Mary Jahn

Cohoes,NY

Summary

Dynamic and results-driven claim resolutions while showcasing strong negotiation skills and exceptional organizational abilities. Excelled in enhancing customer satisfaction and streamlining claims processes, achieving performance targets through critical thinking and effective communication while maintaining organizational skills with time management. Skilled in maintaining favorable working relationships with all employees and helps to maintain a strong culture of collaboration, communication, and service. Manages a backlog of claims and diary system to ensure appropriate and timely communication,claim monitoring and file reporting.

Overview

years of professional experience

Work History

Associate Personal Injury Claims Specialist

Amica Mutual Insurance Company

05.2011 - Current

Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
Improved team morale and productivity by fostering collaborative work environment.

Senior NY Personal Injury Claims Adjuster

Farmers Insurance

08.1999 - 02.2010

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.
Investigate reported claim for red flags to refer to the Special Investigative Unit for potential fraud.
Evaluate arbitrations, suits, case law and state regulations and insurance endorsements to review for defense or settlement.
Cross train employees from other departments for smooth transitions due to growth or downsizing.
Assist team manager with quality assurance reports and litigation logs.
provide excellent customer service and effectively communicate to policy holders, vendors, medical providers and attorneys.

Education

Associate of Applied Science - Business Administration

Hudson Valley Community College , Troy, NY

05.1999

Skills

Claims
Claims Processing
Claims Investigation
Verbal and written Communication
Strong Organizational Skills, Time Management, Priority Setting Skills
Works Independently with Minimal Supervision

Strong Interpersonal Skills
Strong Decision Making Skills, Resolves Conflict
Strong Negotiation Skills
Microsoft Office and Various Computer Systems
UKG Pro, PeopleSoft

Timeline

Associate Personal Injury Claims Specialist - Amica Mutual Insurance Company

05.2011 - Current

Senior NY Personal Injury Claims Adjuster - Farmers Insurance

08.1999 - 02.2010

Hudson Valley Community College - Associate of Applied Science, Business Administration