Marquitta Moore
Lithonia,GA
The way to get started is to quit talking and begin doing.
Walt Disney
Summary
Summary Insurance Claims Processor with 3.5 years of experience investigating and processing insurance claims. Excel in analyzing causes, interpreting policies, and negotiating payment solutions. Self-directed support professional with demonstrated performance in customer service, problem-solving, time management and organizational skills. Implements decisions to achieve both immediate and long-term goals, Sound decision-making and interpersonal skills. Friendly Auto Claims Adjuster experienced in evaluating claims to determine liability, ensuring validity and negotiating settlement value. Talented at completing loss reports, confirming coverage and answering clients' inquiries. Sound knowledge of damage assessment procedures and claims investigations.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Litigation Adjuster
CCMSI
09.2022 - 08.2023
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Input claim information and payments into company database.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Appraised property values.
- Appraised specified number of properties per week despite changing workloads and production goals.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated and settled claims according to information presented through reports, research and data verification.
- Completed required investigations on referred files within established timeframes.
- Reviewed data to verify validity of claims and determine case management actions.
- Investigated questionable claims to determine payment authorization.
- Communicated with personnel and legal counsel on claims involving litigation.
Home
Allcat Claims Service/ USAA - Property, Reviewer
Boerne, TX
07.2022 - 12.2022
- Assessed damage to properties
- Determined proper course of action and appropriately settled 40 claims weekly
- Created or updated records with new files or information
- Assessed policy coverage and pulled contracts for review
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
- Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions
- Communicated with reinsurance brokers to obtain claim information for processing
- Conducted detailed bill reviews to implement sound litigation management and expense control
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Auto Liability Adjuster
Allstate Insurance Co/ Jacobson Firm
01.2022 - 09.2022
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers
- Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial
- Estimated benefit payments for each incident
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
- Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records
- Conducted interviews, gathered detailed information and completed field investigations
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Catastrophe Claims Adjuster
Progressive - Catastrophe Claims Adjuster, OH
12.2019 - 01.2022
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
- Identified and collected evidence and determined value to specific claim to properly assess conditions
- Obtained relevant evidence and information regarding suspicious claims
- Kept up-to-date on changes in regulations for deductibles and collections
- Reviewed collection files to determine next steps in collection process
- Monitored quality of independently conducted investigations
- Drafted statement of loss to summarize damages, payments and underlying policy coverage
- Recommended settlement offers and negotiated payment arrangements
- Conducted interviews, gathered detailed information and completed field investigations
- Completed required investigations on referred files within established timeframes
- Negotiated settlements with customers and lien holders paid out total loss settlements and obtained necessary documents to process titles for branding
- Determined salvage value for total-loss vehicles
- Conducted inspections on damaged vehicles and generated accurate estimated costs for repair work
- Litigated claim settlements when needed
- Rejected or approved claims
- Worked with underwriting on loss reserves and risk assessment and coordinated field reviews
- Explained premiums owed to policyholders, agents and underwriters
- Closed average of 40 cases per quarter by leveraging strong organizational and multitasking abilities.
Claims Adjuster
Statefarm Insurance
Dunwoody, GA
02.2018 - 12.2019
- Drafted statement of loss to summarize damages, payments and underlying policy coverage
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
- Analyzed first reports of loss and underlying file material to determine if claim was suspect
- Reduced loss ratios through fair and prompt processing of claims
- Conducted interviews, gathered detailed information and completed field investigations
- Attended 8 anti-fraud training courses, conferences, client SIU training and industry seminars
- Complied with company and insurance client's guidelines in claims processes, estimate writing and closing of claims, resulting in final review
- Investigated claims, conducted field audits, determined losses and reported findings
- Received underwriting approvals after accurately completing applications for insurance coverage
- Supported customers with individualized support and broad knowledge of company products to bring targeted services to individuals with varying needs.
