Highly accomplished professional with proven track record of managing auto claims, liability investigations, and casualty adjustments, driving precise and fair resolutions. Adept at supervising and mentoring teams, fostering culture of excellence and proactive management. Skilled in navigating complex liability scenarios, achieving clarity amidst disputes, and resolving customer concerns. Proficient in strategic planning, seamlessly contributing to annual business objectives and consistently exceeding expectations. Possess sharp acumen for identifying potential fraud or subrogation issues, ensuring vigilant claim handling. Committed to responsiveness, adeptly communicating with claimants, attorneys, and other stakeholders, fostering collaborative relationships. Dedicated practitioner of continuous improvement, consistently garnered top-tier results, exemplified by accolades for outstanding performance.
Overview
20
20
years of professional experience
Work History
Paralegal
Reynolds, Horne & Survant, LLC
04.2024 - Current
Assisted counsel in preparing answers, providing documentation, and information for discovery request.
Conducted detailed client intakes and entered information into company database.
Prepared legal briefs, motions, and pleadings.
Communicated with clients, opposing counsel and court personnel to keep all parties informed on case updates.
Assisted in preparation of settlement proposals and agreements to help attorneys negotiate settlement in best interest of client.
Elementary/Special Education Teacher
Multiple Schools for Houston County School
08.2017 - 07.2023
Delivered effective and differentiated classroom instruction to range of neurodiverse students.
Cultivated connections and strong student rapport to foster classroom engagement, in addition to recording student progress to inform parents and school administration.
Created and managed IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
Partnered with standard education teachers from across academic departments. to design curriculum for SPED classrooms
Modified general education curriculum for special-needs students using various instructional techniques and technologies.
Continuing Unit Adjuster
GEICO
01.2015 - 04.2016
Investigate and resolve diverse facets of personal auto claims encompassing coverage intricacies, complex liability evaluations, comparative negligence analysis, first-party injuries and fatalities, and moderately/severe intricate third-party injuries involving attorney-represented and non-represented cases
Detected instances of subrogation potential and potential fraud, promptly referring claims for specialized investigation or recovery procedures when appropriate
Engaged in effective communication with claimants, legal representatives, and vendors via varied channels such as telephone, email, and written exchanges
Skillfully negotiated settlements for third-party injury claims, establishing commendable track record for swift resolution even within initial calls
Represented the company at mediations, arbitrations, and/or trial
Loss Report Technician Trainer/Supervisor
GEICO
01.2014 - 01.2015
Developed strategies to achieve department goals within budgetary constraints
Monitored employee performance metrics to ensure adherence to quality standards
Trained new employees on company policies, procedures, and software systems
Developed curriculum for the Claims overnight team and trained new hires.
Conducted performance evaluations and provided constructive feedback for employee growth
Coordinated with HR department in recruiting, interviewing, and hiring new staff members
Claims Trainer
GEICO
01.2008 - 02.2014
Provided constructive feedback to individual adjusters regarding their strengths and areas for improvement
Continuously sought ways to streamline processes while maintaining thoroughness in claims investigations and resolutions
Maintained accurate records of all completed trainings, certifications, and required continuing education credits
Aligned training objectives with company goals to enhance overall performance outcomes
Evaluated effectiveness of current training programs through regular tracking and analysis
Collaborated with claims management to identify areas for staff improvement
Telephone Claims Representative II
GEICO
05.2007 - 05.2008
Documented all customer interactions in company's database
Managed incoming calls, emails, and chats from policyholders
Monitored open claims status to determine progress and resolve issues
Investigated claims to determine coverage eligibility and extent of damages
Exceeded company's expectation in quality and service level
Communicated with clients involved in accidents and needing vehicle assistance
Claims Service Representative Supervisor
GEICO
04.2006 - 05.2007
Continuously looked for ways to improve efficiency within Claims department by identifying areas needing improvement or streamlining processes
Provided prompt, courteous service to policyholders throughout claims process
Interpreted policy language to make informed decisions on claim approvals or denials
Prepared written correspondence as needed for effective communication with claimants or other parties involved in claim
Managed workload effectively to meet deadlines and maintain high-quality standards
Telephone Claims Representative
GEICO
12.2005 - 04.2006
Resolved customer complaints and concerns in timely manner
Negotiated settlements and followed through with litigation for unsettled claims
Determined extent of liability based on thorough reviews of police reports, medical treatment records and other documentation
Supported investigations by collecting evidence, documents and statements from medical and law enforcement professionals
Affected fair and prompt disposal of uncomplicated claims with fair application of technical expertise and human relations expertise
Transition Coach
GEICO
12.2004 - 12.2005
Facilitated team meetings to discuss goals, expectations, and individual progress throughout season
Collaborated with fellow coaches to develop team strategies and improve overall performance
Handled escalated customer complaints relating to denied or delayed insurance claims
Monitored reserve levels on open claims to reflect ongoing exposure accurately
Reviewed denial letters prior to issuance for clarity and adherence to policy language
Managed claims department operations and ensured efficient workflow
Education
Bachelor of Science (B.S - Psychology
Georgia College & State University
12.2004
Claims Service Representative I - undefined
GEICO
Macon, GA
12.2004
Lean Six Sigma Yellow Belt Certification - undefined
GEICO University
Skills
Decision Making
Multitasking Abilities
Interpersonal Communication
Customer Service
Attention to Detail
Critical Thinking
Conflict Resolution
Time Management
Organizational Skills
Timeline
Paralegal
Reynolds, Horne & Survant, LLC
04.2024 - Current
Elementary/Special Education Teacher
Multiple Schools for Houston County School
08.2017 - 07.2023
Continuing Unit Adjuster
GEICO
01.2015 - 04.2016
Loss Report Technician Trainer/Supervisor
GEICO
01.2014 - 01.2015
Claims Trainer
GEICO
01.2008 - 02.2014
Telephone Claims Representative II
GEICO
05.2007 - 05.2008
Claims Service Representative Supervisor
GEICO
04.2006 - 05.2007
Telephone Claims Representative
GEICO
12.2005 - 04.2006
Transition Coach
GEICO
12.2004 - 12.2005
Bachelor of Science (B.S - Psychology
Georgia College & State University
Claims Service Representative I - undefined
GEICO
Lean Six Sigma Yellow Belt Certification - undefined
GEICO University
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