Kaley Walsh
Lakeland,FL
Summary
Diligent and detail-oriented professional with experience coordinating auto claims Skilled and delivering high-quality customer service while building relationships with customers Adept at determining proper course of action for coverage and disposition of claims using judgment and decision-making skills Received First Quarter Top Performer 2024
Overview
3
3
years of professional experience
Work History
Coverage Damage Unit Adjuster
GEICO
Lakeland
12.2024 - Current
- Established reserves for each claim based on analysis of the facts and applicable law.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
- Collaborated with underwriting teams to provide insights on risk assessment and policy adjustments.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Reduced loss ratios through fair and prompt processing of claims.
- Communicated with reinsurance brokers to obtain claim information for processing.
- Developed relationships with clients, underwriters, adjusters, brokers and other internal and external stakeholders.
- Calculated and authorized payment of claims within designated authority level.
- Provided coverage opinions based on analysis of facts, law, policy language and endorsements.
- Negotiate property damage settlements
- Issue payments to costumers as well as other insurance companies
Claims Adjuster
GEICO
Lakeland, FL
02.2023 - Current
- Diligent and detail-oriented professional with experience coordinating auto claims
- Skilled and delivering high-quality customer service while building relationships with customers
- Adept at determining proper course of action for coverage and disposition of claims using judgment and decision-making skills
- Received First Quarter Top Performer 2024
- Gathered information from various third parties to determine claim acceptability.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Reviewed and applied state laws and regulations to ensure compliance in claim handling.
- Prepared detailed reports on investigation findings and claim status for internal use.
- Maintained updated knowledge through continuing education and advanced training.
Customer Service
Garland Insurance
Lakeland, FL
07.2022 - 02.2023
- Developed and trained new customer service representatives on the proper handling of customer insurance inquiries
- Handled customer inquiries, answered questions, and resolved problems in a timely manner
- Provided superior customer service at all times.
- Conducted customer service surveys to identify areas of improvement in customer service.
- Ensured all paperwork was properly filed according to established guidelines.
Education
Bachelors Degree - General Business Studies
Webber International University
Lake Wales, FL05.2022
High School Diploma -
Lake Gibson High School
Lakeland, FL05-2019
Skills
- Customer service
- Communication skills
- Time management
- Computer literacy
- Leadership
- Documentation review
- Analysis skills
- Organizational skills
- Computer skills
- Microsoft office
- Claims processing
- Coverage analysis
- Negotiation skills
- Conflict resolution
- Relationship building
- Problem solving
- Attention to detail
- Decision making
- Liability analysis
- Benefit explanation
- Time management abilities
- Allocating claims
- Report and records review
- Rules of evidence
- Denied claims identification
- Problem-solving abilities
- Critical thinking
- Accredited claims adjuster
- Claimant Interviewing
- Multitasking
- Payment authorization
- Customer service and support
- Insurance policy knowledge
- Coverage assessments
- Active listening
- Teamwork skills
Timeline
Coverage Damage Unit Adjuster
GEICO
12.2024 - Current
Claims Adjuster
GEICO
02.2023 - Current
Customer Service
Garland Insurance
07.2022 - 02.2023
Bachelors Degree - General Business Studies
Webber International University
High School Diploma -
Lake Gibson High School