Paulette Diedrich
Warwick,RI
Summary
Proactive Claims Owner/Manager with extensive experience in managing business operations and client relationships. Skilled in risk assessment, caseload management, and policy interpretation, enhancing customer satisfaction and operational efficiency. Bringing strong negotiation and investigation skills to drive successful claims resolutions and improve overall performance.
Overview
15
15
years of professional experience
Work History
Claims Owner
Farmers Insurance Group
06.2014 - Current
- Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Answered customer questions regarding deductibles.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Maintained contact with claimants and attorneys to determine treatment status.
Manager
Quick View
06.2009 - 06.2014
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
- Developed and maintained relationships with customers and suppliers through account development.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Enhanced team productivity by implementing agile methodologies, leading to more efficient project completion.
- Managed budget allocations to prioritize spending on high-impact projects, optimizing resource utilization.
- Boosted employee morale and reduced turnover through development and implementation of comprehensive rewards and recognition program.
- Established team priorities, maintained schedules and monitored performance.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
Education
Bachelor of Science - Forensic Science
American Intercontental University
Chicago, IL01.2024
Skills
- Claims Investigation
- Highly motivated
- Claims Processing
- Advanced oral and written communication skills
- Risk Assessment
- Caseload Management
- Insurance policy coverage knowledge
- Policy Interpretation
- Casualty and property loss
- Sales background
- Customer Relations
- Verbal and written communication
Timeline
Claims Owner
Farmers Insurance Group
06.2014 - Current
Manager
Quick View
06.2009 - 06.2014
Bachelor of Science - Forensic Science
American Intercontental University
Similar Profiles
Tayler WalkerTayler Walker
Claim Intake Specialist at Farmers Insurance GroupClaim Intake Specialist at Farmers Insurance Group
Jason TuckerJason Tucker
Small Business Owner at Farmers Insurance GroupSmall Business Owner at Farmers Insurance Group
Carolyn HuntonCarolyn Hunton
Special General Adjuster at Farmers Insurance GroupSpecial General Adjuster at Farmers Insurance Group
Jerome StonaJerome Stona
Senior Recruiter at Farmers Insurance GroupSenior Recruiter at Farmers Insurance Group
Larry Chandonnett JrLarry Chandonnett Jr
Window Cleaner at Fish Window CleaningWindow Cleaner at Fish Window Cleaning