Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Generic
Open To Work

Raymond Boon

Claims Adjuster
Houston,TX

Work Preference

Job Search Status

Open to work

Desired Job Title

Bodily Injury Claims AdjusterSenior Claims ExaminerSenior Claims AdjusterMedical Claims Examiner

Work Type

Full Time

Location Preference

RemoteOn-SiteHybrid
Location: Houston, TX, US
Open to relocation: Yes

Important To Me

Company CultureCareer advancement

Summary

Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.

Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.

Overview

11
11
years of professional experience
2
2
years of post-secondary education

Work History

Bodily Injury Claims Adjuster

GEICO
07.2024 - Current
  • Evaluated coverage, liability and damages and investigated suspicious claims.
  • Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews.
  • Interpreted policy details and recommended most favorable course of action.
  • Examined forms to determine insurance coverage.
  • Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel.
  • Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
  • Monitored expenses of pending claims to comply with company expenditure guidelines and budgets.
  • Prepared reports of findings in investigations.
  • Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
  • Determined liability and estimated and approved benefit payments.
  • Prepared and presented complex cases to management, in-house legal team and Claims Committee.
  • Referred extreme cases to Special Investigation Unit (SIU) for further review.
  • Verified insurance claims and determined fair amount for settlement.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.

Claims Specialist

GEICO
11.2019 - 06.2024
  • Collected facts about accidents, investigate claim details, and collect statements from involved parties
  • Followed up with customers on unresolved issues.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Managed over 100 queue activity files on my dairy while with queue team.
  • Experienced in multiple areas of claims handling including PIP, Theft coverage investigations.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Investigated complex liability, coverage and damage in a timely manner.
  • Verified client information by analyzing existing evidence on file.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Prepared insurance claim forms or related documents and reviewed for completeness.

IOS/MAC OS Support

Apple
10.2018 - 11.2019
  • Took care of customers with advice or a solution on the spot, using my knowledge of current Apple technology to help with iPod, iPhone, and iPad devices.
  • Referred customers to store support team members who get them up and running again.
  • Provide personal training for new customers, helping them acquire the basic skills they need to get started on photo, video, and music projects.
  • Helped Apple maintain strong relationships with customers, you are instrumental to our success.
  • Worked with quality assurance team to confirm app compatibility with analogous solutions on other platforms.
  • Researched and selected APIs for integration into development projects.
  • Founded code review meetings to detect weaknesses in contributed program content, avoiding bug detection by users.
  • Maintained existing mobile applications by designing patches to be applied via iOS automatic updates.
  • Brainstormed new application concepts based on available development assets and historical successes.
  • Followed Apple's Human Interface guidelines to create products aligned with iOS UI norms.

Parking Supervisor

State Parking Services
03.2014 - 09.2018
  • Answered general questions about parking fees, facilities, and directions.
  • Directed patrons to designated parking spaces.
  • Facilitated vehicle flow by managing traffic control and parking in assigned area.
  • Monitored parking space availability to direct customers to open spots quickly.
  • Collected parking fees from customers in compliance with parking regulations to discourage illegal parking.
  • Worked closely with personnel, customers, and contractors to resolve problems.
  • Balanced schedule and customer demands against team capabilities and available resources to meet performance objectives.
  • Mastered enterprise resource planning and logistics and supply chain software and maximized material movement rate.
  • Managed labor assignments and equipment allocations and met transportation, operations and production goals.
  • Motivated workers to exceptional performance through implementation of new strategies.

Education

Associate of Science - Computer And Information Sciences

Houston Community College
Houston, TX
09.2017 - 05.2019

Skills

  • Accident Investigations
  • Coverage assessments
  • Documentation Review
  • Customer Service

Timeline

Bodily Injury Claims Adjuster

GEICO
07.2024 - Current

Claims Specialist

GEICO
11.2019 - 06.2024

IOS/MAC OS Support

Apple
10.2018 - 11.2019

Associate of Science - Computer And Information Sciences

Houston Community College
09.2017 - 05.2019

Parking Supervisor

State Parking Services
03.2014 - 09.2018

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Raymond BoonClaims Adjuster