Sherman Jones
Katy
Summary
Dynamic insurance professional with extensive experience at Travelers Insurance, excelling in claims investigation and settlement negotiation. Proven track record of enhancing customer satisfaction through effective communication and attention to detail. Skilled in data analysis and team collaboration, consistently achieving timely resolutions and process improvements in fast-paced environments.
Overview
8
8
years of professional experience
Work History
Outside Claim Representative
Travelers Insurance
07.2023 - Current
- Evaluated and processed insurance claims for accuracy and completeness.
- Communicated with clients to gather information and clarify claim details.
- Collaborated with internal teams to resolve complex claim issues efficiently.
- Maintained detailed documentation of claims transactions in electronic systems.
- Analyzed claim data to identify trends and recommend process improvements.
- Provided training and support to new team members on claims processing procedures.
- Ensured compliance with regulatory requirements during claims assessment and adjustments.
- 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.
- Negotiated favorable settlements with claimants, resulting in cost savings for the company.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
- Developed in-depth understanding of insurance policies and procedures.
- Provided exceptional customer service, addressing concerns and resolving issues promptly.
- Leveraged technology to automate routine tasks, allowing more focus on complex claim investigations.
- Negotiated settlements with claimants, achieving favorable outcomes for both parties.
Inside Claims Representative
Travelers Insurance
08.2022 - 07.2023
- Evaluated and processed insurance claims, ensuring compliance with company policies and regulatory standards.
- Communicated effectively with policyholders to gather necessary information for claim resolution.
- Collaborated with adjusters to assess damages and determine appropriate claim settlements.
- Investigated discrepancies in claims data, implementing corrective actions to enhance accuracy.
- Maintained detailed documentation of claims processing activities in internal systems for record-keeping purposes.
- Assisted in training new team members on claims handling procedures and best practices.
- Provided exceptional customer service, addressing inquiries and concerns promptly to enhance client satisfaction.
- Developed strong relationships with clients, resulting in a higher rate of successful claim resolutions and repeat business.
- Collaborated with legal teams to successfully settle disputed insurance claims, ensuring fair outcomes for all parties involved.
Auto Express Claims Representative
Travelers Insurance
07.2021 - 08.2022
- Processed and evaluated claims to ensure accurate and timely resolutions.
- Collaborated with clients to gather necessary documentation for claim processing.
- Researched and analyzed policy coverage details to validate claims submissions.
- Communicated effectively with stakeholders regarding claim statuses and updates.
- Maintained detailed records of claims activity within company databases.
- Identified trends in claim issues to recommend process improvements for efficiency.
- Developed strong relationships with clients, enhancing service satisfaction levels.
- Collaborated with internal departments and external vendors to resolve claims.
- Maintained up-to-date knowledge of regulatory changes, ensuring company compliance and minimizing legal risks.
- Reduced claim resolution times with thorough documentation and timely follow-up.
Warehouse Lead
Spec's Wines, Spirits & Finer Foods
05.2017 - 07.2021
- Supervised daily warehouse operations, ensuring compliance with safety standards and protocols.
- Trained and mentored new team members on efficient material handling procedures.
- Optimized inventory management processes, reducing discrepancies and improving accuracy.
- Coordinated shipping and receiving activities, maintaining clear communication with logistics partners.
- Implemented process improvements that enhanced workflow efficiency across departments.
- Developed and maintained training materials to support staff development initiatives.
- Monitored equipment performance, scheduling maintenance to minimize downtime.
- Conducted regular audits of inventory levels to ensure adequate stock availability and accuracy.
- Trained employees on equipment operation and safety protocols.
- Managed a team of warehouse personnel, delegating tasks effectively to optimize workflow.
- Managed day-to-day operations of warehouse, freight and parcel shipments, returns, and transfers.
- Oversaw daily operations and shipping and handling processes.
- Supervised warehouse operations by managing employees during shifts.
- Oversaw warehouse staff and maintained efficiency in fast-paced environment.
Education
Bachelor of Arts - Communications
Texas State University
San Marcos, TXSkills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Team collaboration
- Data analysis
- Decision-making
- Interpersonal communication
- Coverage assessments
- Coverage determination
- Accident investigations
- Settlement negotiation
- Documentation review
- File management
- Conflict resolution
- Flexible schedule
- Insurance regulations
- Supervisory experience
- Customer service
- Attention to detail
- Quality control
- Logistics coordination
- Problem-solving
Timeline
Outside Claim Representative
Travelers Insurance
07.2023 - Current
Inside Claims Representative
Travelers Insurance
08.2022 - 07.2023
Auto Express Claims Representative
Travelers Insurance
07.2021 - 08.2022
Warehouse Lead
Spec's Wines, Spirits & Finer Foods
05.2017 - 07.2021
Bachelor of Arts - Communications
Texas State University
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