Summary
Overview
Work History
Education
Skills
Timeline
Generic

Monique Williams

4707 Water Mill Dr. Buford,GA

Summary

Highly Personable and knowledgeable customer service oriented Claim Adjuster with 15 yrs insurance experience (Standard and Non-Standard). Handled initial investigations and coverage evaluations to settlement negotiations and claims resolution.

Overview

20
20
years of professional experience

Work History

Patient Counselor

Accelerated Claims Inc.
Gainesville, GA
01.2020 - Current
  • Interview, investigate and make phone calls in relation to medical claims associated with motor vehicle, general liability and workers compensation accidents
  • Determine medical benefits and pursue payments on behalf of the client
  • Interview patients entering the ER. Gather accident details and insurance carrier information for the use of determining available medical coverage
  • Create patient files in the system and maintain files accuracy
  • Investigate and confirm any medical coverage related to motor vehicle, general liability, and/or workers compensation insurance available to the patient
  • Identify any patient attorney and confirm patients representation with the attorneys office

Multi-line Claim Adjuster

State Farm Insurance (Contractor)
Duluth, GA
05.2012 - 07.2019

PROPERTY CLAIMS ADJUSTER (4 years):

  • Promptly contacted insured's to provide accurate & timely investigation and loss analysis
  • Investigated, analyzed and determined the extent of liability concerning personal, casualty and property losses and damages
  • Reviewed estimates in Xactimate for accuracy and necessary amendments
  • Estimated and settled contents claims by investigating and evaluating the loss details about every article damaged or lost
  • Maintained an active diary and monitored diary to achieve timely development of file and timely disposition of the claim
  • Presented settlements and payments to insured's and/or attorney's/public adjusters
  • Composed and sent letters
  • Set and updated reserves
  • Adhered to all statutory regulations and unfair claim practices

AUTO CLAIMS ADJUSTER: (3 years):

  • Handled a variety of auto losses including complex (more than 3 vehicles), Total losses, and Bodily injury claims
  • Set inspections and rental vehicles when applicable
  • Thoroughly reviewed the time limit demands, what the conditions of the demands were
  • Labeled incoming documents from attorneys, healthcare facilities and/or insureds
  • Researched Vehicle market value to determine total loss value
  • Recognize & pursued recovery where possible
  • Maintained the salvage log and processed the salvage proceeds
  • Transferred titles & all paperwork
  • Ordered Police reports and/or motor vehicle reports if applicable
  • Investigated catastrophe related auto claims when applicable

LITIGATION ASSOCIATE (3 months):

  • Class Action lawsuit project
  • Reviewed Georgia claims for possible diminished value settlements
  • Reviewed scope of damages via estimate and photos taken at time of loss to determine if diminished value was owed under class action lawsuit against State farm

P&C Insurance Sales Agent (Non-Standard)

Lindsay General Insurance Agency
Duluth, GA
07.2010 - 01.2012
  • Prepared and bind auto policies
  • Assisted existing customers with policy info and/or documents
  • Collected premium payments and made outbound calls to remind customers of document deadlines to insure continuous coverage
  • Explained all policy coverage's, exclusions and premiums to insured
  • Processed premium payments to begin coverage
  • Issued Declaration page/proof of insurance to insured

Data Entry Clerk

Thomson Reuters
Valhalla, NY
01.2009 - 03.2010
  • Entered data into databases
  • Verified accuracy
  • Added documents to file records and created new records to support filing needs
  • Obtained scanned records and uploaded into database
  • Managed documents by organizing forms, making photocopies, filing records, preparing correspondence and creating reports

P&C Insurance Sales Agent

Homesite Insurance
White Plains, NY
01.2004 - 12.2007
  • Quoted and bind homeowners insurance policies for various carriers such as GMAC, AIG, Progressive, and Unitrin
  • Sold additional products and service after identifying customer needs and requirements
  • Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals
  • Responded to customer calls within 24 hours to swiftly resolve issues and answer questions
  • Built and maintained long-term relationships with clients through active listening and outstanding customer service
  • Displayed consistent, positive attitude towards customers, peers, and other personnel, even during high stress situations

Education

GED -

Georgia Department of Education
Lawrenceville, GA
12.2013

Skills

  • P&C Adjuster License in multiple states
  • Standard & Non Standard Insurance Handling
  • Proficient with Microsoft office system (Including Word, Excel and Outlook)
  • Proficient with Xactimate, XactAnalysis, XactContents, Symbility, CCC pathways, NextGen, Audatex, and guidewire software/Systems
  • Automobile claims specialist
  • Hail and wind damage specialist
  • Property claims specialist
  • Insurance policy coverage knowledge
  • Time management
  • Settlement Negotiation
  • Results-oriented

Timeline

Patient Counselor

Accelerated Claims Inc.
01.2020 - Current

Multi-line Claim Adjuster

State Farm Insurance (Contractor)
05.2012 - 07.2019

P&C Insurance Sales Agent (Non-Standard)

Lindsay General Insurance Agency
07.2010 - 01.2012

Data Entry Clerk

Thomson Reuters
01.2009 - 03.2010

P&C Insurance Sales Agent

Homesite Insurance
01.2004 - 12.2007

GED -

Georgia Department of Education