Managed claims processing to ensure compliance with industry regulations and organizational policies.
Collaborated with cross-functional teams to resolve complex claim issues efficiently.
Facilitated communication between clients and insurance providers to expedite resolution of claims disputes.
Balanced workload effectively, prioritizing tasks to ensure timely completion of all claim-related responsibilities.
Collaborated with legal teams on complex cases to ensure proper documentation and adherence to relevant laws and regulations.
Negotiated settlements within approved authority limits to achieve fair outcomes for both customers and the company.
Ensured timely claim payments by diligently monitoring deadlines and following up on outstanding documents.
Managed a high volume of daily claims, consistently meeting deadlines without compromising attention to detail or accuracy.
Claim Representative II
The Auto Club Group/AAA
Dearborn, MI
03.2020 - 11.2023
Perform basic claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan work load and responsibilities
Research analyze and interpret subrogation laws in various states
Claim Representative I
The Auto Club Group/AAA
Dearborn, MI
06.2018 - 03.2021
Responsible for maximizing the salvage returns from motor vehicle total loss settlements.
Review and approve advance tow and storage charges from shops, tow yards and impound lots.
Review and resolve vehicle release issues from total loss adjusters and our third party vendors.
Receive title documents and forward them to the appropriate third party vendor via UPS.
Evaluate and make determination on the disposal of salvage.
Clerical Support Assistant II
The Auto Club Group/AAA
Dearborn, MI
06.2017 - 06.2018
Responsible to issue payment to lienholders for settlement of loan for total loss vehicles.
Responsible to issue payment to customers for settlement or equity of settlement for total loss vehicle.
Answer incoming calls on the Total Loss inquiry line and forward messages to Total Loss adjusters.
Claim Associate
The Auto Club Group/AAA
Dearborn, MI
06.2012 - 06.2017
Handling of first notice of loss claims by contacting the customer to gather information after a claim has been made.
Assist customers with scheduling an inspection either with an adjuster or at an AAA approved repair facility.
Ensuring that the claim has been properly coded and assigned based on the details of the loss.
Ensuring that the AAA approved repair facility has been paid once the repairs have been completed.
Set initial diary date, manage diary properly.
Closing the claim once the vehicle has been repaired and the shop has been paid or if subrogation exists, referring the claim to subrogation.
Clerical Support Assistant
The Auto Club Group/AAA
Dearborn, MI
11.2007 - 06.2012
Assigning files/claims to the adjusters.
Typing/paying fees for incoming third party subrogation checks.
Sorting and distributing mail to the adjusters.
Completing and balancing reports on a monthly basis.
Assist subrogation adjusters with clerical tasks on a daily basis.
Education
-2 - Business
Osborn High School
Detroit, MI
Skills
Proficient in Word, Excel, Outlook and PowerPoint
Ability to type 55 wpm
Ability to operate a multi-line phone system
Data Entry Skills: numeric-6900 keystrokes, alphanumeric-8100 keystrokes with 0 errors