Claims professional who values precision and efficiency in claims evaluation and resolution. Proven track record of managing high caseloads and settling claims accurately in compliance with company standards. Known for strong collaboration with team members and adaptability to changing needs, ensuring reliable performance and positive results.
· Collaborated with contractors and policyholders to gather necessary documentation and information.
· Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
· Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
· Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
· Evaluated property damage claims to determine coverage and settlement options.
· Evaluated total loss claims for accuracy and compliance with company policies.
· Collaborated with clients to gather necessary documentation and expedite claims processing.
· Analyzed vehicle damage reports to determine total loss status and settlement amounts.
· Utilized industry-standard software tools for efficient claims management and reporting.
· Evaluated total loss claims for accuracy and compliance with company policies.
· Collaborated with clients to gather necessary documentation and expedite claims processing.
· Analyzed vehicle damage reports to determine total loss status and settlement amounts.
· Utilized industry-standard software tools for efficient claims management and reporting.
Investigated workers’ compensation claims to determine cause of incidents, compensability, and eligibility for medical and Lost Time benefits based on jurisdictional guidelines. • Provided training to managers and supervisors on properly initiating, reporting, and documenting employee injury and Lost Time claims, ensuring compliance with state workers’ compensation laws. • Providing training to managers and supervisors on processing employee compensation claims. • Maintained detailed claim files, updated notes and documentation, and ensured timely payment of benefits, medical bills, and settlements in Lost Time and medical-only claims