Customer Service Representative
Home Depot
Kennesaw, GA
02.2016 - 12.2018
- Set up and activated customer accounts
- Assessed customer needs and upsold products and services to maximize sales
- Informed customers about billing procedures, processed payments and provided payment option setup assistance
- Answered 50+ inbound calls per day and directed to individuals or departments
- Cultivated impactful relationships with customers and drove business development by delivering product knowledge
- Documented conversations with customers to track requests, problems and solutions
- Exceeded company productivity standards on consistent basis
- Remained constantly aware of customer activity to ensure safe and secure shopping environment
- Answered customer questions and addressed concerns, resulting in 10% reduction in complaint calls.
Technical Support Representative
Concentix
Norcross, GA
09.2014 - 01.2016
- Updated software versions with patches and new installations to close security loopholes and protect users
- Delivered local and remote Tier 1 IT support for hardware and software to company personnel
- Assisted customers with various types of technical issues via email, live chat and telephone
- Supported customers with online billing, access and account issues
- Implemented system security and data assurance software
- Set up new desktop systems and configured laptops for incoming employees, loading required software and server permissions
- Reviewed support cases for technical and troubleshooting accuracy and identified needed process improvements
- Troubleshot hardware issues and worked with service providers to facilitate repairs for end users.
Telesales Representative
Comcast
Alpharetta, GA
03.2013 - 07.2014
- Maintained and recorded customer information in database
- Responded to questions with knowledgeable responses
- Handled inbound telephone calls from interested customers
- Performed clerical and administrative duties like taking messages and transferring calls
- Made appointments with interested customers according to schedule availability
- Collaborated with management to resolve concerns and problem calls
- Utilized scripted sales strategies to converse with customers reached by manual dialing and automatic systems
- Set up new accounts and listed personal, demographic and payment information in system
- Accomplishments
- Consistently maintained high customer satisfaction ratings
- Named “Employee of the Month” in 04,2019 for excellence in service.
Education
Associate of Science - Criminal Justice
10.2018
Skills
- Insurance fraud expertise
- Automobile appraisals
- Rules of evidence
- Report writing
- Strong interpersonal and communication skills
- Sales background
- Property Adjusting
- Property Claims
- Settlement Negotiations
- Verbal and Written Communication
- Conflict Resolution
- File and Record Management
- Decision Making
- Coverage Assessment
- Liability Determination
- Relationship Building
- Active Listening
- Complex Mathematics
- Legal Documentation and Reporting
- Title Examination
- Property Damage Assessment
- Property Owner Representation
- Complex Problem Solving
- Claims Processing
- Team Collaboration
- Critical Thinking
- Claims Evaluation
- Litigation Resolution
- Strong Interpersonal and Communication Skills
- Sales Background
- Report Writing
Certification
- Licensed
- Deleware
- Kentucky
- Lousiana
- North Carolina
- New Hampshire
- New Mexico
- Oklahoma
- Rhode Island
- South Carolina
- Texas
- Vermont
- Wyoming
- Florida
- Startefarm Alias YW4X
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Litigation Adjuster - CCMSI
09.2022 - 08.2023
Home - Allcat Claims Service/ USAA - Property, Reviewer
07.2022 - 12.2022
Auto Liability Adjuster - Allstate Insurance Co/ Jacobson Firm
01.2022 - 09.2022
Catastrophe Claims Adjuster - Progressive - Catastrophe Claims Adjuster, OH
12.2019 - 01.2022
Claims Adjuster - Statefarm Insurance
02.2018 - 12.2019
Customer Service Representative - Home Depot
02.2016 - 12.2018
Technical Support Representative - Concentix
09.2014 - 01.2016
Telesales Representative - Comcast
03.2013 - 07.2014
University of Phoenix - Associate of Science, Criminal Justice
- Licensed
- Deleware
- Kentucky
- Lousiana
- North Carolina
- New Hampshire
- New Mexico
- Oklahoma
- Rhode Island
- South Carolina
- Texas
- Vermont
- Wyoming
- Florida
- Startefarm Alias YW4X
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