Overview
Work History
Education
Skills
Timeline
Generic

Kera Steele

Brenham,TX

Overview

15
15
years of professional experience

Work History

Casualty Claims Representative III

Germania Insurance
Brenham , TX
08.2023 - Current
  • Analyzed facts of loss, recorded statements, reviewed police reports, medical documents, including photographs, diagrams, and other evidence for claims investigation, and identified potential sources of recovery.
  • Worked effectively in team environments to make the workplace more productive.
  • Conducted comprehensive background checks and due diligence investigations on individuals and entities to mitigate risk.
  • Developed strategies for conducting successful investigations.
  • Assisted in fraud detection and prevention efforts by identifying suspicious claim activities.
  • Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
  • Recognized by management for providing exceptional customer service.
  • Communicated effectively with policyholders, providing updates and explaining claim processes.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Ensured timely resolution of any issues arising during the negotiation process.
  • Negotiated settlements with claimants in order to resolve disputes quickly and economically.
  • Delivered exceptional customer service to customers by communicating information and actively listening to concerns.

Casualty Claims Representative II Pip/Medpay

Germania Insurance
Brenham, TX
03.2020 - 08.2023
  • Conducted interviews, gathered detailed information for injuries and loss and completed coverage investigations.
  • Reduced loss ratios through fair and prompt processing of Pip/Medpay claims.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Working directly with litigation and complex adjusters on FLP/PLP and fatality loss claims.
  • Delivered exceptional customer service to all clients and vendors by effectively communicating information and actively listening to concerns.
  • Uploaded documentation and reports to corporate database system using Medicare, Medicaid, Mitchell Medical and Claims Technician to facilitate smooth claims processing.
  • Demonstrated leadership by making improvements to work processes and helping to train others.
  • Collaborated with others to discuss new opportunities with Medicare and letters to improve reporting and communication with vendor.
  • Obtained all necessary information to complete proper evaluation of injury claims.
  • Created agendas and communication materials for team meetings.
  • Identified suspicious losses, immediately contacting SIU to conduct further investigations.

Casualty Claims Representative II

Germania Insurance
Brenham, TX
09.2018 - 03.2020
  • Reduced loss ratios through fair and prompt processing of claims.
  • Conducted recorded statement, gathered detailed information and completed liability investigation.
  • Developed connections with vendors.
  • Working closely with SIU Unit on claims to assess for any potential fraudulent activity. Worked close on Fire/Theft claims.
  • Worked with underwriting on risk assessment by sending referrals.
  • Apart of a project team in 2019, Assignment Process Committee 01/28/2019-08/18/2019 still reviewing and supporting for any new developments.
  • Reviewing and determining settlement offers for diminished in value and loss of use for casualty and property.
  • Handling Auto/Business politics, Commercial General Liability, Personal/Farm Liability, Boat Politics, Fire/Theft Claims.
  • Selected to be apart of a trial run "Liability Investigation" training class to support and help the claims department for future classes.

Casualty Claims Representative I

Germania Insurance
Brenham, TX
5 2017 - 09.2018
  • Multitasking between inbound and outbound calls, reviewing and filing information within the claim.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Identified and collected evidence and determined its value to a specific claim.
  • Investigated claims, gather field audits, determined losses and reported findings.
  • Conducted interviews, gathered detailed information in order to manage claims according.
  • Completed required investigations on referred files in a timely manner.
  • Investigated of clear claims with a focus on thoroughness, quality and cost control.
  • Reviewed data to verify the validity of claims.
  • Attended multiple anti-fraud trainings, conferences, client SIU trainings and industry seminars.
  • Recommended settlement offers and negotiated payment arrangements.
  • Interviewed claimants, employers to determine pertinent claim information.
  • Developed productive working relationships with agents and vendors.

Casualty Service Assistant

Germania Insurance Company
Brenham, TX
2 2016 - 5 2017
  • Managing rental duration is our key focus as Rental Adjuster. Communicating professionally with our policyholders, claimants, vendors and repair facilities is apart of my daily job duties.
  • Completing activities that have been assigned in the claim file in a timely manner, such as overnighting checks and mailing important documents for our remote adjusters and subrogation team with mailing demands.
  • Obtaining my adjusters license
  • Multitasking between inbound and outbound calls, reviewing and filing information within the claim.
  • Team lead in the training and development for the Rental Mangament Team and new hires within the Claim Department. This training explains our role and job function within the claim process.

Retail Sales Consultant

AT&T
Brenham, TX
09.2010 - 01.2016
  • Provide customers service by preparing sales quotes, cost analysis, following up on sales leads, trouble shooting cellular devices, and remaining knowledgeable on all new services and equipment.
  • Remain professional by offering an "I can help you with that" attitude towards complaint resolutions.
  • Also working on deposits, opening and closing down cash drawer and kiosks.
  • Maintaining confidentiality of all customer and company proprietary information.
  • Responsible for maintaining the sales quota on a daily basis.

Education

High School Diploma -

Brenham High School
2005

Skills

  • Data entry
  • Filing and extracting data
  • Computer, fax, calculator
  • Works well under pressure
  • Excellent attention to detail
  • Efficient time management
  • Quick learner
  • Highly responsible and reliable
  • Excellent communication
  • Training and development
  • Strong interpersonal and communication skills
  • Critical thinker
  • Team player
  • Sales background
  • Decisive
  • Workers’ compensation claims
  • Integrity
  • Insurance Policy Knowledge and Application
  • Innovation and the Will to Succeed
  • Customer service excellence
  • Medical data analyst
  • Policy analysis
  • Customer service and support
  • Benefit explanation

Timeline

Casualty Claims Representative III

Germania Insurance
08.2023 - Current

Casualty Claims Representative II Pip/Medpay

Germania Insurance
03.2020 - 08.2023

Casualty Claims Representative II

Germania Insurance
09.2018 - 03.2020

Retail Sales Consultant

AT&T
09.2010 - 01.2016

Casualty Claims Representative I

Germania Insurance
5 2017 - 09.2018

Casualty Service Assistant

Germania Insurance Company
2 2016 - 5 2017

High School Diploma -

Brenham High School

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Kera Steele