Experienced claims adjuster seeking a responsible career opportunity to leverage training and skills for the success of the company.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Bluefire Insurance
06.2023 - Current
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Interpreted policy language to determine coverage for insureds under various lines of business.
Conducted interviews with claimants, witnesses and medical professionals to obtain additional information about the claim.
Determined reserves for each claim based on estimated costs of settlement or defense.
Maintained accurate documentation of all claim activity within designated system.
MANAGER
HEROES
08.2012 - Current
Demonstrate steadfast leadership in high-pressure situations to enhance team strength.
Enhanced revenue by implementing employee development programs and effective marketing strategies.
Ensure guests received high-quality and respectful customer service
Assist in ordering and inventory, ensuring effective management of all bar items.
Effectively resolve customer complaints by implementing deescalation techniques and problem-solving skills.
Maintain and lead a positive work environment.
CLAIMS ADJUSTER
KEMPER
03.2022 - 04.2023
Managed auto claims across multiple states including TX, CO, LA, IL, OR, and WA.
Provided exceptional customer service by taking recorded statements from insured individuals, claimants, and witnesses. Effectively communicated with all parties involved during the statement-taking process.
Obtained and reviewed evidence, reports, and medical records
Conducted loss investigations and uncovered coverage discrepancies
Negotiated settlements with claimants and attorneys.
Ensured timely and accurate payment processing within designated limits.
CUSTOMER SERVICE
PFSWEB
03.2020 - 03.2022
Efficiently responded to telephone inquiries from customers and associates, delivering exceptional service while assisting with product availability or order status.
Attending closely to caller requirements, ensuring excellent customer service experience
Excelled within a service-oriented company, demonstrating a talent for communicating effectively with customers from diverse backgrounds
Quickly identified and addressed issues on initial calls, minimizing escalations.
OFFICE ASSISTANT
PRIME URBAN AIR
10.2017 - 02.2020
Managed clerical duties including mail sorting and distribution
Maintained files efficiently and accurately
Demonstrated excellent hospitality skills when welcoming individuals to the workplace
Efficiently managed incoming calls, accurately documenting and relaying messages
Scheduled and coordinated meetings, including creating meeting invites.
Education
ASSOCIATES - Business Management
RICHLAND COLLEGE
12.2020
DIPLOMA - General Education
PLANO EAST HIGH SCHOOL
12.2006
Skills
Core Competencies
Leadership
System Implementation
Conflict Resolution
Claims investigations
Communication Skills
Critical Thinking
Team Building
Policy investigations
Certification
Business Administration Human Resources Assistant
Texas Claims Adjuster License – All Lines
References
Available Upon Request
Timeline
Claims Adjuster
Bluefire Insurance
06.2023 - Current
CLAIMS ADJUSTER
KEMPER
03.2022 - 04.2023
CUSTOMER SERVICE
PFSWEB
03.2020 - 03.2022
OFFICE ASSISTANT
PRIME URBAN AIR
10.2017 - 02.2020
MANAGER
HEROES
08.2012 - Current
ASSOCIATES - Business Management
RICHLAND COLLEGE
DIPLOMA - General Education
PLANO EAST HIGH SCHOOL
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