Tammie Niehaus
Davenport,FL
Summary
Detail-oriented Claims Adjuster with several years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and skilled in providing over thirty years of customer service.
Overview
18
18
years of professional experience
Work History
Claims Reviewer
Pacesetters Claim Services
07.2021 - Current
- Examined photographs and statements.
- Researched claims and incident information to deliver solutions and resolve problems.
- Investigated properties to determine extent of damage and estimate repair costs.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Investigated and assessed damage to property and reviewed property damage estimates.
Claims Adjuster/Claim Processor
OKC Insurance
07.2020 - 06.2023
- Evaluated accuracy and quality of data entered into agency management system
- Followed up with customers on unresolved issues
- Collaborated with claims department and industry anti-fraud organizations to resolve claims
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly
- Investigated properties to determine extent of damage and estimate repair costs
- Checked documentation for accuracy and validity on updated systems
- Verified client information by analyzing existing evidence on file
- Posted payments to accounts and maintained records
- Prepared insurance claim forms or related documents and reviewed for completeness.
Customer Service Supervisor
Field Pros Direct
12.2022 - 04.2023
- Conducted training and mentored team members to promote productivity,accuracy and commitment to friendly service
- Coached employees through day-to-day work and complex problems
- Actively supported service associates by quickly responding to questionsvia phone and email and finding appropriate solutions to customer issues
- Coached team members to deliver hospitable, professional service whileadhering to set service models
- Led process improvement and problem-solving efforts to create standardprocedures and escalation policy for customer support team.
Claims Adjuster / Customer Service Team Lead
Brush Country Claims
03.2020 - 12.2021
- Review and verify all documentation for claims such as inspection, photos, and reports
- Prepare and process claims along with negotiating settlements if necessary
- Assign emergency service for affected insureds during claims processing
- Diffused difficult situations with clients that were confused with the process or outcome for each individual claim Explained policies to insureds that did not have full or complete understanding of their coverages
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims
- Received and reviewed documentation
- Handled Client calls and answered questions
- Reviewed files to verify all pertinent documentation is in file
- Assisted with accessing damages
- Reviewed policy for coverages
- Prepared letters and documentation for review
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Coached new team members on service techniques and provided scoring through quality assurance program
- Resolved customer service issues using company processes and policies and provided updates to customers
- Stepped up to assist customer service manager with complaints and issues during times of department short staffing
- Promoted to team lead of customer service for displaying outstanding enthusiasm and remaining calm in extremely trying situations
- Escalated issues to proper supervisors when standard processes were not effective.
Floor Manager /Product Specialist
Camping World
06.2009 - 07.2014
- Assisted the Store Manager with over 1 million pieces of product Securing the deposits, opening, and closing of the store, and scheduling of all staff
- Maintaining a customer satisfaction rate of over 90%
- Part of a team that has a personal protection package rate booking of over 45% companywide
- Membership services and package bookings of over 33% rating company wide
- Securing truck deliveries and merchandising of products
Account Manager
Exploria Resorts
01.2012 - 02.2014
- Advised timeshare owners with making reservations such as flights, cruise, and reservation with their ownership and partner programs
- Taking payments for the Maintenance Fees and Taxes and Resorts fees
- Counseled owners with understanding the legalities of the contracts signed
- Meeting face to face with owners to teach them how to use their ownership through a one-to-one computer interaction
- Training new staff and assisting them while they are on probation on the floor as a lead
- Liaison for the supervisors to assist with any issues that may arise with owners and complications with programs and difficult tasks with owners.
National / International Reservations /Team Leader
Walt Disney World And Disneyland Paris
02.2006 - 06.2009
- Creating packages and holidays for families and travel agents nationally and internationally for
- Disneyland Paris and Walt Disney World Securing payments and deposits for guests and travel agents
- Accommodate guests with special needs with medical concerns for rooms and travel
- Collaborate with guest relations to resolve complications that arise throughout holidays for guests and travel agents with a 90% resolution
- Liaison between team members and team leaders to resolve issues that may arise on the floor as well individual needs Created packages and vacations that totaled over 2 million dollars in the year 2009
Education
Bachelor of Science - Criminal Justice / Investigation
Polk State College
Winter Haven, FL10.2024
Associate of Science - Criminal Investigation
Everest University
Tampa, FL06.2012
Skills
- All lines Adjuster License 620
- Microsoft Office
- Customer Relationship
- Management
- Training Junior Team Members
- Client Satisfaction
- Claims Preparation
- Settlement Verification
- Insurance Coverage Limits
- Microsoft Word
- Active Listening
- Problem-Solving Ability
- Conflict Mediation
- Active Listening
- Problem-Solving Ability
- Conflict Mediation
Additional Information
- Organized and dependable candidate successful at managing multiple prioritieswith a positive attitude. Willingness to take on added responsibilities to meetteam goals. Seeking to maintain a full-time position that offers professionalchallenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Timeline
Customer Service Supervisor
Field Pros Direct
12.2022 - 04.2023
Claims Reviewer
Pacesetters Claim Services
07.2021 - Current
Claims Adjuster/Claim Processor
OKC Insurance
07.2020 - 06.2023
Claims Adjuster / Customer Service Team Lead
Brush Country Claims
03.2020 - 12.2021
Account Manager
Exploria Resorts
01.2012 - 02.2014
Floor Manager /Product Specialist
Camping World
06.2009 - 07.2014
National / International Reservations /Team Leader
Walt Disney World And Disneyland Paris
02.2006 - 06.2009
Bachelor of Science - Criminal Justice / Investigation
Polk State College
Associate of Science - Criminal Investigation
Everest University
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