Competent in adjudicating claims thoroughly. Proficient in making coverage and liability decisions, documenting actions, and identifying suspect claims. Highly organized and proactive with excellent communication and problem-solving skills.
Overview
2026
2026
years of professional experience
Work History
Sr Claims Representative
AmericanWest Insurance
Sioux Falls, SD
04.2022 - Current
Conduct on-site inspections of damaged properties, evaluate damages and determine the cause, extent and cost of repairs or replacement.
Collect evidence, including photographs and written reports, to support claim decisions.
Interview policyholders and witnesses to gather information regarding claims.
Prepare detailed repair cost estimates using Xactimate
Recommend fair settlements based on established insurance policy guidelines and damage assessment. Communicate effectively with policyholders and contractors.
educate claimants on the claims process and help resolve any concerns or disputes. review policyholders insurance policies to determine coverage, exclusions and limits relevant to claims.
Ensure that claim payouts are in line with the policy terms and coverage limits.
Field Claim Representative II
Farm Bureau Insurance
Sioux Falls, SD
05.2014 - 04.2022
Processed new claims quickly and accurately according to company standards.
Investigated suspicious claims to identify potential fraud or abuse.
Documented detailed notes about every step taken while investigating a claim.
Complied with legal requirements associated with the handling of sensitive personal data during the course of a claim investigation.
Provided technical guidance on complex issues related to claim processing and denied claims appeals.
Prepared adjustment documents for processing of payments or denials of claims.
Maintained knowledge of current industry trends in order to identify opportunities for improvement.
Insurance Agent
Farm Bureau Insurance
Sioux Fallls, SD
Maintained accurate records of all insurance transactions using computer software systems.
Educated customers on the importance of maintaining adequate insurance coverage.
Advised customers on the best ways to minimize risks associated with their assets.
Explained complex technical terms related to insurance plans in simple language for easy understanding.
Responded quickly and accurately to inquiries from clients regarding their coverage plans.
Education
Bachelor of Arts - Business Administration And Management
University of Sioux Falls
Sioux Falls, SD
05-2012
Skills
Xactimate software
Claims investigation
Damage assessment
Settlement negotiation
Effective communication
Conflict resolution
Attention to detail
Timeline
Sr Claims Representative
AmericanWest Insurance
04.2022 - Current
Field Claim Representative II
Farm Bureau Insurance
05.2014 - 04.2022
Insurance Agent
Farm Bureau Insurance
Bachelor of Arts - Business Administration And Management
Licensed Insurance Producer/CSR at FARMERS INSURANCE AGENCY/NAZE PERRY INSURANCE AGENCYLicensed Insurance Producer/CSR at FARMERS INSURANCE AGENCY/NAZE PERRY INSURANCE AGENCY