Nicole West
Claims Manager
Columbus,GA
Summary
Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle property claims. Excellent abilities to decipher fraudulent activities, analyze data, and confer with legal counsel.
Overview
5
5
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work History
Claims Adjuster
State Farm
04.2024 - Current
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Managed a high volume caseload without sacrificing quality or timeliness in delivering resolutions to clients'' auto accident-related issues.
- Resolved complex claims efficiently, leveraging extensive knowledge of auto insurance policies and coverage.
- Advocated for customers, ensuring they received fair and prompt settlements for their claims.
- Enhanced customer satisfaction by providing empathetic and clear communication throughout claims process.
- Directed claims negotiations within allowable limit of $100k and supported successful litigations for advanced issues
1099 Investigation Specialist
IVUEIT
01.2023 - Current
- Reduced organizational risk by identifying potential threats through comprehensive investigative work.
- Applied analytical skills in reviewing financial records, transactional data, and other documents to identify patterns indicative of fraudulent activity or misconduct.
- Maintained a high degree of professional ethics while handling sensitive and confidential information during investigations.
- Developed strong relationships with local law enforcement agencies for efficient collaboration on cases.
- Streamlined investigative processes, enabling faster case resolutions through improved communication among team members.
- Conducted surveillance for up to 3 hours at time
Fraud Operations Specialist
InTouch Credit Union
11.2021 - 03.2023
- Utilizes excellent oral, written communication, and analytical skills to resolve delinquent credit account issues and negative balance shares.
- Oversaw day-to-day operations, delegating tasks appropriately to ensure smooth workflow and timely completion of projects.
- Collaborated across departments to identify opportunities for process improvements and increased efficiency.
- Analyzed data to identify trends and make informed decisions, driving continuous improvement in operations.
- Successfully managed multiple projects simultaneously while adhering to deadlines and budget constraints.
- Collected, arranged, and input information into database system.
Licensed Insurance Agent
State Farm Headquarters
04.2019 - 09.2021
- Ensured success in building and writing policies referring to state laws guiding policyholders through the application process using disk operating software to complete auto and fire policies.
- Leveraged knowledge of company insurance products and services to advise customers on appropriate choices.
- Provided coverage option information to assist clients in protecting assets.
- Streamlined the claims process for clients, ensuring prompt resolution and payment of claims.
- Calculated quotes and educated potential clients on insurance options.
- Established trust with clients through transparent communication regarding policy costs, coverages, exclusions, limitations, endorsements or riders available upon request.
Education
Masters Business Administration Marketing -
American InterContinental University
Atlanta, Ga 01.2016 - 05.2017
Bachelors Technical Management -
DeVry University
Downers Grove, IL 06.2014 - 05.2015
Skills
Claims Investigation
Technical knowledge
Highly motivated
Caseload Management
Claims Processing
Property valuation
Underwriting knowledge
Legal Compliance
Insurance policy coverage knowledge
Risk Management
Damage Assessment
Legal proceedings knowledge
Familiar with fraud statutes
Certification
Insurance Adjuster
Timeline
Claims Adjuster
State Farm
04.2024 - Current
Insurance Adjuster
04-2024
1099 Investigation Specialist
IVUEIT
01.2023 - Current
Fraud Operations Specialist
InTouch Credit Union
11.2021 - 03.2023
Licensed Insurance Agent
State Farm Headquarters
04.2019 - 09.2021
Masters Business Administration Marketing -
American InterContinental University
01.2016 - 05.2017
Bachelors Technical Management -
DeVry University
06.2014 - 05.2015