Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Josseth Gayle-Hinga

Summary

Energetic and enthusiastic professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of managing insurance claims with special knowledge of state required documenting. Effective at collecting and analyzing data used to devise process and procedures.

I work well with team members as well as independently. I think I will be a positive addition to your company.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Licensed Insurance Claims Adjuster

Liberty Mutual
Plano, TX
06.2021 - Current
  • Manage high volume auto claims loads assigned to task folders.
  • Create and manager task activities for each claim while meeting deadlines.
  • Keep accurate calendars to meet state and company required time lines.
  • Investigated insurance claims, reviewed coverage and liability, prepared letters and recommended payment or denial of claims.
  • Conduct exploratory interview, reviewed police reports, physical auto damage to determine extent of liability.
  • Maintained accurate documentation of all claim activity, while managing notifications requirement per each state insurance laws.
  • Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and issue payments into company database.
  • Worked collaboratively with team members across multiple departments, promptly response to emails,text,voicemails and chats.
  • Gathered information and complete thorough research to determine claim acceptability per company and policy requirements.
  • Delivered exceptional customer service to clients by effectively communicating.
  • Attended continuing education classes in order to stay abreast of changes in industry standards.

Claims Adjuster

State Farm
Richardson, TX
03.2017 - 06.2021
  • Managed multiple claims tasks and completing deadlines simultaneously.
  • Monitored incoming client call tasks to ensure timely settlement.
  • Prepare thorough, accurate documentation and timely reports of claim activities.
  • Analyzed data from various sources such as previous recorded statements, phone interviews, police reports to make inform liability decision on claim.
  • Monitored progress of subrogation cases through completion of the process.
  • Prepared detailed notes on all activities related in each claim.
  • Managed a high volume caseload while meeting and exceed matrix.
  • Collaborated with other departments within the organization to ensure timely resolution of the case-claim.
  • Identified, evaluated and investigated auto insurance subrogation claim demands.
  • Checked documentation for appropriate proven evidence, catching errors and request corrected revisions to move demand to settlement.
  • Maintained accurate records in accordance with company guidelines and procedures.
  • Examined claims, records and procedures to grant approval per coverage.

Owner's Assistant

White Elm Transportation, LLC
Little Elm, TX
06.2012 - 02.2017

As the assistance to My husband, the owner and truck operator:

  • Provided administrative support including filing, scanning, photocopying and faxing documents per state department of transportation requirement.
  • Maintained an organized filing system of all documents related to each load pickup and delivered for accurate billing.
  • Assisted in creating invoices for each load account receivables.
  • Manage each load Tax related logs.
  • Performed other duties assigned by the owner or management team.
  • Effectively assisted in growing the company from one truck to three.

Advertising Account Representative

Dex Media Inc.
Irving, TX
05.2006 - 06.2011
  • Prepared presentations and proposals for prospective and current customers.
  • Used persuasive techniques to overcome objections and close new print and online sales advertising.
  • Explained to clients how specific types of advertising helped promote customer products or services that will provide great return in the investment.
  • Took daily inbound calls and make key-entered ads, faxes, meet book print calendars, negotiate credits for assigned accounts and clients.
  • Upsold yellow page advertising packages and options to customers by making outbound sales calls.
  • Resolved billing errors, conflicts, complaints and product errors.
  • Coordinated with external vendors for the production of ads such as copywriting and design services.
  • Drafted media plans that included print, radio, television, digital, outdoor and other mediums.
  • Upsold yellow page advertising packages and options to customers by making outbound sales calls.
  • Exceeded department expectations for productivity and accuracy levels.

Education

Some College Credits

Valencia College
Orlando, FL
01-1993

High School Diploma -

Excelsior High
Jamaica
06-1990

Skills

  • Caseload Management
  • Strong in Conflict Resolution
  • Interviewing Techniques and Investigation research
  • Highly Motivated with sales background and great negotiations skills
  • Policy Interpretation and accurate coverage analyst

Certification

  • Texas License Adjuster

Accomplishments

  • Division Sales Representative of the year
  • Sales Rising Star Winner
  • Quarterly Claims Rep Winner

Timeline

Licensed Insurance Claims Adjuster

Liberty Mutual
06.2021 - Current

Claims Adjuster

State Farm
03.2017 - 06.2021

Owner's Assistant

White Elm Transportation, LLC
06.2012 - 02.2017

Advertising Account Representative

Dex Media Inc.
05.2006 - 06.2011

Some College Credits

Valencia College

High School Diploma -

Excelsior High
Josseth Gayle-Hinga