Insurance professional with comprehensive experience in claims management and customer service. Known for maintaining high standards and delivering reliable results through meticulous case analysis and resolution. Valued team player who adapts to changing needs, emphasizing communication and problem-solving skills.
Collected, analyzed and interpreted information, documentation, and physical evidence associated with claim investigations.
Conducted in-depth analysis of internal reporting data to uncover patterns and trends, driving improvements in case resolution processes.
Collaborated with federal agencies such as the Insurance Fraud Bureau (IFB) and the National Insurance Crime Bureau (NICB) to gather evidence, support ongoing investigations, and complete referrals.
Ensured compliance with legal regulations during investigations, minimizing risk for litigation or procedural errors.
Claims Generalist Intermediate
1 Year 11 Months
Progressive Casulty Insurance | 09.2024 - Current
Analyzed claims related to bodily injuries, assessed liability, and facilitated negotiations for equitable settlements with unrepresented claimants.
Oversaw caseload management to maintain accuracy and efficiency while consistently meeting compliance and regulatory requirements.
Delivered compassionate support and strategic guidance to claimants, prioritizing cost efficiency and prompt issue resolution.
Facilitated team operations as a qualified substitute supervisor, providing mentorship to colleagues and conducting quality checks on files to uphold organizational standards.
Claims Generalist Associate
1 Year 2 Months
Progressive Casulty Insurance | 07.2023 - 09.2024
Applied extensive human relations and investigative expertise to enhance operational effectiveness in current position at Progressive.
Analyzed policy details and liability aspects to expedite the resolution process for auto property damage claims.
Utilized expertise and resources to streamline management of work diaries, inventory, and claims, ensuring operational efficiency.
Employed advanced negotiation tactics to effectively manage interactions with progressive customers and claimant carriers regarding total losses liability and subrogation handling.
Maintained proactive communication with customers to enhance satisfaction and assisted colleagues in the general claims department's call loop.
Process Associate
1 Year 5 Months
Genpact, LLC | 12.2021 - 05.2023
Identified and resolved process issues to enhance workflow and support business growth.
Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes.
Collaborated with team to define business requirements for processes, ensuring adherence to productivity and accuracy standards.
Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.
Recommended methods to address improvement opportunities, contributing to operational efficiency.
Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
Learned and maintained in-depth understanding of product information, providing knowledgeable responses to diverse questions.
Educated customers on company systems, form completion and access to services.
Resolved concerns with products or services to help with retention and drive sales.
Administrative Clerk
1 Year 7 Months
University Of Alaska Fairbanks | 05.2020 - 12.2021
Created a welcoming environment for customers by greeting and assisting them.
Answered multi-line phone system and transferred callers to appropriate department or staff member.
Created and updated physical records and digital files to maintain current, accurate and compliant documentation.
Generated documents necessary for internal meetings.
Prepared and distributed team communications to enhance collaboration and boost team morale.
Education
Bachelor of Arts - Criminalistics And Criminal Science
Saint Leo University | Saint Leo, FL | 05-2025
Skills
Claims Investigation
Data Evaluation
Conflict resolution
Call center management
Technical literacy
Fraud detection
Investigative Reporting
Customer Relations
Active Listening
Timeline
Desktop Investigator
Progressive Casualty Insurance
01.2026 - 04.2026Read More
Claims Generalist Intermediate
Progressive Casulty Insurance
09.2024 - CurrentRead More
Claims Generalist Associate
Progressive Casulty Insurance
07.2023 - 09.2024Read More
Process Associate
Genpact, LLC
12.2021 - 05.2023Read More
Administrative Clerk
University Of Alaska Fairbanks
05.2020 - 12.2021Read More
Saint Leo University
Bachelor of Arts from Criminalistics And Criminal Science
Independent Field Inspector / Claims Investigator at Clients: Pacific Field Services • Sandcastle Field Services • Manhattan Field Services • LUTH Law FirmIndependent Field Inspector / Claims Investigator at Clients: Pacific Field Services • Sandcastle Field Services • Manhattan Field Services • LUTH Law Firm