John Moore
Carrollton,TX
Summary
Dynamic Claims Representative with over 23 years of experience eager to contribute full-scope insurance industry expertise as well as strong investigative and dispute resolution skills toward supporting a progressive company in achieving optimal results
Overview
25
25
years of professional experience
Work History
Commercial Auto Liability Adjuster
Farmers Insurance
12.2021 - Current
- Handle inbound and make outbound phone calls in relation to determining liability for auto accidents for Uber losses.
- Investigated liability claims and determined coverage based on policy language and applicable law.
- Negotiated settlements with claimants, attorneys and other representatives.
- Maintained contact with clients throughout the life cycle of a claim in order to keep them informed of its progress.
- Evaluated subrogation opportunities in order to recover funds paid out on behalf of an insured.
- Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
Auto Liability Claims Adjuster
Safeway Insurance
Carrollton, TX
07.2015 - 09.2021
- Investigated liability claims to determine the extent of insurance company's responsibility for payment.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Obtained necessary information to complete proper evaluation of injury claims.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Reviewed policies issued by the company to ensure compliance with state regulations governing liability coverage.
Auto Liability Claims Adjuster
Rodney D Young Insurance
Dallas, TX
04.2012 - 06.2015
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed policies issued by the company to ensure compliance with state regulations governing liability coverage.
- Investigated liability claims to determine the extent of insurance company's responsibility for payment.
- Obtained necessary information to complete proper evaluation of injury claims.
Customer Service Representative
Telematrix
Addison, TX
07.2007 - 05.2013
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Auto Liability Claims Adjuster
Affirmative Insurance
Addison, TX
12.2009 - 11.2011
- Investigated liability claims to determine the extent of insurance company's responsibility for payment.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Negotiated settlements with claimants or their representatives in order to resolve disputes.
- Reviewed policies issued by the company to ensure compliance with state regulations governing liability coverage.
Telephone Claims Representative II
GEICO
Dallas, TX
07.2000 - 06.2009
- Investigated liability claims and determined coverage based on policy language and applicable law.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Obtained necessary information to complete proper evaluation of injury claims.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
Billing Specialist
GEICO, Government Employees Insurance
02.2002 - 10.2002
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Worked closely with patients to discuss payment arrangements when needed.
Customer Service Associate
First Extended Service Corp
Dallas, TX
05.1998 - 04.2000
- Reviewed and processed warranty claims to ensure accuracy of all information.
- Resolved discrepancies in warranty coverage for customers.
- Provided technical support to customers regarding product warranties and returns.
- Followed up on payments for outstanding claims.
Education
High School Diploma -
Sahuaro High School
Tucson, AZ05.1992
Skills
- Critical Thinking
- Policy Investigations
- Liability Determination
- Claims Evaluation
- Verbal and Written Communication
- Claims File Management Processes
- Fraudulent Claims Investigation
- Computer Skills
- Settlement Negotiation
- Customer Service and Support
Timeline
Commercial Auto Liability Adjuster
Farmers Insurance
12.2021 - Current
Auto Liability Claims Adjuster
Safeway Insurance
07.2015 - 09.2021
Auto Liability Claims Adjuster
Rodney D Young Insurance
04.2012 - 06.2015
Auto Liability Claims Adjuster
Affirmative Insurance
12.2009 - 11.2011
Customer Service Representative
Telematrix
07.2007 - 05.2013
Billing Specialist
GEICO, Government Employees Insurance
02.2002 - 10.2002
Telephone Claims Representative II
GEICO
07.2000 - 06.2009
Customer Service Associate
First Extended Service Corp
05.1998 - 04.2000
High School Diploma -
Sahuaro High School
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