Jill Canada
Glendale,AZ
Summary
Ethical Claims Administrator with excellent customer service skills to take on multiple cases while meeting strict deadlines. Adept at determining the level of loss for auto and property damage claims cases and deciding on a fair compensation for clients. Strong organizational and communication traits.
Overview
9
9
years of professional experience
Work History
Auto Claim Adjuster
CSAA Insurance Group
06.2023 - 01.2024
- Enhanced customer satisfaction by efficiently managing property damage, auto, and bodily injury claims by multitasking through various databases.
- Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
- Strong written and electronic communication.
- Maintained strong relationships with key stakeholders such as adjusters, agents, repair facilities, medical providers, and legal representatives for seamless collaboration throughout the claims process.
- Mitigated potential litigation risks through careful attention to detail in documenting evidence gathered during investigations and claim evaluations. for all property, auto and bodily injury claims.
- Respond promptly and accurately to inquiries from other carriers and third parties.
- Demonstrated critical thinking while adhering to company claims process.
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Issued payouts to claimants and vendors.
- Negotiated with claimants and vendors to settle claims.
- Documented all findings in concise reports.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Investigate all First Notice of Loss and submit new claims to other carriers and identified exposures.
- Achieved successful claim resolutions by thoroughly investigating and evaluating bodily injury claims.
- Collaborated with medical professionals, attorneys, and other experts to gather evidence and validate claims accurately.
- Delivered exceptional customer service through consistent communication regarding updates on the status of their claims.
- Educated policyholders about their coverage benefits, helping them understand how their policies applied to specific situations.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Damage Claims /Quality Analyst Specialist
Cox Communications
06.2015 - 03.2023
- Optimized customer experience by delivering exceptional, friendly/empathetic superior services and effectively troubleshooting issues.
- Collaborated with boundary partners to develop and implement solutions for identified quality issues, ensuring continuous improvement.
- Evaluated vendor performance by conducting regular audits, ensuring adherence to established quality standards and requirements.
- Championed a proactive approach to problem-solving within the team, fostering an environment of collaboration and innovation.
- Provided regular updates to team leadership on quality metrics by communicating forecasted trends
- Developed strong client relationships through consistent communication and attentive service.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Negotiated favorable contracts with vendors,
- Followed all company policies and procedures to deliver quality work.
- Created and delivered presentations to internal and external stakeholders to showcase work.
- Collected, arranged, and input information into database system.
Education
High School Diploma -
Mankato West High School
Mankato06.1981
Skills
- Analytical/ Critical Creative Thinking
- Strong verbal and personal communications skills
- Coordinate and negotiate costs with repair vendors, using creative approaches
- Thorough investigative skills, gather of all supporting documents from all parties involved Police, hospital records, witnesses etc
- Handling of all written correspondence including denial letters, no contact letters, and waiver of responsibility forms to claimants and related parties
- Liaison to all customers to ensure satisfactory resolution
- Setting proper expectations and follow through for timely resolution
- Organization & Prioritization skills
- Tolerant and flexible
- Policy Interpretation
- Multi-Line Phone System
- Empathy and Compassion
Timeline
Auto Claim Adjuster
CSAA Insurance Group
06.2023 - 01.2024
Damage Claims /Quality Analyst Specialist
Cox Communications
06.2015 - 03.2023
High School Diploma -
Mankato West High School
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