Looking to obtain a challenging position to build upon skill sets and offers advancement potential within the company.
Overview
15
15
years of professional experience
Work History
NY PIP Litigation Adjuster II
GEICO, Government Employees Insurance
07.2021 - Current
Improved negotiation strategies for settlements with effective communication and persuasive tactics.
Investigate complex auto claims in multiple jurisdictions including New Jersey, Pennsylvania and Florida.
Review and gather evidence for defenses against fraudulent medical providers and assist management in filing affirmative actions.
Answer and defend suits in the 5 boroughs and Nassau/ Suffolk Counties and submit evidence packets to American Arbitration Association.
Mentor junior examiners and provide direction for proper claims handling.
Investigate coverage issues and policy violations.
NY PIP Litigation I
GEICO, Government Employees Insurance
10.2017 - 07.2021
Effectively managed heavy caseloads while maintaining a high level of attention to detail and performance quality.
Demonstrated strong organizational and time management skills while managing multiple projects.
Reviewed claim file and gather evidence for proper defenses prior to hearings and trials.
Exercised strong judgment in settlement negotiations by evaluating strengths and weaknesses of each case, resulting in favorable resolutions for the company.
Reviewed medical records, auto damage estimates, police reports and all available documents specific to each claim file.
NY No-Fault (PIP Adjuster)
GEICO, Government Employees Insurance
03.2016 - 10.2017
Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of injury for efficient claims handling.
Delivered exceptional customer service to policyholders by communicating important policy coverages and patiently listening to issues and provided empathetic responses regarding accident related injuries.
Monitored medical billing and treatment of injured parties and medically managed claim by utilizing peer reviews and independent medical examinations.
Processing Teller
GardaWorld
09.2015 - 03.2016
Process incoming cash deposits and verify amounts efficiently with accuracy
Demonstrated exceptional attention to detail when handling high-volume transactions, maintaining accuracy under pressure.
Maintain compliance with all company policies including state and federal regulation
Recommend and share improvement opportunities with management
Meet or exceed all established deposit processing productivity standards.
Front-End Operations Manager
Pathmark Stores Inc.
05.2009 - 11.2015
Consult with store management and offer input regarding maximizing operational efficiency
Train new employees by providing knowledge of specific store tasks and policies
Ensure excellent customer service was provided to customers while still meeting company standards
Utilized store analytics to identify areas of improvement in customer experiences.
Managed team of 65 cashiers, ensuring smooth workflow and optimal performance.
Monitored daily cash discrepancies, inventory shrinkage and drive-off.
Cashier and Customer Service Representative
Pathmark Stores Inc.
05.2009 - 01.2011
Assess and resolved pricing and transaction issues
Helped customers complete purchases, locate items, and join reward programs.
Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
Assist customers with questions and advised them of the various solutions the store could provide
Answer inquiries regarding sales, substitutions, product location and product availability.
Resolved customer complaints professionally, leading to improved customer relations and loyalty.
Education
Bachelor of Arts - Psychology
CUNY Queens College
Flushing, NY
05.2013
Associate of Arts - Liberal Arts, Psychology
CUNY Queensborough Community College
Bayside, NY
01.2011
Skills
Advanced Time Management Skills
Caseload Management
Active Listening
Coverage Determination
Proficient in Microsoft Word, Excel, Outlook
Fraudulent Claims Investigation
Settlement Negotiation
Proficient with NYS Workers Compensation Fee Schedule