Accomplished Claims Adjuster with a proven track record at State Farm Insurance, adept in claims investigation and critical thinking. Excelled in recovering funds through successful subrogation efforts and streamlined claim processing, enhancing customer satisfaction. Demonstrates exceptional active listening, ensuring empathetic customer service during crises. Achieved significant cost savings, showcasing a highly motivated approach and collaborative problem-solving skills.
Overview
2025
2025
years of professional experience
Work History
Claims Adjuster
Walmart
Examined claims forms and other records to determine insurance coverage.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Claims Representative
CSAA Insurance Group
09.2024 - Current
Worked productively in fast-moving work environment to process large volumes of claims.
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Collaborated with internal departments and external vendors to resolve claims.
Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
Provided exceptional customer service, addressing concerns and resolving issues promptly.
Developed in-depth understanding of insurance policies and procedures.
Investigated and resolved complex claims, ensuring adherence to policy guidelines and regulatory compliance.
Claims Adjuster
State Farm Insurance
01.2023 - 02.2024
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Verified insurance claims and determined fair amount for settlement.
Examined claims forms and other records to determine insurance coverage.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Claims Adjuster, Automobile and Casualty
USAA Federal Savings Bank
09.2017 - 01.2023
Exercised excellent time management skills while handling multiple high-priority cases simultaneously.
Conducted field investigations to gather evidence for accurate claim assessments and settlements.
Evaluated property damage estimates to determine appropriate compensation amounts in line with policy provisions.
Negotiated settlements with claimants, achieving mutually agreeable outcomes without litigation.
Managed automobile and casualty claims, ensuring accurate assessment and fair settlements.
Improved interdepartmental coordination by establishing clear communication channels and protocols.
Leveraged advanced negotiation tactics to secure favorable settlement terms on behalf of the company.
Enhanced customer satisfaction with thorough investigation of claims and timely resolution.
Provided exceptional customer service during the claims process, addressing concerns promptly and empathetically.
Stayed apprised of industry trends by attending seminars and participating in professional organizations.
Coordinated with repair facilities for vehicle inspections, expediting claim resolutions.
Handled complex claims involving multiple parties, navigating challenging situations with professionalism and tact.
Mentored new Claims Adjusters on best practices in handling automobile and casualty claims efficiently.
Collaborated with legal teams to defend against fraudulent claims, protecting company interests.
Built strong working relationships with external partners such as law enforcement agencies, medical providers, and repair facilities to expedite claim resolutions effectively.
Reduced claim processing time by streamlining documentation and communication procedures.
Assisted clients throughout the entire claim process from initial report to final settlement or closure.
Worked closely with medical professionals to assess injury claims, ensuring proper compensation was provided.
Maintained comprehensive records of all claims handled, ensuring easy reference for future needs.
Developed a strong understanding of policy provisions to accurately interpret coverage for clients'' unique situations.
Examined claims forms and other records to determine insurance coverage.