Shamika Hill
Marietta,GA
Summary
Highly motivated insurance professional skilled in claim management, negotiation, evaluation and customer service. Team player with an outstanding work ethic. Willing to take on new challenges and learn new skills. Detailed-oriented and able to meet targeted deadlines in a fast-paced environment. Strong organizational, interpersonal, written and communicative skills with the ability to multi-task. Strong problem-solving techniques. Efficient in handling difficult customers and situations, and building strong relationships.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Claim Specialist I
Zurich Insurance
09.2022 - Current
- Evaluate and investigate general liability property and casualty claims in a timely manner following specialty account's guidelines
- Reviews data to verify the validity of claims and collaborates with SIU investigator to detect fraud
- Build relationships with insured and claimants to properly investigate, negotiate and resolve settlement offers with unrepresented claimants in a timely manner
- Maintains and establishes appropriate diary of open claims following company guidelines
- Responds to verbal and written inquiries from internal and external customers regarding the claims process and status of claims.
General Liability Claim Resolution Specialist
Travelers Insurance
11.2018 - 01.2022
- Managed, investigated, evaluated, negotiated, and settled a variety of commercial general liability cases inclusive of bodily injury, auto, property damage third party claims by providing relevant information and outstanding customer service to policy holders
- Made equitable liability decisions by regularly resolving disputes between policy holders and claimants by taking recorded statements, reviewing incident reports or police reports, reviewing medical records, and gathering supporting documentation to determine the extent of liability
- Issued payments within designated authority level or denied claims in a timely manner in accordance to standard
- Referred questionable claims to SIU investigator for further investigation or settlement.
Server and shift leader
Stanford Grill
01.2018 - 03.2020
- Managed orders and accompanying financial transactions by using Point of Sales System
- Knowledgeably recommended menu items based on customer needs and preferences, including upselling complementary dishes and drinks
- Trained new waiters and floor staff on guest service expectations, safety procedures, and proper food handling, and restaurant protocols
- Skillfully anticipated and addressed guests' service needs.
Education
Bachelors of Business Administration Marketing -
Kennesaw State University
Kennesaw, GA12.2017
Skills
- Claims Investigation
- Collaborative relationships
- Negotiation
- Customer Service
- Attention to Detail
Certification
- Georgia and Texas Property & Casualty License
References
Furnished Upon Request
Timeline
Claim Specialist I
Zurich Insurance
09.2022 - Current
General Liability Claim Resolution Specialist
Travelers Insurance
11.2018 - 01.2022
Server and shift leader
Stanford Grill
01.2018 - 03.2020
Bachelors of Business Administration Marketing -
Kennesaw State University