Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Rebecca Wilken

Boulder City,NV

Summary

Adept Senior Claims Adjuster with a proven track record at Farmers Group and Metropolitan Auto and Home, showcasing expertise in claims analysis and fraud detection. Demonstrates exceptional organizational skills and empathy, leading to enhanced customer satisfaction and team productivity. Holds a comprehensive Claims Adjuster License, embodying professionalism and integrity. Achieved significant improvements in process efficiency, directly contributing to the company's bottom line. Chartered Property Casualty Underwriters (CPCU) obtained in 2007, still active.

Overview

27
27
years of professional experience

Work History

Senior Claims Adjuster

Farmers Group
09.2003 - Current
  • Consulted police and hospital records when needed.
  • Interviewed claimants and witnesses to gather factual information.
  • Examined photographs and statements.
  • Implemented cost-saving measures by effectively negotiating settlement amounts within authorized limits while ensuring fair compensation for policyholders'' losses.
  • Managed a diverse caseload of property and casualty claims while maintaining strict adherence to state regulations and internal guidelines.
  • Mentored junior adjusters on effective time management and organizational skills, leading to improved work quality and job satisfaction.
  • Improved team productivity, providing comprehensive training to junior adjusters on industry best practices and company guidelines.
  • Collaborated with cross-functional teams to expedite claim handling processes, enhancing overall efficiency and client satisfaction scores.
  • Achieved high accuracy rates in claims evaluation by consistently applying knowledge of policy coverage, liability assessment, and damage valuation.
  • Optimized workload management, prioritizing time-sensitive cases to ensure timely resolutions for clients.
  • Contributed to the continuous improvement of departmental policies and procedures through the identification of inefficiencies and proactive problem-solving techniques.
  • Served as a subject matter expert within the company for complex claims issues, providing guidance and support to colleagues when needed.
  • Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
  • Minimized company exposure to financial risk by diligently identifying fraudulent claims and coordinating with legal teams for resolution.
  • Maintained detailed records of all case-related activities, ensuring accurate documentation for auditing purposes and future reference.
  • Expedited claims settlements with successful negotiation strategies and effective communication skills.
  • Answered customer questions regarding deductibles.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Prepared summaries of damage, payments, and policy coverage.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Enhanced customer satisfaction by promptly addressing and resolving complex claim issues through thorough investigation and analysis.
  • Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.

Temporary Work

Manpower Temporary Services
02.2003 - 09.2003

Worked as office temporary, receptionist, etc.

New Business Associate/Team Leader - Service Delivery

Orion Group
03.1998 - 02.2003
  • Reviewed invoices, payment requests, and expense reimbursements prior to approval.
  • Engaged with customers to build business relationships.
  • Developed knowledge of company products and services to make suggestions according to customer needs.
  • Verified work aligned with service levels agreed and client requirements.
  • Mentored junior team members in effective prospecting methods and presentation skills development.
  • Continuously improved personal knowledge of industry developments and emerging trends in order to provide valuable insights to clients and enhance sales performance.

Education

CPCU - Insurance

The Institutes
Online
01.2007

GED -

Freeport High School
Freeport, IL
01.1989

Skills

  • Professionalism and Integrity
  • Team Leadership Qualities
  • Computer Software Proficiency
  • Attention to Detail Focus
  • Strategic Decision-Making
  • Time management mastery
  • Data Entry Efficiency
  • Staff Training
  • Regulatory Compliance Knowledge
  • Continuing Education Commitment
  • Conflict resolution techniques
  • Fraud Detection Proficiency
  • Empathy and Tact Display
  • Technical Insurance Understanding
  • Claims files management processes
  • Claims Analysis Expertise
  • Critical Thinking Application
  • Policy Interpretation Accuracy
  • Complex Case Management
  • Organizational Skills Enhancement
  • Active Listening Practices
  • Claims Investigation
  • Claims Processing
  • Insurance policy coverage knowledge
  • Advanced oral and written communication skills
  • Claims Adjuster License (50 states)

Accomplishments

Awarded Best of the Best in Claims 2010

Excellence in Claim award in 2022

Timeline

Senior Claims Adjuster

Farmers Group
09.2003 - Current

Temporary Work

Manpower Temporary Services
02.2003 - 09.2003

New Business Associate/Team Leader - Service Delivery

Orion Group
03.1998 - 02.2003

CPCU - Insurance

The Institutes

GED -

Freeport High School
Rebecca Wilken