Motivated in specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Business-minded insurance professional with exemplary skills in customer service, time management and service coordination. Bringing over 25 years of related experience combined with superior mathematical abilities. Pursuing similar position with expanding insurance company. Detail-oriented examiner with 25 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and the industry as a whole.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Outbound Subrogation Specialist
Progressive Insurance Claims
Willowick, Ohio
09.2021 - Current
Followed up with customers on unresolved issues.
Reviewed new files to determine current status of property damage demand and to develop plan of action.
Conducted full claim investigations and reported updates and legal actions.
Reported policy changes and company conditions affecting customer satisfaction.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Examined claims forms and other records to determine insurance coverage.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Investigated and assessed damage to property and reviewed property damage estimates.
Researched claims and incident information to deliver solutions and resolve problems.
Analyzed information gathered by investigation and reported findings and recommendations.
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Analyzed information gathered by investigation and report findings and recommendations.
Followed up with insured individuals regarding premium and deductibles payments.
Collected evidence to support contested claims in court.
Directed claims negotiations within allowable limit of $5,000 and supported successful litigations for advanced issues.
Reconciled data in direct collection system with accounting system to address discrepancies.
Ordered police reports and recorded statements to complete arbitration filing.
Multi Product Sales Agent
Progressive Insurance
Willowick, Ohio
10.2020 - 09.2021
Offered each customer top-notch, personal service to boost sales and customer satisfaction.
Assisted call-in customers with questions and orders.
Spoke to customers in native language to increase loyalty and establish relationships.
Approached each problem with fresh mind and analytical strategies to quickly resolve concerns.
Trained and developed new sales team associates in products, selling techniques and company procedures.
Logged reports, expenses, receipts and sales documents into digital database.
Performed cold-calling and follow-ups with leads to secure new revenue.
Used Salesforce CRM software to record personal information and purchases of contacted prospects.
Agency Owner
Starkey Insurance
Willoughby, Ohio
02.2010 - 10.2020
Designed strategic marketing and advertising campaigns to enhance agency development in market.
Managed budgeting, purchasing and payroll and delivered pertinent reports to board.
Maintained personnel files and regularly conducted audits to verify accuracy of information.
Recruited, hired and developed top candidates for open vacancies and retained staff through consistent mentoring, positive feedback and team workshops.
Managed staff performance of staff by proactively addressing deficiencies and training weaknesses.
Networked and assisted county, state and federal government agencies.
Senior Outbound Subrogation Leader
Fleet Response, TPA
Independence, OH
12.2017 - 06.2019
Followed up with customers on unresolved issues.
Conducted full claim investigations and reported updates and legal actions.
Checked documentation for accuracy and validity on updated systems.
Verified client information by analyzing existing evidence on file.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Communicated verification and authorization status updates with our clients to facilitate decision-making for liability payments to third party claimants.
Communicated effectively with staff members of operations, finance and clinical departments.
Presented insurance options to customers in order to close sales on new policies.
Increased customer satisfaction by resolving issues
Developed and maintained courteous and effective working relationships
Senior Claims Adjuster
Progressive Auto Insurance
Mayfield Heights, OH
10.2016 - 12.2017
Interviewed claimants and witnesses to gather factual information.
Investigated and processed auto insurance claims for policyholders.
Consulted police and hospital records when needed.
Examined photographs and statements.
Examined claims forms and other records to determine insurance coverage.
Investigated properties to determine extent of damage and estimate repair costs.
Documented all investigation activity and presented reports to management.
Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
Negotiated pro rata settlement agreements to resolve disputes.
Substantiated legitimate claims and denied unjustified claims.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Trained other claims staff members on proper handling and evaluation of evidence.
Reported to management on customer problems, field conditions, safety issues and policy problems.
Followed up with insured individuals regarding premium and deductibles payments.
Examined photographs and statements
Interviewed claimants and witnesses to gather factual information
Education
Associate of Arts - Sociology
Cape Fear Community College
Wilmington, NC
05.2016
Skills
Coverage assessments
Settlement determinations
Personal, casualty and property loss
Valuation knowledge
Policy investigations
Accident scene investigations
Accident investigations
Documentation review
Efficient with Arbitration Forums and salvage process
Underwriting knowledge
Damage itemization
Familiar with fraud statutes
Insurance policy coverage knowledge
Legal proceedings knowledge
Microsoft Office Suite
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Maintained a consistent closing ratio of 94%. of files before arbitration.
Received the "Outstanding Claims Manager" from Discount Tire in 2017.
Won "Student Employee of the Year" in 2015 from Cape Fear Community College