Stephanie Goodwin
Jackson,AL
Summary
Dynamic Claims Adjuster with proven expertise at Pilot Catastrophe, excelling in claims investigation and settlement negotiation. Recognized for enhancing customer satisfaction through effective communication and critical thinking. Adept at managing complex claims while maintaining compliance and achieving favorable outcomes, demonstrating strong problem-solving abilities and a commitment to client service.
Overview
4
4
years of professional experience
Work History
Claims Adjuster
Pilot Catastrophe
09.2022 - Current
- Assisted in processing claims by reviewing documentation and verifying information accuracy.
- Supported senior adjusters in conducting investigations to gather relevant claim details.
- Learned industry standards and regulations to ensure compliance in claims handling procedures.
- Collaborated with team members to facilitate efficient communication regarding claim statuses.
- Utilized claims management software to input data and track progress of assigned cases.
- Engaged with clients to address inquiries and provide updates on their claims status.
- Participated in training sessions to enhance knowledge of claims adjustment processes and tools.
- 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.
- Prepared summaries of damage, payments, and policy coverage.
- 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.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Maintained contact with claimants and attorneys to determine treatment status.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Auto Claims Handler
CMS
08.2021 - 09.2022
- Processed and reviewed claims for accuracy and compliance with company policies.
- Coordinated communication between clients, adjusters, and legal representatives to resolve claims efficiently.
- Maintained comprehensive documentation of claims progress and outcomes in case management systems.
- Conducted detailed investigations to determine claim validity, identifying potential fraud or discrepancies.
- Developed training materials for new team members on claims processing procedures and best practices.
- Implemented workflow improvements that enhanced claim turnaround time and customer satisfaction ratings.
- Collaborated with cross-functional teams to address complex claims issues, promoting streamlined resolutions.
- Managed high-volume caseloads, prioritizing tasks effectively to ensure timely resolution of all assigned claims.
- Assisted in training new hires on company policies and procedures related to the Claims Coordinator role, ensuring a seamless transition into their positions.
Education
High School Diploma - General Studies Advanced
Leroy High School
Leroy, AL05.1999
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
- Advanced oral and written communication skills
- Decision-making
- Settlement negotiation
- Policy interpretation
- Casualty and property loss
- Damage assessment
- Property valuation
- Advanced computer skills
- Alabama, Michigan, North Carolina, Mississippi, Georgia, Minnesota, Texas, Louisiana, Arizona, Florida, Arkansas, West Virginia, Kentucky, Indiana, Washington, Oklahoma, New Mexico, Montana, Oregon, and South Carolina claims adjuster license
- Customer service
- Problem-solving
- Multitasking and organization
- Empathy and patience
- Verbal and written communication
- Conflict resolution
- Workflow management
- Estimation techniques
- Claims file documentation
Timeline
Claims Adjuster
Pilot Catastrophe
09.2022 - Current
Auto Claims Handler
CMS
08.2021 - 09.2022
High School Diploma - General Studies Advanced
Leroy High School