Kenni Okungbowa
West Orange,NJ
Summary
Results-driven Auto Claims Representative with over 2 years of experience managing complex auto liability and personal damage claims. Skilled in coverage analysis, reserving, negotiation, and litigated file handling. Strong foundation in medical terminology and insurance billing from healthcare sector experience, enabling a smooth transition into First Party Medical claim handling. Recognized for delivering quality service across the claim lifecycle, ensuring compliance with regulations, and driving timely, cost-effective resolutions.
Overview
5
5
years of professional experience
Work History
Auto Claims Representative
Travelers Insurance
01.2023 - Current
- - Investigate and resolve auto claims, analyzing liability, damages, coverage provisions, exclusions, and endorsements.
- - Establish and adjust claim reserves, documenting activities in compliance with regulatory and internal standards.
- - Negotiate settlements within authority limits, drafting denial letters and Reservation of Rights when applicable.
- - Manage litigated files, collaborating with defense counsel and supporting arbitration and mediation proceedings.
- - Deliver consistent customer experience by setting expectations, providing timely updates, and meeting service commitments.
- - Conduct case management of complex claims including loss of use and personal damage evaluations.
Patient Service Representative
Summit Medical Group
08.2021 - 12.2022
- - Verified insurance coverage, billing accuracy, and eligibility to support claim submissions and reduce errors.
- - Applied medical terminology knowledge to communicate with patients and providers, supporting claim-related inquiries.
- - Coordinated cross-functionally with medical professionals to ensure compliance and proper claim documentation.
HR Assistant
Alert Home Services Corporation
05.2020 - 08.2021
- - Supported HR operations including onboarding, training, and compliance documentation for new hires.
- - Maintained confidential personnel records with accuracy, strengthening organizational compliance.
- - Developed administrative and organizational skills directly transferable to claims processing.
Education
Bachelor of Arts - Psychology
Rutgers University Newark
05.2021
Skills
- Auto Claims (transferable experience)
- Coverage Analysis (provisions, exclusions, endorsements)
- Reserving & Case Management
- Negotiation & Settlement Techniques
- Claims Investigation & Policy Interpretation
- Litigated File Management / Arbitration Support
- Medical Terminology & Insurance Verification
- Customer Service & Communication
- Regulatory Compliance & Documentation
- Time Management & Cross-Functional Collaboration
- Claims investigation
- Assertiveness
- Policy interpretation
- Insurance regulations knowledge
Timeline
Auto Claims Representative
Travelers Insurance
01.2023 - Current
Patient Service Representative
Summit Medical Group
08.2021 - 12.2022
HR Assistant
Alert Home Services Corporation
05.2020 - 08.2021
Bachelor of Arts - Psychology
Rutgers University Newark