Nicole Smith
High Point,NC
Summary
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
16
16
years of professional experience
Work History
Liability Claims Adjuster
Nationwide Insurance Company
Greensboro, NC
01.2022 - Current
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Gathered information from various third parties to determine claim acceptability.
- Completed required investigations on referred files within established timeframes.
- Conducted witness interviews to assist claim information gathering process.
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
- Reduced loss ratios through fair and prompt processing of claims.
- Identified and obtained evidence to ascertain claim value.
Claims Specialist
Stokesdale, Celink
, NC
04.2018 - 12.2021
- Maintained strict compliance with client and carrier guidelines applicable to FHA claim standards.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Flexible Spending Claims Team Lead
Stanley Bene ts
Greensboro, NC
07.2010 - 03.2017
- Collaborated with management team to implement new work procedures or policies.
- Monitored team progress and enforced deadlines for senior management.
- Fostered positive employee relationships through communication, training and development coaching.
- Contributed to departmental success during the absence of the Vice President.
Annuity Claims Examiner
Lincoln Financial Group
Greensboro, NC
09.2007 - 01.2010
- Analyzed and investigated validity of death certificates, insurance policies to determine the beneficiary, medical records, autopsy reports, and police reports to determine claim payment
- Utilized my skills to recognize potential fraudulent claims to decrease the incidence of fraud
- Worked directly with legal counsel to resolve potential and/ or legal disputes
- Assisted with new hire training and other departmental training programs.
Education
Humanities and Human Studies
University of North Carolina
01.1992
Skills
- Claims file management processes
- Strong interpersonal and communication skills
- Policy interpretation
- Claims investigations
- Claim validity determination
- Customer service and support
Timeline
Liability Claims Adjuster
Nationwide Insurance Company
01.2022 - Current
Claims Specialist
Stokesdale, Celink
04.2018 - 12.2021
Flexible Spending Claims Team Lead
Stanley Bene ts
07.2010 - 03.2017
Annuity Claims Examiner
Lincoln Financial Group
09.2007 - 01.2010
Humanities and Human Studies
University of North Carolina
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