Justin Loggins
Pflugerville,TX
Summary
Business-minded Licensed Claims Adjuster with exemplary skills in customer service, time management and service coordination. Bringing over 7 years of related experience combined with superior mathematical abilities. Pursuing similar position with expanding insurance company.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Central Claims Adjuster Senior
Progressive
02.2021 - Current
- Improved claim resolution times by efficiently managing caseload of 50+ claims per month.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for companies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Identified potential fraud indicators early in investigation process, protecting company assets from potential losses due to fraudulent activity.
- Examined claims forms and other records to determine insurance coverage.
Customer Service Representative
BlueCross BlueShield Of Alabama
09.2017 - 01.2021
- Collected customer feedback and made process changes to exceed customer satisfaction goals 98%.
- Entered customer interaction details in CIS system to track requests, document problems and record solutions offered.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Cultivated customer loyalty, promoted repeat customers and improved sales.
- Answered constant flow of customer calls with up to 150 calls in queue per minute.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Provided information to customers regarding Blue cross blue shield of alabama charge card and loyalty program and helped to open and activate new accounts.
- Provided primary customer support to internal and external customers in fast-paced environment.
Customer Service Specialist
Walmart
09.2015 - 10.2016
- Increased efficiency and team productivity by promoting adherence to operational best practices and company policies.
- Offered internal and external customers first-rate customer service to maximize satisfaction and business success.
- Surpassed performance goals by approaching all interactions with resourcefulness, organization and customer-centric solutions.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and effective solutions.
- Provided customers with detailed information on company products, services and materials.
- Opened and maintained several customer accounts per year by recording account information.
HVAC-R Technician
Adecco
02.2015 - 09.2015
- Investigated major malfunctions and breakdowns of heating, insolation and air-conditioning systems and used knowledge and equipment to determine causes.
- Reviewed work of external and internal contractors to guarantee consistency with quality and safety standards.
- Closed out all work orders after verifying completion with customers and reporting any discrepancies discovered on job site.
- Surveyed building layout and gathered materials before beginning repairs.
- Programmed computerized energy management systems and verified proper functionality.
- Monitored building environmental conditions, including adjusting thermostats, terminal units and mixing boxes.
- Worked overtime, holidays and weekends to accommodate company needs.
Front Desk Receptionist
YMCA
06.2011 - 03.2012
- Reported facility and room maintenance problems to appropriate personnel for immediate remediation.
- Politely welcomed arriving guests, providing room keys and information on amenities and policies.
- Promptly answered multi-line phone system and greeted callers enthusiastically.
- Welcomed patrons and immediately offered assistance by asking open-ended questions.
- Entered customer data using microsoft software and updated information whenever patrons changed rooms.
Education
Associate of Science - Education
Victoria College
Victoria, TX05.2014
Skills
- Customer Relations
- Risk Assessment
- Insurance policy coverage knowledge
- Claims Processing
- Policy investigations
- Caseload Management
- Policy Interpretation
- Claims Investigation
- Proficient in all Microsoft programs
- Complaint resolution
- Medical terminology knowledge
- Administrative support
- Good listening skills
- Creative problem solving
- Report preparation
Certification
- Licensed Health care insurance agent - three years
- Licensed Claims adjuster - 03/2021-current
Timeline
Central Claims Adjuster Senior
Progressive
02.2021 - Current
Customer Service Representative
BlueCross BlueShield Of Alabama
09.2017 - 01.2021
Customer Service Specialist
Walmart
09.2015 - 10.2016
HVAC-R Technician
Adecco
02.2015 - 09.2015
Front Desk Receptionist
YMCA
06.2011 - 03.2012
Associate of Science - Education
Victoria College