Quiana Shepard
Sherman,TX
Summary
Proven track record in enhancing claim processing efficiency and client satisfaction, notably at Pilot Catastrophe Services. Expert in claims investigation and risk assessment with a knack for fostering strong relationships. Excelled in roles requiring advanced computer skills and exceptional customer service, achieving significant improvements in operational workflows. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Insurance Adjuster position. Ready to help team achieve company goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Inside CVE Property/ Auto Insurance Adjuster
Pilot Catastrophe Services
06.2023 - Current
- Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Examined claims forms and other records to determine insurance coverage.
- Negotiated fair settlements on behalf of the company for property damage claims while mitigating financial risk exposure.
- Optimized data management processes by accurately documenting claim details in company systems for easy retrieval during audits or future inquiries.
- Collaborated with legal teams to represent the company in litigation cases, leading to favorable outcomes in complex claim disputes.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
Account Manager
Newbern Excel
08.2022 - 03.2023
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
- Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Built and strengthened long-lasting client relationships based on accurate price quotes and customer-centric terms.
- Contributed to team objectives in fast-paced environment.
- Assisted in the employment and development of training materials for new hires, ensuring smooth onboarding process.
Car Salesperson
Texoma Hyundai
09.2021 - 08.2022
- Built relationships with customers to encourage repeat business.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Demonstrated automobiles by explaining characteristics, capabilities, and features, taking test drives and explaining warranties and services.
- Greeted customers on lot and in showroom to answer questions about brand and available inventory.
- Collaborated with the finance team to secure favorable financing options for customers.
- Utilized CRM tools to track leads, manage follow-ups, and effectively build client pipelines.
- Streamlined paperwork processes for faster transaction completion times, improving customer experience.
- Answered telephone and email inquiries from potential customers.
- Built customer loyalty and retention by delivering excellent shopping experiences.
Mental Health Technician
Wilson N Jones
06.2019 - 08.2020
- Performed scheduled patient safety checks and documented results to establish patients' well-being.
- Helped patients with meals, activities of daily living (ADLs) and facility transfers to promote security and patient well-being.
- Provided crisis intervention and de-escalation techniques for patients experiencing emotional distress or exhibiting aggressive behaviors.
- Applied de-escalation and limit-setting techniques to promote patient cooperation.
- Observed patient behaviors and mental status and notified RN of unusual or potentially dangerous occurrences.
Dental Claims Representative
Ranstad
03.2017 - 03.2019
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Prepared and presented detailed reports to management on claims issues to aid in decision making.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Demonstrated expertise in interpreting policy language accurately, leading to better-informed decisions on coverage application during claims evaluation.
- Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
- Processed and recorded new policies and claims.
Education
All-lines Insurance Adjusting
Property Adjusting Academy
Lewisville Tx06.2023
High School Diploma -
Fairfield Senior High
Fairfield, OH06.2009
Skills
- Claims Investigation
- Technical knowledge
- Damage Assessment
- Policy Interpretation
- Claims Processing
- Risk Assessment
- Advanced computer skills
- Policy investigations
- Sales background
- Coverage assessments
- Report Writing
- Texas Claims Adjuster License
- Claims Evaluation
- Customer service and support
- Coaching and Mentoring
- Report and Records Review
- Coverage Determination
- Records Review
- Client Interviewing
- Policy analysis
- MS Office
- Claims
- Staff Management
Certification
- Texas All-Lines Insurance Adjuster License - 06/2023
Timeline
Inside CVE Property/ Auto Insurance Adjuster
Pilot Catastrophe Services
06.2023 - Current
Account Manager
Newbern Excel
08.2022 - 03.2023
Car Salesperson
Texoma Hyundai
09.2021 - 08.2022
Mental Health Technician
Wilson N Jones
06.2019 - 08.2020
Dental Claims Representative
Ranstad
03.2017 - 03.2019
All-lines Insurance Adjusting
Property Adjusting Academy
High School Diploma -
Fairfield Senior High
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