Sarandon Finkley
Lakeland
Summary
Claims professional, well-versed in managing diverse portfolio of claims and ensuring compliance with industry standards. Known for meticulous attention to detail and achieving high client satisfaction rates. Valued team player who adapts to dynamic environments, leveraging strong analytical and communication skills.
Overview
1
1
Certification
24
24
years of professional experience
Work History
Litigation Admin -Alternate Dispute Resolution
Lozano Insurance Adjusters
04.2023 - 04.2026
- Proven ability to learn quickly and adapt to new situations.
- Streamlined dispute resolution process, cutting down average handle time.
- Utilized alternative dispute resolution techniques when appropriate, promoting amicable resolutions and conserving judicial resources.
- Maintained strong vendor relationships through prompt payment processing and effective dispute resolution.
- Collaborated with cross-functional teams to enhance operational efficiency.
- Managed case files, ensuring organization and compliance with legal standards.
- Assisted attorneys in preparing legal documents and briefs for litigation proceedings.
- Analyzed documentation for accuracy, identifying discrepancies and recommending necessary corrections.
Sr. Claims Specialist
CNC
06.2016 - 02.2023
- Executed comprehensive management of auto claims, including gathering recorded statements and pinpointing potential subrogation avenues.
- Collaborated with Special Investigations Unit (SIU) to conduct thorough investigations into suspicious and complex claims.
- Executed property damage evaluations as a desk adjuster during catastrophic events, engaging with various stakeholders to streamline the assessment process.
- Drafted comprehensive communications on claim decisions, emphasizing policy language for both partial and full denials.
- Collaborated with defense attorneys to formulate litigation strategies for efficient claims resolution.
- Mitigated potential losses by identifying fraudulent claims and coordinating with the fraud investigation unit.
- Analyzed claims to ensure compliance with company policies and regulatory standards.
Total Loss Specialist
NARS
03.2018 - 07.2018
- Conducted thorough investigations and evaluations of personal and commercial auto policies to ensure precise claim settlements.
- Oversaw negotiation processes and subrogation efforts while drafting precise denial letters for non-compensable claims.
- Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
- Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
General Liability Examiner
The Best IRS
01.2016 - 05.2016
- Analyzed and assessed general liability claims, facilitating negotiations for settlements and obtaining executed releases upon conclusion.
- Executed ongoing file management and provided timely claim status updates to enhance operational efficiency.
- Provided clear explanations of decisions made during examinations, enhancing transparency between applicants and organization.
Complex Adjuster/Property Damage Trainer
Bankers Financial
04.2015 - 01.2016
- Engaged with customers, providers, and attorneys to obtain necessary medical documentation and treatment plans for health insurance lien compliance.
- Coordinated preparation of legal documents to enhance support for company attorneys during litigation processes.
- Achieved improved team readiness through the creation and refinement of training materials. Enhanced knowledge of property damage protocols via comprehensive training sessions. Elevated compliance levels through targeted coaching and diligent weekly file assessments.
Claims Adjuster
Manpower
11.2014 - 04.2015
- Conducted thorough assessments of injury and property damage claims to compile accurate records for attorneys and third-party record companies.
- Streamlined legal processes by managing subpoena responses, ensuring document compliance with company guidelines.
- Managed high-volume caseloads, prioritizing claims based on urgency and complexity to streamline processing times.
Flood Claims Advocate
National Flood Services
02.2014 - 10.2014
- Conducted comprehensive investigations of flood claims, including verification of loss details and assessment of pertinent documentation such as weather data, property elevation, and photographic evidence; effectively communicated with stakeholders through multiple channels to gather necessary information.
- Evaluated and settled flood claims by analyzing policy exclusions and claim scope, ensuring fair and equitable resolutions for property and content damages; authored clear denial letters when applicable and issued underwriting alerts to flag elevation discrepancies.
- Reviewed and processed flood insurance claims, ensuring compliance with industry regulations.
- Communicated with policyholders to gather documentation and clarify claim details.
- Maintained accurate records within claims management systems to enhance tracking efficiency.
- Analyzed claim documentation for accuracy and compliance with insurance guidelines.
Claims Adjuster II
Geico
04.2002 - 05.2013
- Managed the initial setup and ongoing updates for various types of insurance claims, ensuring accurate and timely processing.
- Utilized multiple communication channels, including phone, internet, and fax, to convey policy information and endorsements to policyholders effectively.
- Coordinated with involved parties to assess and execute subrogation processes, preparing claims for potential arbitration.
- Evaluated and resolved complex personal injury protection and property damage claims, negotiating settlements and determining the company's liability.
- Investigated claim details through interviews, inspections, and documentation review.
Education
Associate of Science -
Florida Technical College
Lakeland, FL02.2002
Skills
- Claims investigation
- Claims analysis
- Policy interpretation
- Insurance claims review
- Decision-making
- Microsoft office
- Conflict resolution
- File management
- Settlement negotiation
- Insurance regulations
- Problem-solving
- Multitasking
- Organizing and prioritizing work
- Adaptability and flexibility
Certification
- Florida Public Notary expires 05/04/2027
- Flood Control Number 0070007167
- Florida Adjuster License Number E082159
Timeline
Litigation Admin -Alternate Dispute Resolution
Lozano Insurance Adjusters
04.2023 - 04.2026
Total Loss Specialist
NARS
03.2018 - 07.2018
Sr. Claims Specialist
CNC
06.2016 - 02.2023
General Liability Examiner
The Best IRS
01.2016 - 05.2016
Complex Adjuster/Property Damage Trainer
Bankers Financial
04.2015 - 01.2016
Claims Adjuster
Manpower
11.2014 - 04.2015
Flood Claims Advocate
National Flood Services
02.2014 - 10.2014
Claims Adjuster II
Geico
04.2002 - 05.2013
Associate of Science -
Florida Technical College