Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Home and Commercial Claim Adjuster
State Farm
06.2023 - Current
Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
Reduced the number of fraudulent claims by implementing advanced investigative techniques and collaborating with law enforcement when necessary.
Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
Negotiated fair settlements on behalf of the company for property damage claims while mitigating financial risk exposure.
Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
Reduced backlogs of pending claims using effective time-management strategies such as prioritizing tasks based on urgency or complexity levels.
Conducted on-site field inspections to assess damages firsthand, allowing for more accurate estimates and informed decision-making regarding repair costs or total loss assessments.
Leveraged strong negotiation skills to resolve claim disputes, resulting in favorable settlements for both the company and policyholders.
Enhanced client satisfaction by providing timely updates and effectively resolving claim disputes.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Followed up with insured individuals regarding premium and deductibles payments.
Identified suspicious losses and contacted manager for investigative assistance.
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Claims Adjuster
EBERL Claims Service
10.2021 - 06.2023
Confirm applicable coverage
Maintain compliance within Department of Insurance Standards and regulations
Determines policy status and coverage
Investigating losses and identifying coverage issues
Investigates, analyzes, evaluates, and negotiates personal and/or commercial lines claims of higher complexity for 1st and 3rd party
Works within specific limits and authority on assignments of higher technical complexity
Assist with training activities as required
Strive to continuously improve service levels and customer service experiences utilizing process improvement methodology
Negotiated and settled claims according to information presented through reports, research and data verification
Investigated questionable claims to determine payment authorization
Identified and obtained evidence to ascertain claim value.
Machine Operator
Campbell Soup Company
05.2014 - 10.2021
Applied labels and transferred products to final shipping area with smooth and consistent flow focused on synchronizing operations and meeting timetables
Maintained optimal production schedules by safely and quickly operating packaging machinery of several types and at various stages of production lines
Adjusted machine components, machine tensions, and machine pressure according to size and processing angle of product
Earned reputation for good attendance and hard work.
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm