Summary
Overview
Work History
Skills
Accomplishments
Timeline
Generic

Lee Nelson

Claims Adjuster
Fredericksburg,VA

Summary

Accomplished Coverage Damage Adjuster with a proven track record at GEICO, excelling in claims investigation and fostering strong relationships through superior written/verbal communication. Demonstrated expertise in policy interpretation, leading to quick resolutions and enhanced customer satisfaction. Skilled in multitasking and working independently, achieving goals efficiently. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through over 7 years of experience interviewing insureds, witnesses and claimants to compile information.

Overview

35
35
years of professional experience

Work History

Coverage Damage Adjuster

GEICO
Fredericksburg, PA
05.2023 - Current
  • Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
  • Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
  • Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
  • Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
  • Investigated complex liability and coverage issues.
  • Utilized multiple tools to identify suspicious and potentially fraudulent claims.
  • Efficiently examined policy documents and activity to determine final coverage status.
  • Effectively communicated both verbally an in writing findings from investigations.
  • Followed legal and statutory regulations pertaining to the risk and loss states.
  • Negotiated and settled loss of revenue and loss of use claims.
  • Managed multiple tasks while meeting goals and deadlines.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.

Telephone Claims Representative I

GEICO
02.2020 - 05.2023
  • Provided mentorship to new hires, sharing knowledge and experience in order to expedite their learning curve within the role.
  • Upheld strict confidentiality standards when discussing sensitive information related to policyholder''s personal details or claim specifics.
  • Built strong relationships with policyholders, fostering trust and loyalty through consistent professionalism in all interactions.
  • Achieved high levels of customer service with exceptional communication skills and empathetic approach to resolving issues.
  • Worked with insureds and eligible parties to process personal injury claim.
  • Completed more complex and involved coverage investigations.
  • Examined policies and followed guidelines to determine proper claims handling.

Claims Service Representative

GEICO
06.2017 - 02.2020
  • Enhanced customer satisfaction by efficiently processing and resolving claims in a timely manner.
  • Provided exceptional customer service by addressing concerns, answering questions, and explaining liability decisions.
  • Identified claims that require more investigation and ensured movement to the proper department accordingly.
  • Demonstrated strong knowledge and skill when establishing new claims.
  • Effectively communicated with callers the next steps and set expectations for resolutions.

Barista Trainer

Target
08.2014 - 06.2017
  • Trained new team members with positive reinforcement and respectful, encouraging coaching.
  • Provided ongoing feedback to trainees on their progress, offering constructive criticism when necessary while celebrating achievements regularly.
  • Improved barista skills through one-on-one training sessions and practical demonstrations.
  • Taught proper procedures and strategies for success to new employees.

United States Marine

United States Marine Corps
03.1990 - 02.1996
  • Enhanced unit readiness by conducting comprehensive training exercises and evaluations.
  • Demonstrated resilience under pressure by consistently performing at a high level despite challenging conditions or unforeseen obstacles.
  • Established a standard for operating procedures as both a command center specialist and supply requisitions chief.
  • Maintained a multi million dollar inventory of equipment and parts essential for unit readiness.
  • Coached unit members in proper rifle/pistol qualification requirement while focusing on safety.
  • Identified and disseminated secure communications to commanding and general officers.
  • Repaired and maintained communications electronics gear for air traffic control efficient operations.

Skills

  • Investigation
  • Technical knowledge
  • Policy Interpretation
  • Recognize Fraud Factors
  • Written/Verbal Communication
  • Multitask
  • Quick Resolutions
  • Team Oriented
  • Work Independently
  • Record Interviews
  • Insurance policy coverage knowledge
  • Coverage assessments
  • negotiation
  • Liability Determination

Accomplishments

Earned Gold Tier, Chairman's Club 2019, 2021 and Ace Program 2023

Timeline

Coverage Damage Adjuster

GEICO
05.2023 - Current

Telephone Claims Representative I

GEICO
02.2020 - 05.2023

Claims Service Representative

GEICO
06.2017 - 02.2020

Barista Trainer

Target
08.2014 - 06.2017

United States Marine

United States Marine Corps
03.1990 - 02.1996

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Lee NelsonClaims Adjuster