Kimberly Eadie
Senior Claims Trainer
Princeton,TX
Summary
Professional with thorough understanding and practical experience in claims management and training. Skilled in developing and implementing training programs that enhance team performance and ensure compliance. Strong focus on fostering collaboration, adapting to changing needs, and achieving measurable results. Known for reliability, leadership, effective communication, and analytical problem-solving skills.
Overview
36
36
years of professional experience
Work History
Sr. Claims Trainer
National General Insurance Company
02.2021 - Current
- Train New Hires: Coverage, Liability, Policy & Systems.
- Train System to Claims Professionals during integration of New Companies
- Produce E-Learning modules
- Collaborated with management to identify training needs and develop appropriate solutions, resulting in improved employee competency.
- Served as a mentor to new claims trainers, sharing valuable insights gained from years of experience in the field to foster their professional development.
- Increased employee retention by providing comprehensive onboarding programs for newly hired claims professionals.
- Worked independently with minimal supervision, setting priorities and demonstrating excellent project management skills.
Claims Trainer
National General Insurance Company
03.2018 - 02.2021
- Facilitated open communication among trainees, encouraging active participation and fostering collaborative problem-solving skills.
- Collaborated with subject matter experts and customers in course design, curriculum development and material creation.
- Developed customized lesson plans catering to various experience levels, accommodating the diverse skill sets of participants effectively.
- Organized refresher courses for seasoned staff members, reinforcing key concepts and maintaining high levels of expertise within the team.
CAT Adjuster - Deployed
National General Insurance Company
10.2017 - 03.2018
- Facilitated smooth transitions during catastrophes as part of a disaster response team, quickly addressing large volumes of claims while maintaining high-quality service standards.
- Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
- Reduced company expenses by accurately determining coverage and negotiating cost-effective settlements with policyholders.
- Scoped and photographed properties for defects and damage.
- Prepared sketch of floor plan and roofline and entered data into Xactimate to develop line-by-line item costs of damages.
- Identified suspicious losses and SIU for investigative assistance.
Claims Trainer
National General Insurance Company
07.2014 - 10.2017
- Collaborated with subject matter experts and customers in course design, curriculum development and material creation.
- Worked independently with minimal supervision, setting priorities and demonstrating excellent project management skills.
- Collaborated with management to identify training needs and develop appropriate solutions, resulting in improved employee competency.
- Updated and rewrote EPIC training manual for Claims Adjusters.
Claims Auditor
Imperial Fire & Casualty
04.2014 - 07.2014
- Streamlined the claims process for increased efficiency through thorough documentation and recordkeeping.
- Provided valuable insights from audit findings to senior management for strategic decision-making purposes regarding operational improvements or risk mitigation efforts.
- Researched issues related to claims processing to identify origins and implement corrective solutions.
- Collaborated with claims adjusters, ensuring proper investigation and resolution of complex cases.
Claims Representative
PEMCO Mutual Insurance Company
01.2000 - 03.2014
- Negotiate small & large bodily injury claims.
- Investigate liability issues.
- Maintain Personal Injury Protection files.
- SIU adjuster from 2000 until 2004
- Received my AIC designation in 2002.
- Arbitration Forums arbitrator for Auto and PIP
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
Third Party Insurance Analyst
Group Health Northwest
01.1998 - 01.2000
- Manage a large caseload of 500 or more files including workers compensation and 1st & 3rd party claims accompanied by attorney representation.
- Negotiate subrogation with attorneys and insurance carriers.
- Represent Group Health at mediations
- Assist in developing a new database.
Insurance Analyst
Group Health Northwest
08.1997 - 01.1998
- Manage a caseload of 800 to 1,000 files that consist of workers Compensation without attorney representation and 1st & 3rd party claims without attorney representation.
- Adjudicate claims.
- Determine if claims relate to injury by interpreting chart notes.
Claims Analyst
Farmers Insurance Group
01.1991 - 01.1997
- Manage a caseload of over five hundred files both Personal Injury Protection & subrogation/collection.
- Investigate all file for fraud.
- Assist attorney in Personal Injury arbitration & examination under oath.
- Order medical reports & set independent medical examinations.
- Answer the phone and provide excellent customer service.
- Prepare files for independent medical examination and/or arbitration and/or examination under oath.
- Contributed to the suggestion program.
- Awarded a spot bonus for an extra effort in saving the company money.
- Passed course of Property-Casualty principles with 86%. (1st in my office)
- Recognized in the company paper of superior approach of fraudulent files.
- Received team award for subrogation collection over the office goal.
Customer Service Clerk
Farmers Insurance Group
01.1990 - 01.1991
- Schedule appointments, answering phones & providing customer service.
- Check customers in for their appointments. Organizing files & preparing them for closure.
- Taking the initiative to find a set of used wheels and saving the company $500. I received a spot bonus.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Property Damage Clerk
Farmers Insurance Group
01.1989 - 01.1990
- Received all property damage files, made appointments for claimants.
- Prepare property damage files for closure and directed them to bodily injury adjuster.
- Take initial loss reports and intake forms for claimants.
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Maintained filing system and organized customer documents for easy retrieval of information.
Education
No Degree - Business Administration And Management
Spokane Falls Community College
Spokane, WA 05.2001 -
Associate In Claims - Insurance
Insurance Institute of American
05.2001 -
Skills
Virtual training
Curriculum design and development
E-learning platforms
Coverage verification
Professionalism
Project management
Teamwork and collaboration
Problem-solving
Multitasking Abilities
Adaptability and flexibility
Leadership development
Timeline
Sr. Claims Trainer
National General Insurance Company
02.2021 - Current
Claims Trainer
National General Insurance Company
03.2018 - 02.2021
CAT Adjuster - Deployed
National General Insurance Company
10.2017 - 03.2018
Claims Trainer
National General Insurance Company
07.2014 - 10.2017
Claims Auditor
Imperial Fire & Casualty
04.2014 - 07.2014
No Degree - Business Administration And Management
Spokane Falls Community College
05.2001 -
Associate In Claims - Insurance
Insurance Institute of American
05.2001 -
Claims Representative
PEMCO Mutual Insurance Company
01.2000 - 03.2014
Third Party Insurance Analyst
Group Health Northwest
01.1998 - 01.2000
Insurance Analyst
Group Health Northwest
08.1997 - 01.1998
Claims Analyst
Farmers Insurance Group
01.1991 - 01.1997
Customer Service Clerk
Farmers Insurance Group
01.1990 - 01.1991
Property Damage Clerk
Farmers Insurance Group
01.1989 - 01.1990
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