Sheri Horton

• Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
• 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.
• Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
• Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
• Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
• Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
• Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
• Provided exceptional customer service, addressing concerns, and answering questions promptly.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
• Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
• Identified suspicious losses and contacted manager for investigative assistance.
• Maintained contact with claimants and attorneys to determine treatment status.

• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.
• Excellent communication skills, both verbal and written.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Passionate about learning and committed to continual improvement.
• Managed time efficiently in order to complete all tasks within deadlines.
• Organized and detail-oriented with a strong work ethic.
• Paid attention to detail while completing assignments.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Learned and adapted quickly to new technology and software applications.
• Proved successful working within tight deadlines and a fast-paced environment.
• Developed and maintained courteous and effective working relationships.

Claims examiner

• Negotiated settlements with claimants'' attorneys when needed, achieving favorable outcomes for both parties while minimizing costs.
• Conducted thorough investigations of complex claims, gathering relevant documentation and interviewing witnesses when necessary.
• Consulted police and hospital records when needed.
• Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
• Interviewed claimants and witnesses to gather factual information.
• Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
• Collaborated with insurance adjusters to expedite claim settlements, ensuring fair resolutions for all parties involved.
• Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
• Directed claims negotiations within allowable limit of $Amount and supported successful litigations for advanced issues.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
• Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
• Identified suspicious losses and contacted manager for investigative assistance.
• Maintained contact with claimants and attorneys to determine treatment status.