Kanyinsola Abdullai
Dallas,TX
Summary
Dynamic Claims Adjuster with expertise in risk assessment and negotiation. Proven track record in optimizing claims processes and enhancing customer satisfaction through effective communication. Skilled in regulatory adherence and cross-functional collaboration, consistently achieving timely resolution.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Adjuster
State Farm
03.2024 - Current
- Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently.
- Interact with parties who may express strong emotions or concerns about ongoing inspections or claim resolutions.
- Provide exceptional customer service throughout the claims process, addressing inquiries and concerns promptly and professionally.
- Gather necessary evidence, documents findings, and prepare detailed reports to support the claims handling process.
- Establish action plans based on case facts, best practices, protocols, regulatory issues, and available resources.
- Maintain compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Member Support Specialist
BroadPath
09.2023 - 03.2024
- Enhanced member satisfaction by promptly addressing and resolving inquiries and concerns.
- Developed strong relationships with members through empathetic communication and effective problem-solving skills.
- Streamlined support process for quicker resolution times, ensuring timely assistance to members.
- Trained new team members in best practices for efficient and consistent member support delivery.
- Implemented feedback from quality assurance reviews, leading to improved performance metrics within the team.
- Monitored trends in member feedback data to identify areas of opportunity for enhancing support services offered by the company.
Claims Adjuster
GEICO
10.2021 - 08.2023
- Managed an inventory of claims to evaluate compensability and liability.
- Established action plans based on case facts, best practices, protocols, regulatory issues, and available resources.
- Conducted investigations to confirm coverage and determined liability, compensability, and damages.
- Assessed policy coverage for submitted claims, notified policyholders of any issues, and established reserve requirements.
- Adjusted reserves as necessary during claim processing.
- Refered claims to the Subrogation Unit or Special Investigations Unit as appropriate.
- Assessed actual damages associated with claims and negotiated settlements within assigned authority limits.
Claims Trainee
Partners In Health
09.2020 - 09.2021
- Assisted senior adjusters in processing and managing insurance claims.
- Conducted initial claim investigations, reviewed policy coverage, and prepared case files.
- Maintained accurate documentation and provided support in claim resolution.
- Communicated with claimants, policyholders, and external stakeholders to facilitate timely settlements.
- Utilized Salesforce to access and process insurance claims.
Sales Development Representative
Neiman Marcus Group Ltd
02.2018 - 03.2020
- Built and managed accurate sales pipeline to maintain high volume of activity.
- Used data analytics to identify and track sales trends and develop actionable insights.
- Established relationships with prospects and customers to promote product understanding and drive sales growth.
- Won new business by articulating full value of company's capabilities to prospects.
- Streamlined lead management process by utilizing CRM software to track interactions and maintain organized customer information.
- Increased sales leads by implementing targeted outreach strategies and personalized followups.
Education
BBA - Business Administration
Cameron University
Lawton, OK05-2017
Skills
- Risk Assessment Analysis
- Policy Coverage Interpretation
- Regulatory Adherence
- Negotiation & Settlement
- Effective Agile Practices
- Process Optimization
- Cross-functional Team Collaboration
- Claims Evaluation
Affiliations
- Delta Sigma Pi
Certification
- CompTIA Certification (SEC+ In Progress)
- Certified ScrumMaster (CSM)
Timeline
Claims Adjuster
State Farm
03.2024 - Current
Member Support Specialist
BroadPath
09.2023 - 03.2024
Claims Adjuster
GEICO
10.2021 - 08.2023
Claims Trainee
Partners In Health
09.2020 - 09.2021
Sales Development Representative
Neiman Marcus Group Ltd
02.2018 - 03.2020
BBA - Business Administration
Cameron University
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