Kate Randall
Roswell,GA
Summary
Organized and detail-oriented claims adjuster with 8 years experience dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Senior Recovery Specialist
Enterprise Mobility, LLC.
04.2017 - Current
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Negotiated with other involved parties to arrange settlements for maximum results.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Risk Management Coordinator
Enterprise Mobility
04.2019 - 08.2021
- Trained new hires in risk management policies
- Taught employees how to control risks at front line.
- Helped group risk management team produce timely reports analyzing loss data across all frauds, thefts, conversions, and claims.
- Produced and filed reports to inform senior management of current activities and progress with investigations.
- Reviewed personnel driving records and issued memos up to and including termination based upon compliance with company guidelines for continued employment.
Property and Casualty Adjuster; Bodily Injury
GEICO
02.2014 - 11.2016
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
Intermediate Corporate Claims Application, Process, and Systems Analyst
GEICO
01.2014 - 11.2016
- Responsible for project planning, piloting, and implementing new processes that improve the claims handling experience via new systems focusing on subpoena handling specifically at this time, I communicate actively with CEOs, CFOs and the like for outside vendors, User Application Testing certified, Implementing the Lean Six Sigma Operations Management System, Perfect score recipient for my Green Belt certification, Mentored and trained by a Master Black Belt in LSS as to the most efficient ways to improve processes, Responsible for guiding others through leadership, Efficiently delegating tasks to core and extended team members, establishing timelines, deadlines, and presentations for AVPs, RVPs, CEOs, Board of Directors, and other leaders of the aforementioned company, meeting deadlines for deliverable and tangible items setting a precedent and example for other team members to follow the initiative to be a team play and self-starter.
Managed Care Coordinator/Office Administrator
Central Georgia Medical Care Network/USMedX, LLC
01.2009 - 02.2014
Education
Master’s of Business Administration -
Mercer University
07.2015
Bachelor’s of Business Administration -
Mercer University
05.2013
Associate of Science in Sociology -
Georgia Military College
07.2010
Skills
- Casualty and Property Loss
- Policy Investigations
- Claims Processing
- Risk Management
- Highly Motivated
- Strong Interpersonal and Communication Skills
- Ethical Conduct
- Critical Thinking
- Time Management
- Settlement Negotiations
- Public Speaking
Certification
- Previous All Lines Property and Casualty Certified- Department of Insurance- Property & Casualty Adjusters License- April 2014 (Georgia, Alabama, Florida license approved through 2019)
- Arbiter: State of Georgia Certified April 2017 The New DMA Management
- General and Civil Mediator: Certified May 5th 2017 The New DMA Management
Accomplishments
- Served on DE&I and Women in Leadership Teams for Enterprise
- Served on the Board of Directors for The Young Professionals of Birmingham
- Served as Membership Director for The Doraville Chamber of Commerce
- Received four promotions within 6 years with Enterprise
- #1 Performer company-wide in Recovery Claims with Enterprise
- Elite Day Sales Qualifier with Enterprise
- Recognized company-wide at GEICO for my performance in claims handling admittedly saving the company thousands of dollars in legal proceedings
- Received three performance driven raises within a year’s time with GEICO
- Received three job promotions within two year’s time while working for GEICO
- First Place in State Ethics Bowl nationally Georgia Military College - Team Captain
- Valedictorian of Spirit of Truth Mission School, GPA 3.96, June 2008
Timeline
Risk Management Coordinator
Enterprise Mobility
04.2019 - 08.2021
Senior Recovery Specialist
Enterprise Mobility, LLC.
04.2017 - Current
Property and Casualty Adjuster; Bodily Injury
GEICO
02.2014 - 11.2016
Intermediate Corporate Claims Application, Process, and Systems Analyst
GEICO
01.2014 - 11.2016
Managed Care Coordinator/Office Administrator
Central Georgia Medical Care Network/USMedX, LLC
01.2009 - 02.2014
Master’s of Business Administration -
Mercer University
Bachelor’s of Business Administration -
Mercer University
Associate of Science in Sociology -
Georgia Military College
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