Summary
Overview
Work History
Education
Skills
Affiliations
Certification
References
Timeline
Generic

Patricia Rice

Atlanta,GA

Summary

Experienced insurance professional with years of career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Claims Adjuster

Custard
Brookhaven, US-GA
03.2023 - 01.2024
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
  • Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
  • Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
  • Determined reserves for each claim based on estimated costs of settlement or defense.
  • Presented cases at mediations or arbitrations as needed in order to facilitate dispute resolution process.
  • Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
  • Maintained accurate documentation of all claim activity within designated system.
  • Gathered information from various third parties to determine claim acceptability.
  • Communicated with personnel and legal counsel on claims involving litigation.

Claims Adjuster

Qa Claims
Brookhaven, US-GA
08.2021 - 01.2024
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
  • Interpreted policy language to determine coverage for insureds under various lines of business.
  • Reviewed medical records, police reports and other documents related to claim investigations.
  • Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
  • Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
  • Maintained accurate documentation of all claim activity within designated system.
  • Provided training sessions for new adjusters on best practices for adjusting claims.
  • Organized files into logical categories; maintained complete records according to established procedures.
  • Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
  • Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
  • Attended continuing education classes in order to stay abreast of changes in industry standards.
  • Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
  • Evaluated performance metrics regularly; suggested modifications where necessary for increased efficiency.

Claims Adjuster

Alacrity
Plano, TX
03.2021 - 08.2021
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
  • Interpreted policy language to determine coverage for insureds under various lines of business.
  • Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
  • Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
  • Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
  • Reviewed data to verify validity of claims and determine case management actions.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Explained premiums owed to policyholders, agents and underwriters.

Corporate Trainer

Certified Client Solutions
Atlanta, GA
01.2005 - 01.2021
  • Developed and implemented training programs to improve employee performance.
  • Conducted needs assessments to identify skill gaps in the workforce.
  • Designed and delivered presentations, workshops, and webinars on various topics relevant to corporate training.
  • Provided individual coaching sessions for employees who needed additional support with their job duties.
  • Created online tutorials using a variety of software tools.
  • Organized and facilitated team building activities to build a cohesive work environment.
  • Monitored employee progress during training sessions to ensure understanding of material presented.
  • Analyzed training data to evaluate effectiveness of programs and suggest improvements as needed.
  • Boosted confidence of employees by providing skilled training to improve knowledge and productivity.

Education

Some College (No Degree) - Education

Harris Stowe State University
St Louis, MO

Skills

  • Property claims
  • Property adjusting
  • Policy investigations
  • Claims Processing
  • Claims Investigation
  • Damage Assessment
  • Highly motivated
  • Litigation resolution
  • Advanced computer skills
  • Claims file management processes

Affiliations

  • Advocate for economic empowerment of indigenous peoples
  • Avid book reader and movie goer.

Certification

  • Georgia Resident License for Adjusting - NPN 7909330
  • At least 10 other states included

References

References available upon request.

Timeline

Claims Adjuster

Custard
03.2023 - 01.2024

Claims Adjuster

Qa Claims
08.2021 - 01.2024

Claims Adjuster

Alacrity
03.2021 - 08.2021

Corporate Trainer

Certified Client Solutions
01.2005 - 01.2021

Some College (No Degree) - Education

Harris Stowe State University

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Patricia Rice