Kiesha Payne
Colorado Springs,CO
Summary
Proficient in managing insurance claims with a strong emphasis on ethical liability assessment and conflict resolution. Proven success in negotiating fair settlements, reducing the need for litigation while maintaining high customer satisfaction. Excellent analytical skills and a collaborative approach to problem-solving. Reliable and detail-focused, consistently delivering results in dynamic environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Claims Adjuster
Farmers Insurance Company
Remote
04.2023 - Current
- Consulted police and hospital records when needed.
- Interviewed claimants and witnesses to gather factual information.
- Examined photographs and statements.
- Mentored junior adjusters on effective time management and organizational skills, leading to improved work quality and job satisfaction.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
- Evaluated coverage, liability and damages and investigated suspicious claims.
- Monitored expenses of pending claims to comply with company expenditure guidelines and budgets.
- Prevented unnecessary litigation by diplomatically resolving disputes over coverage, liability, and damages through negotiation.
- Determined liability and estimated and approved benefit payments.
- Enhanced customer satisfaction by providing timely updates on claim status and answering inquiries professionally.
Claims Adjuster/ Licensed Insurance Producer
Sutherland Global Service
05.2020 - 05.2023
- Investigating, evaluating and settling insurance claims
- Determining whether the insured’s policy covers the claimed loss
- Deciding an appropriate amount the company should pay out
- Ensuring that claims are not fraudulent
- Contacting claimant’s employers or doctors for additional information if the claim is questionable
- Conferring with legal counsel when needed
- Negotiating settlements and authorizing payments
- Identifies prospective clients through leads and referrals
- Schedules client meetings
- Performs follow-up calls as needed
- Advises on insurance coverage
- Conducts periodic policy reviews
- Prepares insurance proposals
- Completes requirements and submits to underwriters
- REMOTE
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
Claims Adjuster/ Human Resource Assistant
Express Employment
Colorado/Pennsylvania
06.2015 - 03.2020
- Coordinate and conduct pre-employment testing, including
- Background checks and drug tests
- Partner with talent acquisition on new hires and ensure on-boarding paperwork is completed on-time and accurately Prep for New Hire paperwork sessions
- Providing general clerical and administrative support to all levels of professionals
- Manage the process and implementation of the following: payroll, benefits, employee incentives, retention, turnover, recruitment, safety, training and development
- Ensuring all employees are being treated fairly and correctly under the federal and state guidelines that have been set
- Ensuring all employees have been trained properly according to corporate, State and federal guideline
- Manage employee relations issues and ensure concerns are properly identified, reported and resolved
- Contract
Education
Business Management
Community College of Aurora
DENVER, CO08.2022
Diploma - undefined
EMILY GRIFITH
DENVER, CO05.2009
Skills
- Microsoft Office suite, Guidewire and Xactimate expert
- Sales acumen
- Claims adjusting background
- Investigative liability skills
- Communication proficiency
- Analytical skill set
- Customer service excellence
- Handling of claims efficiently
- Third and first party liability
- Workman's comp claims
- Relationship management expertise
- Professionalism and ethical standards
- Sales background experience
- Data entry accuracy
- Conflict resolution methods
- Management of claims documentation
- Critical thinking application
- Expertise in analyzing claims
- Organizational skill enhancement
- Strong interpersonal abilities
- Management of complex cases effectively
- Caseload oversight capabilities
- Risk evaluation techniques
- Policy investigation skills
- CCC report generation expertise
- Negotiation tactics for claims settlements
- Detailed medical records examination
- detailed bodily injury claim proficiency
- Highly motivated
- Flexible and adaptable
Certification
Insurance Licenses:
- Accident & Health License
- Life License
- Medicare
- Property & Casualty
- Florida 7020 (Non resident, all lines)
Timeline
Senior Claims Adjuster
Farmers Insurance Company
04.2023 - Current
Claims Adjuster/ Licensed Insurance Producer
Sutherland Global Service
05.2020 - 05.2023
Claims Adjuster/ Human Resource Assistant
Express Employment
06.2015 - 03.2020
Diploma - undefined
EMILY GRIFITH
Business Management
Community College of Aurora