Experienced professional skilled in handling customer inquiries and complaints with diplomacy, patience, and sensitivity. Demonstrates ability to successfully complete multiple assignments in stressful situations while consistently meeting deadlines. Possesses effective communication skills, attention to detail, and resourcefulness in troubleshooting potential issues. Exhibits commitment to industry and company ethics through consistent execution of best practices.
Overview
15
15
years of professional experience
1
1
Certification
Work History
LIABILITY ADJUSTER
ALLSTATE INSURANCE AUTO CLAIMS
01.2022 - Current
Utilized applicable state rules to manage third-party liability investigations.
Conducts comprehensive interviews to secure accurate recorded statements.
Ensured exceptional customer service for all involved parties, including claimants and witnesses.
Conducts investigations while handling communication.
Utilized independent discretion and judgment to manage claims.
Reduced claim processing time by 25% through efficient investigation and documentation of claim details.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Followed up on potentially fraudulent claims initiated by claims representatives.
CLAIM SPECIALIST
STATE FARM INSURANCE AUTO CLAIMS
02.2010 - 08.2020
Communicated effectively to insureds, claimants, attorneys, witnesses, agents, and other insurance companies in course of conducting investigations.
Decreased liability exposure to company and insureds by responding on time-to-time limit demands.
Documented claim file with notes, evaluation and sound decision-making process using independent discretion/judgment in handling of claims and analyzed and interpreted medical reports and liability issues within authority.
Mentored associates on claim related issues and assisted the team on identifying claims with subrogation potential and fraudulent claims and led a project utilizing excellence in operation management.
Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
Managed high-volume caseloads effectively, prioritizing urgent cases while maintaining attention to detail for all claims.
Negotiated favorable settlements with policyholders and third-party representatives, minimizing financial losses for the company.
Evaluated medical records as part of injury claim assessments, ensuring an accurate understanding of treatment costs and recovery timelines.
Coordinated with legal teams when necessary to accurately represent clients'' interests during litigation proceedings.
Negotiated settlements for complex claims to ensure fair outcomes for all parties involved.
Achieved high levels of client retention through meticulous attention to detail and proactive problem-solving during claim process.
Education
Bachelor of Science - Business Administrative Studies, Human Resources Management
NOVA SOUTHEASTERN UNIVERSITY
Fort Lauderdale, FL
Skills
Auto Claim
Bodily Injury
Uninsured/Underinsured Motorist
Property Damage
Subrogation
Customer Service
Liability Investigation
Negotiation
Settlement
Microsoft Office Suite (Word, Outlook, and Excel)
Certification
Florida 6-20 All Lines Adjusters License, Florida, 06/30/25
Timeline
LIABILITY ADJUSTER
ALLSTATE INSURANCE AUTO CLAIMS
01.2022 - Current
CLAIM SPECIALIST
STATE FARM INSURANCE AUTO CLAIMS
02.2010 - 08.2020
Bachelor of Science - Business Administrative Studies, Human Resources Management
NOVA SOUTHEASTERN UNIVERSITY
Similar Profiles
Natalie SkoglundNatalie Skoglund
Sr. Casualty Adjuster at Allstate Insurance Company - Market Claims OfficeSr. Casualty Adjuster at Allstate Insurance Company - Market Claims Office
Auto Quality Adjuster at Insurance Auto Auctions/TheBest Claims Solutions StaffingAuto Quality Adjuster at Insurance Auto Auctions/TheBest Claims Solutions Staffing