Kayla Harris
Wonewoc,WI
Summary
Responsible Senior Claims Adjuster with experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing case facts. Handles consistent caseloads per month and provides exceptional customer service to policyholders.
Overview
12
12
years of professional experience
Work History
Senior Risk Adjuster
National General Insurance Company
01.2024 - Current
- Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
- Examined claims forms and other records to determine insurance coverage.
- Streamlined workflow for faster claim resolution by coordinating with various internal departments and external agencies.
- Analyzed information gathered by investigations to report findings and recommendations.
- Leveraged strong negotiation skills to resolve claim disputes, resulting in favorable settlements for both the company and policyholders.
- Reduced the number of fraudulent claims by implementing advanced investigative techniques and collaborating with law enforcement when necessary.
- Increased overall productivity by managing a large caseload while maintaining strict attention to detail and accuracy in documentation.
- Participated in ongoing professional development opportunities to maintain current knowledge of insurance laws, regulations, and best practices within the field of claims adjustment.
- Reduced backlogs of pending claims using effective time-management strategies such as prioritizing tasks based on urgency or complexity levels.
- Developed comprehensive reports outlining investigation findings, settlement recommendations, and supporting evidence for use in both internal reviews and external negotiations.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Senior Claims Examiner
Geico
09.2015 - Current
- Researched claims and incident information to deliver solutions and resolve problems.
- Interviewed claimants and witnesses to gather factual information.
- Investigated and processed personal auto insurance claims for policyholders.
- Finalized litigation and non-litigation files for insurance claim payment release.
- Worked in tandem with defense counsels to resolve lawsuits against policyholders and the company.
- Consulted police and hospital records when needed.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Examined photographs and statements.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Maintained contact with claimants and attorneys to determine treatment status.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Directed claims negotiations within allowable limits and supported successful litigations for advanced issues.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Testified on behalf of agency as part of criminal and civic proceedings.
- Collected evidence to support contested claims in court.
Educator
Johnson County Board Of Education
08.2013 - 05.2015
- Built relationships and communicated with parents to provide best learning environment for children.
- Monitored student progress and adjusted instruction to meet individual needs.
- Utilized innovative teaching strategies to effectively engage students in learning.
- Collaborated with colleagues to develop and revise curriculum, enhancing learning experience.
- Met regularly with team of teachers to discuss best practices and develop innovative teaching strategies.
- Developed and implemented engaging lesson plans to keep learner attention.
- Assessed student performance and provided feedback to facilitate student success.
- Facilitated student-led, inquiry-based activities in classroom to enhance learning experience.
- Developed and implemented useful behavior management strategies to instill discipline and compliance with conduct code.
- Collaborated with adults and children to provide safe and educational experience.
- Chose materials and developed lesson plans to enhance skills for individual students.
- Created and implemented assessments to measure student progress.
- Collaborated with administrators to develop school-wide initiatives to promote academic excellence.
- Replenished classroom supply levels to support planned lessons and activities.
- Helped students explore concepts with engaging, learning-focused activities.
- Communicated frequently with parents, students, and faculty to provide feedback and discuss instructional strategies.
- Fostered student curiosity and interest through creative hands-on activities.
- Developed and implemented classroom routines to address varying student needs.
- Modified lessons and curriculum to accommodate diverse learners by using strategies such as peer-assisted learning and group work.
- Increased educational expertise and knowledge by participating in instructor-oriented workshops.
- Participated in department meetings to provide input to colleagues about student achievement and improvement.
- Shifted between formal and informal methods of teaching to keep students engaged.
- Created and developed lesson plans to meet students' academic needs.
- Met with students, parents and administrators to address and resolve students' behavioral and academic issues.
- Boosted cultural awareness by incorporating children's literature from world cultures.
- Scheduled conferences with parents to discuss students' progress and classroom behavior.
- Prepared quizzes, tests and examinations to gauge how well students were learning.
- Designed detailed learning plans for struggling students based on test, homework and assignment records.
- Implemented reading and writing workshops to increase student literacy and support school reading programs.
Education
Bachelors - Early Childhood Education
Wesleyan College
Macon, GA05.2013
Associates - Early Childhood Education
Andrew College
Cuthbert, GA05.2010
Skills
- Job Assignments
- Liability Determinations
- Reservation Documentation
- Carrier Policies
- Reading Comprehension
- Microsoft PowerPoint
- Complex Problem-Solving
- Microsoft Office Suite
Timeline
Senior Risk Adjuster
National General Insurance Company
01.2024 - Current
Senior Claims Examiner
Geico
09.2015 - Current
Educator
Johnson County Board Of Education
08.2013 - 05.2015
Bachelors - Early Childhood Education
Wesleyan College
Associates - Early Childhood Education
Andrew College
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