Kevin Cleophat
Katy,TX
Summary
Skilled in navigating complex insurance claims and providing thorough investigations to ensure fair settlements. Have experience coordinating with legal teams, policyholders, and insurance companies to manage claims efficiently. Known for strong analytical skills, ability to interpret policy details accurately, and effective communication that results in resolved disputes. Made significant impacts by streamlining claims processing procedures, enhancing customer satisfaction through timely resolutions.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Pilot Catastrophe
Mobile, AL
10.2023 - Current
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
- Input claim information and payments into company database.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Conducted on-site and virtual inspections of property damage to assess repair needs and costs.
Project Manager
Elite Empire
Houston, TX
02.2022 - 10.2023
- Forecasted, scheduled and monitored project timelines, personnel performance, and cost efficiency.
- Develop and integrate strategic plans verbally and in written form (drafting memos, progress reports), documenting important information over the course of a project's lifespan that meets stakeholders' needs and expectations for each phase.
- Identified risks associated with each project and developed strategies for mitigating those risks.
- Led meetings with internal team members, consultants and contractors.
- Managed contracts with vendors and suppliers by assigning tasks and communicating expected deliverables.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
D.M.E. Specialist
C&C Medical Supplies
Brooklyn, NY
02.2008 - 12.2021
- Foster relationships with doctors and patients, introducing the company’s product line and services.
- Developed strategic marketing campaigns to position and introduce products to targeted healthcare professionals.
- Formulated a tracking system for outstanding accounts payables and accounts receivables.
- Processed various claims successfully daily, including Workers' Comp, No-Fault, and Medical.
- Collaborated with physicians to gain knowledge on policies, best practices, and safety guidelines.
- Created training programs to ensure the proper use of all products by clients.
- Developed rehabilitation regimens for clients to ensure success during the recovery phase.
- Successfully expanded the product line from one medical device to nine devices, achieving 30% growth.
- Grew territory revenue by 60% by identifying and closing new business opportunities.
- Provide exceptional customer service throughout the consultation, training, and follow-up phase.
Education
B.S. - Business Management
Molloy University
Baldwin, NYAssociate degree - Business Administration & Management
Nassau Community College
Garden City, NYSkills
- Insurance verification
- Xactimate
- Detail-oriented
- Claims handling
- CCC One
- Time management
- Account management
- Marketing
- Automotive repair
- Contract Review
- Data Entry/Analysis
- Customer service
Licensescertificates
- Texas All Lines
- New York Auto Adjuster
- New York Auto Damage & Theft Appraisals
Certification
- Texas All lines
- New York Auto Adjuster
- New York Auto Damage & Theft Appraisals
Timeline
Claims Adjuster
Pilot Catastrophe
10.2023 - Current
Project Manager
Elite Empire
02.2022 - 10.2023
D.M.E. Specialist
C&C Medical Supplies
02.2008 - 12.2021
B.S. - Business Management
Molloy University
Associate degree - Business Administration & Management
Nassau Community College
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