Kiara Mcclinton
Memphis,TN
Summary
Experienced professional specializing in claims evaluation and resolution. Proficient in analyzing complex information, negotiating settlements, and ensuring regulatory compliance. Recognized for strong teamwork, adaptability, and delivering results in fast-paced environments. Skilled in customer communication, conflict resolution, and strategic decision-making. Adept at efficiently assessing and processing diverse claims while leveraging analytical and negotiation expertise to achieve fair outcomes. Well-versed in regulatory standards and committed to providing exceptional customer service to ensure equitable resolutions.timely resolutions.
Overview
4
4
years of professional experience
Work History
Claims Adjuster
Sedgwick
07.2024 - Current
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Answered customer questions regarding deductibles.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Customer Specialist
Gossett Motors
01.2022 - 07.2024
- Verified accuracy of customer account information and updated when necessary.
- Responded to customer inquiries via phone, email and web-based platforms.
- Provided customers with detailed information on company products, services and materials.
- Identified customer issues with products or services, investigated causes and initiated resolutions.
- Negotiated purchase prices and explained sales, warranty, and optional products.
- Answered telephone and email inquiries from potential customers.
- Cultivated strong relationships with clients, resulting in numerous referrals and repeat customers.
Claims Specialist
Healthy Outcomes
07.2021 - 12.2021
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
Education
High School Diploma -
Ridgeway Highshool
Memphis, TN06-2021
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
- Team collaboration
- Advanced oral and written communication skills
- Sales background
- Customer service
- Data entry
- Time management
- Multitasking and organization
- Problem resolution
Timeline
Claims Adjuster
Sedgwick
07.2024 - Current
Customer Specialist
Gossett Motors
01.2022 - 07.2024
Claims Specialist
Healthy Outcomes
07.2021 - 12.2021
High School Diploma -
Ridgeway Highshool
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