SHA-RON HUTSON
Claims Adjuster
Dallas,US
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 5 years of insurance experience.
Overview
11
11
years of professional experience
Work History
Claims Associate
State Farm
11.2022 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Answering inbound calls and making outbound calls to customers within fast paced, call center environment.
- Applying policy coverage Accurately documenting claim files
- Evaluates coverage, reviews damage, prepares estimates via discussions with Shop, photos and field inspections, secure appropriate documents, and elevates benefits addresses rental bills, towing bills, paid bills, receipts.
- Accurately documenting claim files with notes, evaluations, and decision- making process.
- Contacts customers, shops, agreement holders, inspectors, vendors, and others to secure necessary files information as needed and directed; confirms facts and determine additional needed follow-up
- Updated claims system to track claim status and provide relevant information to other department
- Followed up with customers on unresolved issues
- Researched and analyzed complex claims to determine next steps and possible outcomes
- Collaborated with internal departments and external vendors to achieve fast resolution of claims
- Examined reports, accounts, and evidence to determine integrity and accuracy of information
- Investigated accidents or incidents to determine cause and extent of damages
- Prepared and presented detailed reports to management on claims issues to aid in decision making
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents
- Reviewed outstanding requests and redirected workloads to complete projects on time
Telephone Claims Adjuster
GEICO
05.2019 - 01.2023
- Evaluated insurance policies and analyzed damages to determine coverage
- Established relationships with clients and insurance companies to foster timely claims resolution
- Answered customer questions regarding deductibles
- Researched and analyzed policy contracts to verify proper payment of claims
- Investigated and assessed damage to property and reviewed property damage estimates
- Prepared summaries of damage, payments, and policy coverage.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Team Leader
Chrysler Group LLC Warren Truck Assembly Plant
02.2013 - 05.2019
- Set up and calibrated equipment to meet specific production requirements and tolerances
- Started responding to emails, voicemails, and written correspondence in timely manner
- Conducted training and mentored team members to promote productivity
- Served as go-to person for up to 15 employees, quickly resolving complex administrative and training issues.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards
- Supervised team members to confirm compliance with set procedures and quality requirements
- Worked with team to identify areas of improvement and devised solutions based on findings
- Conducted training and mentored team members to promote productivity, accuracy, and commitment.
- Promoted high standards through personal example to help each member understand expected behaviors and standards
- Held weekly team meetings to inform team members on company news and updates
Education
Diploma - General Studies
Westside Academy
Detroit, MITexas All Lines Adjuster -
Texas Department of Insurance
Skills
- Complex Problem-Solving
- Settlement Verification
- Recordkeeping Organization
- Personal Data Evaluation
- Policy and Procedure Explanations
- Liability Determinations
Timeline
Claims Associate
State Farm
11.2022 - Current
Telephone Claims Adjuster
GEICO
05.2019 - 01.2023
Team Leader
Chrysler Group LLC Warren Truck Assembly Plant
02.2013 - 05.2019
Diploma - General Studies
Westside Academy
Texas All Lines Adjuster -
Texas Department of Insurance
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