Claims professional who values precision and efficiency in claims evaluation and resolution. Proven track record of managing high caseloads and settling claims accurately in compliance with company standards. Known for strong collaboration with team members and adaptability to changing needs, ensuring reliable performance and positive results.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Restaurant General Manager
Peking Cajun Seafood
08.2023 - Current
Effectively managed labor costs by monitoring productivity levels among staff members and making strategic scheduling decisions.
Managed all aspects of daily operations, including managing budgets, inventory control, and vendor relations.
Addressed customer concerns promptly and professionally, turning potentially negative experiences into positive outcomes.
Developed and maintained a strong team of motivated staff by providing ongoing training and development opportunities.
Property Claims Specialist I
Zurich Insurance North America
06.2022 - 08.2023
Exercised proper judgment and decision making to analyze over 15 claims per week.
Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
Documented claims files by accurately capturing and updating claims data/information in compliance with best practices for commercial property claims of moderate to high exposure and complexity
Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
Exercised judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage
Maintained a timely resolution to claims by developing case strategy; developed a case evaluation and escalating issues as appropriate
Established timely reserves and performed ongoing review throughout claims cycle within authority limit by estimating and validating value of claims
Negotiated settlement of claim by establishing appropriate negotiation strategy and using available tools and resources within authority limits
Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
Analyzed complex insurance policies, verified coverage, and communicated with underwriters to ensure accurate claims handling and risk assessment
Enhanced skills in customer service, communication, and policy interpretation, improving claim handling
Liquor Manager
Jewel-Osco
09.2018 - 05.2020
Contributed ideas during store meetings that led to an optimized product selection and increased sales.
Optimized inventory management using SPA gun and EOE system, ensuring accurate stock levels and efficient product ordering for the liquor department
Drove department performance, meeting sales targets and profit goals while optimizing weekly schedules to balance service and payroll costs
Trained new employees on company policies, liquor laws, and best practices to maintain a high level of staff competence.
Education
Bachelor of Arts - Economics
University of Illinois Chicago
01.2018
Skills
Claims Processing
Claims Investigation
Insurance policy knowledge
Operations Management
Accomplishments
Collaborated with Property team of 3 adjusters in the development of driving 3 separate losses into closure by effective communication.
Certification
Public Adjuster Licensing–TX Department of Insurance; necessary license to operate as a public adjuster in many states.
Currently expired but willing to obtain within 90 days of employment.
Timeline
Restaurant General Manager
Peking Cajun Seafood
08.2023 - Current
Property Claims Specialist I
Zurich Insurance North America
06.2022 - 08.2023
Liquor Manager
Jewel-Osco
09.2018 - 05.2020
Public Adjuster Licensing–TX Department of Insurance; necessary license to operate as a public adjuster in many states.
Currently expired but willing to obtain within 90 days of employment.
Bachelor of Arts - Economics
University of Illinois Chicago
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