Linda Segura

Licensed Telephone claims adjuster

GEICO

02.2014 - Current

Manage phone calls for automobile claims, medical claims
Investigate liability and coverage claims
Recorded statements
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Examined claims forms and other records to determine insurance coverage.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
Prepared summaries of damage, payments, and policy coverage.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Answered customer questions regarding deductibles.
Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
Provided exceptional customer service, addressing concerns, and answering questions promptly.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Researched claims and incident information to deliver solutions and resolve problems.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Analyzed information gathered by investigation and reported findings and recommendations.
Investigated and assessed damage to property and reviewed property damage estimates.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Directed and coordinated various investigations conducted by field investigation team.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Maintained contact with claimants and attorneys to determine treatment status.
Followed up with insured individuals regarding premium and deductibles payments.
Identified suspicious losses and contacted manager for investigative assistance.
Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Established productive working relationships with public officials and law enforcement officers.
Evaluated original investigation reports and documents to resolve secondary concerns.
Followed up on potentially fraudulent claims initiated by claims representatives.

Summary

Overview

Work History

Licensed Telephone claims adjuster

Lead Sales Associate

Supervisor

Teller

Education

High School or equivalent -

Skills

Languages

Timeline

Lead Sales Associate

Supervisor

Licensed Telephone claims adjuster

Teller

High School or equivalent -

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