Results-oriented Claims Specialist with expertise in evaluating and resolving claims, analyzing complex data, and negotiating settlements while ensuring regulatory compliance. Strong background in customer communication, conflict resolution, and strategic decision-making fosters robust relationships and partnerships. Committed to leveraging skills to tackle new challenges and drive organizational success.
Overview
11
11
years of professional experience
Work History
Claims Adjuster
GEICO, Government Employees Insurance
Melville, New York
11.2025 - Current
Reviewed and evaluated insurance claims, determining coverage eligibility and proposing settlement options to expedite resolution.
Collaborated with policyholders, agents, and medical providers, gathering documentation for claims processing to ensure timely and accurate outcomes.
Conducted thorough investigations into complex claims to ensure compliance with company policies and regulatory standards.
Negotiated settlements with claimants and their representatives, resolving disputes efficiently and minimizing potential litigation costs.
Implemented streamlined workflows that enhanced processing speed and accuracy of claim settlements.
Facilitated training sessions for new staff on claims management systems and procedures.
No Fault Claims Adjuster
Enterprise Mobility
Queens, NY
09.2024 - 10.2025
Conducted Examinations Under Oath (EUOs) for potential fraudulent claims, helping to mitigate risk and ensure compliance.
Collaborated with legal teams to resolve complex claims disputes effectively.
Evaluated evolving laws, regulations, and industry guidance to address policy and regulatory issues while protecting company interests and preserving customer trust.
Managed medical billing for injured parties, facilitating accurate and timely payments per policy terms and state regulations.
Coordinated scheduling of independent medical examinations (IMEs), collaborating with attorneys and securing recorded statements to bolster claim investigations.
Responded to inquiries and requests from regulatory bodies, ensuring timely and accurate resolution of complaints and assistance requests.
Customer Service: Finance Assistant
Enterprise Car Sales
03.2021 - 09.2024
Resolved customer and bank inquiries regarding financing, warranties, and other service issues, ensuring prompt and effective support.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Collaborated with team members to streamline financial processes, enhancing overall operational efficiency.
Assessed work procedures and workflow to recommend updates, improving policy compliance and service delivery.
Trained new personnel regarding company operations, policies, and services.
Sales Lead
White House Black Market
Manhasset, NY
08.2018 - 01.2021
Led sales team in achieving daily and monthly sales targets.
Fostered high-performance culture, motivating sales team to consistently exceed sales and productivity goals.
Trained and mentored new sales associates, enhancing team performance and driving results.
Provided personalized service to customers, contributing to increased sales and customer satisfaction.
Identified, targeted, and delivered opportunities to make valuable contributions to strategic business objectives.
Sales Manager
LXR&CO
Brooklyn, NY
08.2017 - 05.2019
Resolved customer issues quickly to close deals and boost client satisfaction.
Resolved customer relations issues, ensuring swift resolution and enhancing client satisfaction.
Coached and supported sales personnel, strengthening individual selling efforts and guiding representatives to achieve targets.
Led team meetings to clarify goals and objectives, establishing clear expectations for policies and procedures.
Sales Associate
Old Navy
Valley Stream, NY
03.2015 - 07.2017
Assisted customers in locating products and checked store systems for availability at other sites to ensure customer satisfaction.
Organized racks and shelves to enhance store visual appeal, engage customers, and highlight specific merchandise.
Rotated stock and restocked shelves to ensure product availability and optimize store appearance.
Prepared merchandise for the sales floor by pricing or tagging.