico
11.2021 - 03.2024
Accounts Receivable/Payable and Payroll
Hd Partsall
06.2016 - 08.2020
Customer Service Representative
Verizon Telecom Corporation
02.2004 - 08.2006
Associate's degree - Business Management
Naju College