I want to work with a company that will help me to reach my career goals and give myself the opportunity for advancement within the company.
Overview
16
16
years of professional experience
Work History
SR. Claims Resolution Specialist 1
Liberty Mutual
Hamilton, Ohio
02.2022 - Current
Communicated regularly with insureds, claimants, attorneys, agents, brokers and third parties throughout the claims process.
Advised customers on available options for resolving their homeowners insurance claim disputes.
Investigated, evaluated, and determined coverage for homeowners insurance claims.
Evaluated settlement offers against established criteria to ensure compliance with company guidelines.
Interpreted policy language to determine coverage eligibility for homeowners insurance claims.
Reviewed policy coverage to determine claim eligibility and compliance.
Resolved customer inquiries regarding claim statuses and procedures promptly.
Processed payments promptly upon approval of a valid claim.
Ensured compliance with applicable laws, regulations, policies and procedures when processing claims.
Collaborated with other departments to obtain additional information needed for claim resolution.
Adhered to established workflow processes and timelines in order to meet performance goals.
Collaborated with fellow team members to manage large volume of claims.
Assisted in training new Homeowners Claims Adjusters on best practices related to claim handling processes.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
Evaluated homeowner claims to determine coverage and validity.
Collaborated with contractors to assess property damage and repair costs.
Auto Physical Damage Adjuster/Total Loss Adjuster
Safeco Insurance
Fairfield, OH
10.2018 - 01.2022
Researched and verified insurance policy coverage.
Investigated claims, determined losses and reported findings.
Evaluated the extent of damage.
Processed payments, corrections, endorsements and cancellations.
Called customers each week to inquire about continuing needs.
Analyzed first reports of loss and underlying file material to determine if claim was suspect.
Complied with company and insurance client’s guidelines in claims processes and the closing of claims.
Handled total loss claims from 05-19 to 01-20.
Reviewed data to verify the validity of claims.
Insurance Assistant
Liberty Mutual Insurance
Plano, TX
02.2018 - 10.2018
Reviewed data to verify the validity of claims.
Evaluated the extent of damage.
Pursued continuing education and training programs to continue professional development.
Continually meets or exceeds company’s adherence and efficiency metrics.
Efficent and knowledgable in 8 different workflows including 3PC FNOL, Total loss Lienholder calls, Delay/denials, ABI/Compex, 21 day letter, coverage, and No fault copy workflows.
Effectively work with adjusters, lienholders, and customers to make sure a total loss claim is processed accurately and in a timely manner.
Server
Henry's Tavern
Plano, TX
04.2017 - 09.2018
Answered questions about menu selections and made recommendations when requested.
Regularly checked on guests to ensure satisfaction with each food course and beverages.
Managed closing duties, including restocking items and reconciliation of the cash drawer.
Skillfully anticipated and addressed guests' service needs.
Delivered exceptional, friendly and fast service.
Demonstrated awareness of liability issues and the law by confirming legal drinking age and discontinuing service to intoxicated guests.
Welcomed and acknowledge all guests in a friendly, service-oriented manner.
Provided high quality service.
Effectively communicated with kitchen staff regarding customer allergies, dietary needs and other special requests.
Server and Bartender
California Pizza Kitchen
Phoenix, AZ TX
06.2016 - 04.2017
Maintained knowledge of current menu items, garnishes, ingredients and preparation methods.
Assisted guests with making menu choices in an informative and helpful fashion.
Delivered exceptional service by greeting and serving customers in a timely, friendly manner.
Served customers alcoholic and nonalcoholic beverages as well take food orders and served customers food.
Polysomnographic Technologist
Valley Sleep Center
Phoenix, AZ
08.2014 - 06.2016
Managed nights at a 4 bed sleep facility.
Ran artifact free sleep studies.
Review and score sleep studies.
Prepare for the patient studies by setting-up appropriate paperwork in patient files, type patient information into computers, and prepare study rooms.
Responsible for all titrations and paperwork.
Administer and explain patient registration, consent forms, and insurance forms.
Maintain standards for A.A.S.M. accreditation.
Responsible for all safety protocols and procedures.
Polysomnographic Technologist
Banner Desert Medical Center
Mesa, AZ
11.2009 - 06.2014
Managed nights at a 6 bed sleep facility.
Ran artifact free sleep studies.
Review and score sleep studies.
Prepare for the patient studies by setting-up appropriate paperwork in patient files, type patient information into computers, and prepare study rooms.
Responsible for all titrations and paperwork.
Administer and explain patient registration, consent forms, and insurance forms.
Maintain standards for A.A.S.M. accreditation.
Work with pediatric patients and run pediatric studies.
Responsible for all safety protocols and procedures.
Education
High School Diploma - Biology
Hamilton High School
Hamilton, OH
2000
R.P.S.G.T. - Sleep
R.P.S.G.T.
Part-time Student - Zoology
Scottsdale Community College
Scottsdale, AZ
Skills
Highly responsible and reliable
Works well under pressure
Exceptional interpersonal skills
Literate with Alice, SomnoStar, Nihon Kohden, and Embla sleep software
Mathematical aptitude
Upbeat, outgoing and positive
Registered as a Sleep Technologist 2008-2018
Literate in Windows, Microsoft Excel, Microsoft Word, Microsoft Outlook, Navigator, CVO, OneNote, Yahoo, Lumen, and Gmail email
Sr. Field Claims Resolution Specialist I at LIBERTY MUTUAL INSURANCE COMPANYSr. Field Claims Resolution Specialist I at LIBERTY MUTUAL INSURANCE COMPANY
Sr. Field Claims Resolution Specialist I at LIBERTY MUTUAL INSURANCE COMPANYSr. Field Claims Resolution Specialist I at LIBERTY MUTUAL INSURANCE COMPANY