McKenzie Elyse Martin
Warner Robins,GA
Summary
Claims professional with a wealth of experience in liability claims adjustment. Offers a grounded and proficient approach to handling complex insurance cases. Known for meticulous attention to detail, navigates the intricacies of claims with precision, ensuring fair and efficient resolutions. Set apart by a commitment to exceptional customer service and insure clients not only receive resolutions but also experience a smooth and positive process.
Overview
7
7
years of professional experience
Work History
Licensed Liability Claims Adjuster
GEICO
02.2017 - Current
- Updates information during initial loss reports regarding accidents and damages to customer vehicles
- Maintains security and privacy requirements to protect all involved person's information
- Delivers exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Serves practical claim needs; including but not limited to: scheduling auto damage appointments, dispatching tow services, reserving rental vehicles, and issuing payments.
- Assists involved business parties in carrying out roles towards completing a claim; including, but not limited to: lawyers, medical providers, adverse carriers, repair facilities, rental companies, Lien holders
- Assists in some first party medical coverage proceedings
- Communicates effectively and empathetically to address the customer's needs
- Reduces claims processing time by implementing efficient workflow strategies and prioritizing tasks
- Enhances customer satisfaction by providing timely updates on claim status and addressing concerns promptly
- Investigates liability claims thoroughly, analyzing evidence and interviewing involved parties to determine fault accurately
- Attorney Represented Claims: Collaborate with legal teams for successful case resolutions, ensuring proper documentation was submitted
- Negotiates fair settlements with claimants, considering both their needs and the financial interests of the company
- Maintains compliance with industry regulations by staying informed on changes to laws that impacted claims handling processes including the completion of C.E. biennially for license
- Prevents fraudulent activity by conducting thorough investigations into suspicious claims and involving appropriate authorities when necessary
- Establishes rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances
- Contributes to departmental goals by consistently achieving or surpassing individual performance metrics set forth by management
- Resolves disputes effectively through mediation efforts between involved parties as an alternative to litigation when possible; reducing costs associated with lengthy court proceedings
- Evaluates coverage applicability for incoming liability claims; ensuring accurate payment allocation based on policy terms.
- Reviews policy contract and explain applicable coverage- policy language and state specifics.
- Maintains detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes
- Examines claims forms and other records to determine insurance coverage
- Reviews police reports, medical treatment records, and physical property damage to determine extent of liability
- Mitigates risks and increased profitability with well-developed strategies for reducing future claims and costs
Education
B.S. Psychology -
Middle Georgia State University
05.2020
Skills
- Customer Service
- Exceptional Written and Verbal Communication
- Claim Handling
- Microsoft Office
- Policy Interpretation
- Multitasking Abilities
- Critical Thinking
- Interpersonal Skills
Projects
Chat and Claims Queue Specialist (within current position), 2021-01-01, 2023-12-31, Piloted new claim service product via text/chat capability. Provided functional and customer service-focused feedback to better streamline procedural efficacy and drive down department call volume. Repossession Loss Specialist (within current position), 2018-01-01, 2020-12-31, Worked towards settling repossession claims timely with lien holders.
Quote
"If you call failures experiments, you can put them in your resume and claim them as achievements." - Mason Cooley
Timeline
Licensed Liability Claims Adjuster
GEICO
02.2017 - Current
B.S. Psychology -
Middle Georgia State University