Licensed Claims Adjuster with a knack for applying critical thinking and negotiation skills to resolve claims fairly and promptly. Motivated to expand breadth of knowledge in an insurance claims career. Demonstrates a strong commitment to providing exceptional customer service , leveraging problem solving abilities to address client concerns effectively. Known for meticulous attention to detail and a proactive approach in identifying and addressing potential claims discrepancies before they escalate.
Overview
9
9
years of professional experience
Work History
Claims Adjuster
Insurance Staffing Solutions
Houston, TX
01.2023 - 01.2024
Proficient in confirming and application of coverages under Commercial Auto Policy, including variables of types of coverages and deductibles on large fleets.
Investigated first and third party auto claims, determining liability, damages, and resolving claims with policyholders and claimants for a major, commercial insurer.
Maintained effective electronic diary management system to move claims towards resolution.
Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
Reviewed medical records, police reports and other documents related to claim investigations and apply negligence theories to multiple parties.
Analyzed facts of loss including photographs, diagrams and other evidence to identify liability theories and potential sources of recovery.
Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically
Successfully wrote up and presented cases to Arbitration Forums to facilitate dispute resolution process.
Designated as sole "Router" for inter-company communications for demands and offers within E-subs of Arbitration Forums.
Proven subrogation results by increasing frequency over 200% and dollar recoveries over 120%.
Maintained accurate documentation of all claim activity and data quality within Guidewire claim system.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Hospitality Coordinator
Whiskey Cake Kitchen & Bar
Round Rock, TX
08.2022 - 01.2023
Organized and managed reservations, check-ins, and special requests of guests.
Ensured guests had a pleasant experience by providing exceptional customer service In person and resolving any complaints from guests while upholding company practices.
Trained front of house staff members in customer service, policies and procedures and maintain staffing scheduling.
Developed strategies to improve guest satisfaction ratings through changes in hospitality practices.
Monitored inventory levels of store front products
Organized special events hosted at the restaurant
Bar Manager
Doc B's Restaurant
Austin, TX
02.2022 - 07.2022
Managed bar staff, trained new hires, and implemented disciplinary procedures when necessary.
Reviewed monthly sales reports to identify areas of improvement and growth opportunities.
Ordered and maintained an adequate supply of alcoholic beverages, glassware, garnishes, ice, napkins, straws and other items needed for drinks.
Monitored the performance of bartenders to ensure that all customers received prompt service in a courteous manner.
Hospitality Manager
The VanDeldan Group
Austin, TX
11.2014 - 03.2020
Trained staff members to enhance customer service and increase profits through promotional suggestions.
Kept detailed inventories of bar supplies and stocked work areas to maintain workflow efficiently.
Generated Inventory
Developed effective approaches to tap employees' potential and build competencies to achieve employer’s goals.
Liaised with HR management to devise and update policies based on changing industry and social trends.
Improved employee retention
Performed customer negotiations to reach fair conclusion for both business and customer.
Responded to numerous customer queries daily.
Implemented creative solutions to deal with special circumstances.
Evaluated previous gains and losses to develop corrective actions.
Implemented employee engagement and development activities, presentations and training to maximize productivity and unite workforce.
Auto Quality Adjuster at Insurance Auto Auctions/TheBest Claims Solutions StaffingAuto Quality Adjuster at Insurance Auto Auctions/TheBest Claims Solutions Staffing